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North Dakota rates for HCPCS 76604

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

Facilitymedian $29 · 10th–90th $27$490%20%40%10th90th$29Professionalmedian $56 · 10th–90th $24$1170%5%10%10th90th$56$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
$26.92 / $28.84 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $79.43 / $154.88
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $30.20 / $72.44
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$12.30 / $44.67 / $48.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $46.77 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $134.90 / $147.91
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $63.10 / $69.18
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $72.44 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $109.65 / $169.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $41.69 / $66.07
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $60.26 / $107.15
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $151.36 / $446.68
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $53.70 / $263.03
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $100.00 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $107.15 / $177.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $51.29 / $100.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $79.43 / $123.03