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Maryland rates for HCPCS 76604

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

Facilitymedian $29 · 10th–90th $23$330%20%10th90th$29Professionalmedian $56 · 10th–90th $25$1820%5%10th90th$56$5.0$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
$23.44 / $28.84 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $89.13 / $354.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $42.66 / $109.65
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$42.66 / $58.88 / $446.68
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $48.98 / $134.90
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $57.54 / $74.13
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $25.70 / $28.84
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $35.48 / $67.61
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $85.11 / $138.04
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $29.51 / $52.48
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $57.54 / $95.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $75.86 / $138.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $32.36 / $43.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $42.66 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $85.11 / $162.18
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $29.51 / $66.07
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $56.23 / $102.33
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $79.43 / $93.33
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $34.67 / $41.69
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $45.71 / $51.29