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Illinois rates for HCPCS 76604

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

Facilitymedian $42 · 10th–90th $25$830%20%10th90th$42Professionalmedian $58 · 10th–90th $26$1580%5%10th90th$58$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$24.55 / $41.69 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $91.20 / $302.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $43.65 / $107.15
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$38.02 / $63.10 / $295.12
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $47.86 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $46.77 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.03 / $26.92 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $63.10 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $91.20 / $154.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $36.31 / $53.70
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $53.70 / $104.71
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $120.23 / $436.52
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $50.12 / $190.55
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $58.88 / $251.19
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $70.79 / $75.86
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $33.88 / $35.48
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $37.15 / $40.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $97.72 / $169.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $45.71 / $100.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $63.10 / $95.50