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Rhode Island rates for HCPCS 76604

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

Facilitymedian $132 · 10th–90th $132$1320%50%100%$132Professionalmedian $66 · 10th–90th $25$1550%10%10th90th$66$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $104.71 / $407.38
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $43.65 / $117.49
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$60.26 / $97.72 / $147.91
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $61.66 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $72.44 / $151.36
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $33.11 / $53.70
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $38.90 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $87.10 / $181.97
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $38.02 / $56.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $58.88 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $83.18 / $134.90
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $31.62 / $52.48
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $53.70 / $93.33