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Iowa rates for HCPCS 76604

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

Facilitymedian $49 · 10th–90th $24$1230%10%20%10th90th$49Professionalmedian $59 · 10th–90th $25$2290%5%10%10th90th$59$5.0$20.0$100.0$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
$23.99 / $48.98 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $89.13 / $407.38
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $40.74 / $144.54
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$52.48 / $100.00 / $371.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $38.02 / $131.83
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $138.04 / $181.97
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $63.10 / $77.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $74.13 / $104.71
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $154.88 / $309.03
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $50.12 / $120.23
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $95.50 / $186.21
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$85.11 / $123.03 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $123.03 / $446.68
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $37.15 / $263.03
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $61.66 / $398.11
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $147.91 / $199.53
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $63.10 / $93.33
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $77.62 / $134.90
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $177.83 / $177.83
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $69.18 / $85.11
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $104.71 / $125.89
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $54.95 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $97.72 / $213.80
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $41.69 / $100.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $58.88 / $117.49
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $120.23
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $47.86 / $56.23
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $54.95 / $64.57