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New Mexico rates for HCPCS 76604

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

Facilitymedian $41 · 10th–90th $35$510%20%40%10th90th$41Professionalmedian $46 · 10th–90th $22$1380%5%10th90th$46$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
$35.48 / $40.74 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $64.57 / $239.88
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $27.54 / $97.72
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$58.88 / $426.58 / $489.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $33.11 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $39.81 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $102.33 / $144.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $34.67 / $50.12
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $67.61 / $97.72
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $79.43
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $109.65 / $154.88
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $36.31 / $50.12
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $69.18 / $97.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $89.13 / $158.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $29.51 / $69.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $63.10 / $100.00