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Hawaii rates for HCPCS 76604

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

Facilitymedian $31 · 10th–90th $27$360%10%20%10th90th$31Professionalmedian $58 · 10th–90th $26$1660%5%10th90th$58$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
$26.92 / $30.90 / $36.31
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
$23.44 / $37.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$57.54 / $229.09 / $489.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $47.86 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $83.18 / $190.55
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $33.88 / $57.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $52.48 / $125.89
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $97.72 / $112.20
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $34.67 / $36.31
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $72.44 / $79.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $79.43 / $93.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $33.88 / $39.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $45.71 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $95.50 / $190.55
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $40.74 / $223.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $61.66 / $102.33
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $114.82 / $181.97
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $39.81 / $56.23
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $77.62 / $128.82