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New Hampshire rates for HCPCS 76604

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

Facilitymedian $38 · 10th–90th $27$1000%20%10th90th$38Professionalmedian $59 · 10th–90th $27$1410%5%10%10th90th$59$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$26.92 / $38.02 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $89.13 / $229.09
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $33.11 / $97.72
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$38.02 / $95.50 / $147.91
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $54.95 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $27.54 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $85.11 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $39.81 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $44.67 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $112.20 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $41.69 / $72.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $64.57 / $134.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $112.20 / $169.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $50.12 / $72.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $60.26 / $93.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $109.65 / $234.42
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $38.90 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $64.57 / $138.04
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.05 / $23.99 / $26.30