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Delaware rates for HCPCS 76604

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

Facilitymedian $32 · 10th–90th $26–$680%10%20%10th90th$32Professionalmedian $55 · 10th–90th $24–$1290%5%10%10th90th$55$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
$26.30 / $31.62 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $79.43 / $194.98
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $34.67 / $91.20
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$34.67 / $58.88 / $107.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $50.12 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $89.13 / $151.36
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $30.90 / $52.48
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $56.23 / $104.71
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $27.54 / $275.42
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $93.33 / $288.40
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $33.88 / $134.90
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $51.29 / $95.50