Anthem Blue Cross first trimester ultrasound cost in California (2026): what Anthem Blue Cross pays
Anthem Blue Cross first trimester ultrasound cost in California, 2026: the middle of Anthem's rate menu for a first trimester pregnancy ultrasound at doctors' offices and imaging centers is $181. By area, its median runs from $161 (Los Angeles) to $186 (San Jose). Original Medicare pays $133 to $156.
Anthem Blue Cross rate by area
| Area | Anthem Blue Cross median, middle half | Billing entities | Typical (excl. Anthem) | Original Medicare |
|---|---|---|---|---|
| San Francisco | $177 $138 to $263 | 231 | $162 | $153 |
| Oakland | $184 $142 to $249 | 153 | $177 | $153 |
| San Jose | $186 $144 to $252 | 353 | $163 | $156 |
| Los Angeles | $161 $136 to $219 | 731 | $161 | $133 |
Anthem lists the same menu of rates under nearly every contract, so its figures show the middle of that menu, not the rate a specific provider is paid. Providers within 20 miles of each downtown. Typical (excl. Anthem): the middle of the insurer medians in that area, leaving out Anthem's rate menu.
Your plan's price
Anthem Blue Cross has many contracts, and your plan uses one of them. Most providers' rates fall in the middle half shown above; the rate for your plan can be higher or lower. For a plan-specific estimate, sign in to Anthem's Find Care and cost estimates.
What you would actually pay
The negotiated rate is the total the provider is paid. Your share depends on your plan. If you have not met your deductible, you usually pay the whole negotiated rate: at a $181 rate, that is $181. Once the deductible is met, coinsurance applies: at 20% coinsurance you would pay $36 and the insurer the rest. Plans with a flat copay for this service charge the copay instead.
Going out of network is different. The provider has no agreed rate with your insurer, so they can usually bill their full listed price. Federal and California law limit that in emergencies, for out-of-network clinicians at in-network hospitals and surgery centers and, under California-regulated plans, at other in-network facilities such as imaging centers and labs. Many HMO and EPO plans pay nothing for out-of-network care.
About a first trimester pregnancy ultrasound
An ultrasound through the abdomen in the first trimester of pregnancy, before 14 weeks, to confirm the pregnancy, check the heartbeat and estimate the due date. Billing code: CPT 76801.
What the price covers
- Rates here are for the whole service billed as one charge: the scan and the doctor's reading.
- Routine prenatal visits are often billed as one package. Ultrasounds are billed separately, and some plans limit how many they pay for.
- A transvaginal pregnancy ultrasound (CPT 76817) is a different code. Each additional baby in the same scan adds a separate code (76802).
Where these numbers come from
Rates come from the price transparency files Anthem Blue Cross, Blue Shield of California, Aetna, UnitedHealthcare and Cigna publish. We clean the files before summarizing them and only show an insurer when enough providers report a rate. Medicare figures are from the 2026 Physician Fee Schedule. More on how these pages are built.