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Massachusetts rates for HCPCS 76604

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

Facilitymedian $43 · 10th–90th $20$1070%20%10th90th$43Professionalmedian $63 · 10th–90th $26$1740%5%10th90th$63$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
$19.95 / $36.31 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $109.65 / $354.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $45.71 / $107.15
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$48.98 / $75.86 / $275.42
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $51.29 / $120.23
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$64.57 / $173.78 / $173.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $97.72 / $467.74
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $36.31 / $275.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $66.07 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $123.03 / $169.82
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $50.12 / $70.79
BCBS
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$15.49 / $35.48 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $104.71 / $186.21
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $38.02 / $74.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $66.07 / $128.82
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $53.70 / $112.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $104.71 / $169.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $41.69 / $72.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $58.88 / $89.13
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $46.77 / $213.80
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$64.57 / $173.78 / $173.78
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $97.72 / $467.74
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $36.31 / $275.42
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $66.07 / $407.38
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $102.33 / $190.55
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $38.90 / $83.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $66.07 / $104.71