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Nebraska rates for HCPCS 76604

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

Facilitymedian $79 · 10th–90th $56$2340%20%10th90th$79Professionalmedian $59 · 10th–90th $25$1950%5%10%10th90th$59$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
$56.23 / $79.43 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $87.10 / $354.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $46.77 / $141.25
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$37.15 / $63.10 / $426.58
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $50.12 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $50.12 / $61.66
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $104.71 / $109.65
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $50.12 / $52.48
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $56.23 / $128.82
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $134.90 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $57.54 / $77.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $69.18 / $134.90
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
$89.13 / $117.49 / $446.68
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $47.86 / $263.03
Medica
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $74.13 / $398.11
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $125.89 / $199.53
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $60.26 / $91.20
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $66.07 / $134.90
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $138.04 / $147.91
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $52.48 / $69.18
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $87.10 / $93.33
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $56.23 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $109.65 / $186.21
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $44.67 / $72.44
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $63.10 / $114.82