go back

Maine rates for HCPCS 76604

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

Facilitymedian $51 · 10th–90th $37$580%50%10th90th$51Professionalmedian $55 · 10th–90th $25$1170%10%10th90th$55$10.0$50.0$200.0$1.0K$5.0K

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
$37.15 / $51.29 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $79.43 / $154.88
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $33.11 / $69.18
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$38.02 / $97.72 / $147.91
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $48.98 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $83.18 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $38.90 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $44.67 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $112.20 / $154.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $38.90 / $64.57
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $63.10 / $93.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $97.72 / $173.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $42.66 / $77.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $53.70 / $95.50
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.11 / $35.48 / $3,890.45
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $89.13 / $165.96
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $35.48 / $66.07
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $57.54 / $112.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $104.71 / $173.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $41.69 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $61.66 / $104.71