In Nevada no insurance, including Medicaid will cover for you to have a 3D-4D ultrasound, since it's not considered to be medically necessary, so we will have to pay $245 for it, but that's ok because it's totally worth it =0) We did it with our first son and it was so amazing to get to see what he looked like, and then when he was born he looked exactly like he did in the 3D-4D ultrasound.