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Alaska rates for HCPCS 76604

Ultrasound, chest (includes mediastinum), real time with image documentation

Facilitymedian $95 · 10th–90th $38$2040%20%10th90th$95Professionalmedian $59 · 10th–90th $25$1780%5%10th90th$59$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.02 / $95.50 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $83.18 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $33.88 / $91.20
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$57.54 / $79.43 / $131.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $47.86 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $112.20 / $239.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $45.71 / $93.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $60.26 / $138.04
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.02 / $95.50 / $204.17
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $177.83 / $275.42
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $83.18 / $141.25
Moda Health
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$57.54 / $85.11 / $316.23
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $95.50 / $144.54
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $302.00 / $446.68
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $109.65 / $162.18
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $169.82 / $309.03
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $114.82 / $177.83
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $36.31 / $85.11
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $57.54 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $194.98 / $416.87
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $81.28 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $120.23 / $239.88