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Minnesota rates for HCPCS 76604

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

Facilitymedian $87 · 10th–90th $27$1860%10%10th90th$87Professionalmedian $68 · 10th–90th $27$1820%5%10th90th$68$5.0$20.0$100.0$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
$26.92 / $26.92 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $85.11 / $269.15
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $40.74 / $114.82
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$43.65 / $63.10 / $354.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $44.67 / $104.71
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.50 / $23.44 / $23.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $147.91 / $208.93
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $67.61 / $97.72
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $85.11 / $112.20
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$44.67 / $95.50 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $112.20 / $186.21
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $51.29 / $79.43
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $60.26 / $102.33
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$75.86 / $95.50 / $186.21
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $169.82
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $39.81 / $66.07
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $47.86 / $87.10
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $147.91 / $446.68
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $54.95 / $263.03
Medica
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$83.18 / $87.10 / $91.20
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $93.33 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $112.20 / $602.56
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $87.10 / $223.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $77.62 / $134.90