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Indiana rates for HCPCS 76604

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

Facilitymedian $35 · 10th–90th $26$480%20%10th90th$35Professionalmedian $52 · 10th–90th $25$1320%5%10%10th90th$52$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
$25.70 / $34.67 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $77.62 / $194.98
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $38.02 / $89.13
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$42.66 / $61.66 / $151.36
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $38.90 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $50.12 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $26.30 / $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
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $85.11 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $36.31 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $47.86 / $83.18
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $34.67 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $93.33 / $165.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $33.88 / $57.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $56.23 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $83.18 / $141.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $29.51 / $54.95
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $54.95 / $89.13