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Idaho rates for HCPCS 76604

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

Facilitymedian $59 · 10th–90th $35$870%10%20%10th90th$59Professionalmedian $58 · 10th–90th $25$1350%5%10%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
$35.48 / $58.88 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $87.10 / $173.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $37.15 / $117.49
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$53.70 / $85.11 / $295.12
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $54.95 / $93.33
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $107.15 / $131.83
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $51.29 / $57.54
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $54.95 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $107.15 / $173.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $41.69 / $61.66
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $63.10 / $114.82
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $288.40
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $112.20 / $141.25
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$39.81 / $67.61 / $87.10
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $109.65 / $162.18
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $50.12 / $77.62
Moda Health
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$53.70 / $83.18 / $295.12
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $61.66 / $93.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $32.36 / $38.02
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $117.49 / $141.25
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $54.95 / $57.54
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $61.66 / $74.13
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $158.49
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $26.30 / $53.70
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $31.62 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $89.13 / $173.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $30.90 / $54.95
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $63.10 / $125.89