CPT 76830: Conducting a transvaginal ultrasound examination of the uterus and surrounding structures - Prior Authorization and Price

Home › CPT Codes › Conducting a transvaginal ultrasound examination of the uterus and surrounding structures

CPT 76830

Conducting a transvaginal ultrasound examination of the uterus and surrounding structures.

Ultrasound

Build a submission checklist for this study

Payer guidelines that apply

Payer	Reviewed using	Guideline	Sections
Aetna	eviCore	Pelvis Imaging Guidelines 2.0.2026, effective Sep 1, 2026 Oncology Imaging Guidelines 2.0.2026, effective Sep 1, 2026 Pediatric Pelvis Imaging Guidelines 1.0.2026, effective Feb 3, 2026 Abdomen Imaging Guidelines 1.0.2026, effective Feb 3, 2026	34 that name this code
Anthem BCBS	Carelon	Current guideline	None found
Cigna	eviCore	Pelvis Imaging Guidelines 2.0.2026, effective Sep 1, 2026 Oncology Imaging Guidelines 2.0.2026, effective Sep 1, 2026 Pediatric Pelvis Imaging Guidelines 1.0.2026, effective Feb 3, 2026 Abdomen Imaging Guidelines 1.0.2026, effective Feb 3, 2026	35 that name this code
Medicare	CMS	—	None found
Original Medicare does not run a prior authorization program for outpatient imaging; claims are judged against the coverage policies above. Medicare Advantage plans set their own prior authorization rules.
UnitedHealthcare	UnitedHealthcare / eviCore	Commercial and Exchange Cardiovascular and Radiology Imaging Guidelines 09.2026, effective Sep 1, 2026	34 that name this code

Guidelines collected from the payers' published documents on September 29, 2026. Payers revise these documents during the year. Open the guideline link to confirm the current version before you submit.

Conditions the guidelines address for this study

These are the clinical situations where payer guidelines discuss Conducting a transvaginal ultrasound examination of the uterus and surrounding structures. Each has its own criteria for when the study is considered appropriate.

Adnexal Mass/Ovarian Cysts Aetna · Cigna · UnitedHealthcare
Amenorrhea Aetna · Cigna · UnitedHealthcare
Leiomyoma/Uterine Fibroids and other Uterine Masses Aetna · Cigna · UnitedHealthcare
Periurethral Cysts, Urethral Diverticula, and Vaginal Masses Aetna · Cigna · UnitedHealthcare
Abnormal Uterine Bleeding Aetna · Cigna · UnitedHealthcare
Congenital (Mullerian) Uterine and Vaginal Anomalies Aetna · Cigna · UnitedHealthcare
Intrauterine Device (IUD) and Tubal Occlusion Aetna · Cigna · UnitedHealthcare
Polycystic Ovary Syndrome Aetna · Cigna · UnitedHealthcare
Adenomyosis Aetna · Cigna · UnitedHealthcare
Endometriosis Aetna · Cigna · UnitedHealthcare
Pelvic Inflammatory Disease (PID) Aetna · Cigna · UnitedHealthcare
Pelvic Pain/Dyspareunia, Female Aetna · Cigna · UnitedHealthcare
Urinary Incontinence/Pelvic Prolapse/Fecal Incontinence Aetna · Cigna · UnitedHealthcare
Ovarian Cancer Aetna · Cigna · UnitedHealthcare
Uterine Cancer Aetna · Cigna · UnitedHealthcare
Abdominal Mass Aetna · Cigna · UnitedHealthcare
Abdominal Pain Aetna · Cigna · UnitedHealthcare
Pelvic Pain/Dyspareunia, and Ovarian Torsion Aetna · Cigna · UnitedHealthcare

Typical price

Commercial insurance, median

$327

Middle half of rates: $188 to $618

Medicare, hospital outpatient

$107

Facility payment

Medicare, physician fee schedule

$118

National, non-facility

Commercial figures come from negotiated rates published by 1,048 hospitals; Medicare figures from CMS fee schedules. Rates vary widely by hospital and plan. Pricing data from CenterIQ.

Get notified when the rules for this study change

Payers update imaging guidelines several times a year. We will email you when the criteria for Conducting a transvaginal ultrasound examination of the uterus and surrounding structures change.

CPT 76830: Conducting a transvaginal ultrasound examination of the uterus and surrounding structures - Prior Authorization and Price

Payer guidelines that apply

Conditions the guidelines address for this study

Typical price

Get notified when the rules for this study change

Frequently asked questions

Imaging CPT Code Coverage Lookup

Quick Access - Common Imaging CPT Codes

CT

MRI

MRA

PET