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Louisiana rates for HCPCS 76604

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

Facilitymedian $35 · 10th–90th $32$470%20%40%10th90th$35Professionalmedian $50 · 10th–90th $24$1170%5%10th90th$50$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
$32.36 / $35.48 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $81.28 / $186.21
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $33.88 / $91.20
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$46.77 / $77.62 / $147.91
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $41.69 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $41.69 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $29.51 / $39.81
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $70.79 / $138.04
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $34.67 / $46.77
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $36.31 / $93.33
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $39.81 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $74.13 / $151.36
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $29.51 / $53.70
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $43.65 / $102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $77.62 / $125.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $28.84 / $44.67
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $47.86 / $81.28