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Arizona rates for HCPCS 76604

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

Facilitymedian $98 · 10th–90th $31$1320%10%20%10th90th$98Professionalmedian $60 · 10th–90th $25$2140%5%10th90th$60$5.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$30.90 / $95.50 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $95.50 / $380.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $45.71 / $128.82
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$46.77 / $95.50 / $446.68
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $54.95 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $45.71 / $57.54
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.50 / $21.38 / $27.54
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $54.95 / $97.72
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $23.99 / $42.66
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $31.62 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $91.20 / $151.36
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $31.62 / $56.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $58.88 / $95.50
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$64.57 / $123.03 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $93.33 / $446.68
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $29.51 / $263.03
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $63.10 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $89.13 / $162.18
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $29.51 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $60.26 / $87.10