Quanto Custa Ultrassonografia?
An ultrasound uses high-frequency sound waves to create images of organs and structures inside the body. It is commonly used during pregnancy, to examine the heart, blood vessels, kidneys, liver, and other organs.
Sem Seguro
$500
Com Seguro
$160
Medicare
$115
Média Nacional
$375
By Elena Bellini, MPH, Health Policy & Management · Last reviewed 2026-04-21 ·
Sources: CMS Medicare Provider Utilization and Payment Data 2025 · Methodology · Editorial standards Visão geral
Diagnostic ultrasound uses high-frequency sound waves to produce real-time images of soft tissues, organs, and blood flow. It is painless, uses no ionizing radiation, and is the imaging modality of choice in obstetrics as well as a common first-line tool for abdominal, pelvic, thyroid, vascular, breast, and musculoskeletal evaluation. A typical study takes 20 to 45 minutes depending on the body region. The technologist (sonographer) performs the scan and a radiologist (or specialist such as OB-GYN or cardiologist) interprets the images; those are billed as separate technical and professional components. Price varies enormously by body region and by setting — the same limited abdominal ultrasound can cost one amount at a freestanding imaging center and two or three times that at a hospital outpatient department. Doppler add-ons, point-of-care use in the ED, and specialty studies like obstetric biophysical profiles each carry distinct CPT codes.
O que afeta o custo
- Body region and complexity: limited studies (one organ) are cheaper than complete studies (entire abdomen or pelvis); obstetric detailed anatomy scans cost more than limited OB.
- Site of service: hospital outpatient departments charge a facility fee that freestanding imaging centers do not, often doubling the total bill.
- Doppler add-ons: adding color, spectral, or duplex Doppler imaging generates a separate CPT code and charge.
- Technical vs professional split: the scan and the physician interpretation are billed separately and may appear on different EOBs.
- Contrast-enhanced ultrasound: use of ultrasound contrast agents for select studies adds a drug charge and additional codes.
- In-network vs out-of-network: commercial plans pay negotiated rates that can be a fraction of the chargemaster; out-of-network studies risk balance billing.
Como Economizar
- Ask your ordering physician whether an independent imaging center (not hospital-owned) is appropriate — this is usually the single largest saving.
- Call the center and request the self-pay cash price; it's sometimes lower than what your deductible would otherwise consume.
- Confirm that both the facility and the reading radiologist are in-network before scheduling.
- Ask whether a limited study (single organ) will answer the clinical question instead of a complete study.
- If you have a high-deductible plan and have not met your deductible, compare the negotiated rate to the cash price before booking.
- Use your HSA or FSA to pay any out-of-pocket portion with pre-tax dollars.
Notas sobre seguro e cobertura
Medicare Part B and commercial plans cover diagnostic ultrasound when ordered for a medically necessary indication. Routine obstetric ultrasound is typically covered as part of maternity benefits, and most ACA-compliant plans include the first anatomy scan. Prior authorization is generally not required for standard ultrasound studies (unlike MRI and CT), but some advanced or repeat studies may trigger payer review. Under Medicare, patients owe 20% coinsurance on the Part B allowable after the deductible; commercial cost-sharing varies from 10-30% plus deductible. Technical and professional components are frequently billed as separate line items, so expect two charges for one study.
Data sources for this page
Cost figures on this page are compiled from the following sources, triangulated per the rules in our methodology:
- CMS Medicare Provider Utilization and Payment Data 2025 — primary CMS reference used as the Medicare-rate anchor.
- Hospital Price Transparency machine-readable files (HPT MRFs) from a sample of major hospitals in each state, per the federal Hospital Price Transparency rule.
- Transparency in Coverage payer in-network rate files for commercial-rate cross-validation.
- State All-Payer Claims Database (APCD) summaries where published (Colorado, New Hampshire, Massachusetts, Minnesota, Maine, Utah, Vermont, Rhode Island, Washington, Oregon).
Last reviewed 2026-04-21. See editorial standards for our fact-checking process and correction policy.
Range: $365 to $690 · 50 states shown
Custo por Estado
| Estado | Sem Seguro | Com Seguro | Medicare |
|---|---|---|---|
| Mississippi | $365 | $117 | $84 |
| Arkansas | $375 | $120 | $86 |
| West Virginia | $375 | $120 | $86 |
| Oklahoma | $385 | $123 | $88 |
| Alabama | $390 | $125 | $89 |
| Kentucky | $425 | $136 | $98 |
| Louisiana | $430 | $138 | $99 |
| Iowa | $440 | $141 | $101 |
| New Mexico | $440 | $141 | $101 |
| South Carolina | $440 | $141 | $101 |
| South Dakota | $440 | $141 | $101 |
| Kansas | $445 | $142 | $102 |
| North Dakota | $445 | $142 | $102 |
| Idaho | $450 | $144 | $103 |
| Nebraska | $450 | $144 | $103 |
| Tennessee | $450 | $144 | $103 |
| Indiana | $465 | $149 | $107 |
| Missouri | $465 | $149 | $107 |
| Utah | $465 | $149 | $107 |
| Wyoming | $465 | $149 | $107 |
| Georgia | $470 | $150 | $108 |
| North Carolina | $470 | $150 | $108 |
| Michigan | $475 | $152 | $109 |
| Montana | $475 | $152 | $109 |
| Arizona | $490 | $157 | $112 |
| Ohio | $490 | $157 | $113 |
| Wisconsin | $490 | $157 | $113 |
| Maine | $495 | $158 | $114 |
| Texas | $500 | $160 | $115 |
| Florida | $510 | $163 | $117 |
| Illinois | $510 | $163 | $117 |
| Minnesota | $510 | $163 | $117 |
| Pennsylvania | $510 | $163 | $117 |
| Delaware | $520 | $166 | $119 |
| Nevada | $520 | $166 | $120 |
| Vermont | $520 | $166 | $120 |
| Virginia | $520 | $166 | $120 |
| Colorado | $530 | $170 | $122 |
| New Hampshire | $530 | $170 | $122 |
| Oregon | $535 | $171 | $123 |
| Maryland | $550 | $176 | $127 |
| Rhode Island | $555 | $178 | $128 |
| Washington | $555 | $178 | $128 |
| Connecticut | $600 | $192 | $138 |
| New Jersey | $600 | $192 | $138 |
| California | $660 | $211 | $151 |
| Massachusetts | $665 | $213 | $153 |
| New York | $675 | $216 | $155 |
| Alaska | $680 | $218 | $156 |
| Hawaii | $690 | $221 | $159 |
Perguntas Frequentes
Quanto custa ultrassonografia sem seguro?
O custo médio de ultrassonografia sem seguro nos Estados Unidos é $500. Os custos variam significativamente por estado.
O seguro cobre ultrassonografia?
A maioria dos planos de seguro de saúde cobre ultrassonografia quando medicamente necessário. Com seguro, o custo médio do próprio bolso é $160.
O Medicare cobre ultrassonografia?
O Medicare Parte B geralmente cobre ultrassonografia quando prescrito por um médico. O valor médio aprovado pelo Medicare é $115.
Revisado por Elena Bellini · Última revisão: 2026-04-21
Dados obtidos de CMS Medicare Provider Utilization and Payment Data 2025. Última atualização: 2026-03-01. Esta informação é apenas para fins educacionais e não constitui aconselhamento médico. Este site é apenas para fins informativos e não constitui aconselhamento médico. Consulte sempre um profissional de saúde qualificado.