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Is ultrasound covered by insurance?

Sonogram imaging, including pregnancy ultrasounds. Here’s how each kind of plan usually handles it.

  • Yes, medically necessary ultrasounds are usually covered.

    More details

    Routine pregnancy ultrasounds are part of prenatal care. Elective “keepsake” 3D/4D ultrasounds are not covered.

    Cost: Expect your deductible, then a copay or coinsurance. Ask the plan for a negotiated estimate before care.

  • Original MedicareUsually covered

    Yes, Medicare covers diagnostic ultrasounds.

    More details

    covers ultrasounds ordered to diagnose a condition, plus a one-time abdominal aortic aneurysm screening at $0 for eligible people.

    Cost: Generally 20% of the Medicare-approved amount after the Part B deductible.

  • Medicare AdvantageUsually covered

    Yes, Medicare covers diagnostic ultrasounds.

    More details

    covers ultrasounds ordered to diagnose a condition, plus a one-time abdominal aortic aneurysm screening at $0 for eligible people. plans must cover this too, but set their own copays and often require in-network providers and prior authorization.

    Cost: Your plan’s copay or coinsurance: check the Evidence of Coverage.

  • MedicaidUsually covered

    Yes, covered when medically necessary.

    More details

    Pregnancy ultrasounds are covered as part of prenatal care.

What usually has to be true

  • Must be ordered for a medical reason.

Good to know

  • Some plans classify ultrasounds as advanced imaging with higher cost sharing.

Related

  • Prenatal care · Doctor visits, tests, and screenings during pregnancy.
  • MRI · Magnetic resonance imaging (including MRA).

Sources

Typical rules for 2026 plans, checked against these sources on October 20, 2026. Your plan’s own documents decide.

  1. 1
    What Marketplace plans cover

    HealthCare.gov

    Marketplace plans cover outpatient care, hospitalization, mental health care, prescription drugs, rehabilitation, laboratory services, preventive services, and other essential benefit categories.

  2. 2
    Diagnostic non-laboratory tests

    Medicare.gov

    Part B covers diagnostic tests such as CT scans, MRIs, EKGs, X-rays, and PET scans when a doctor orders them to treat a medical problem; you generally pay 20% after the deductible.

  3. 3
    Compare Original Medicare and Medicare Advantage

    Medicare.gov

    Medicare Advantage plans cover everything Original Medicare covers (except hospice, which Original Medicare continues to pay), usually use provider networks, often require referrals or prior authorization, and may offer extra benefits such as dental, vision, and hearing.

  4. 4
    Mandatory and optional Medicaid benefits

    Medicaid.gov

    States must cover mandatory benefits such as inpatient and outpatient hospital care, physician services, laboratory and X-ray services, home health, and nursing facility care; many other benefits, including adult dental, vision, and prescription drugs coverage details, are state options.

General information about how coverage usually works, not a decision about your plan. Your plan documents and insurer have the final word.