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South Carolina rates for HCPCS 76604

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

Facilitymedian $30 · 10th–90th $23$350%20%10th90th$30Professionalmedian $52 · 10th–90th $24$1290%5%10%10th90th$52$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
$22.91 / $30.20 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $83.18 / $245.47
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $40.74 / $117.49
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$46.77 / $74.13 / $87.10
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $46.77 / $83.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $26.92 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $27.54 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $87.10 / $141.25
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $53.70 / $81.28
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $36.31 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $91.20 / $154.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $34.67 / $53.70
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $60.26 / $104.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $83.18 / $141.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $29.51 / $51.29
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $53.70 / $89.13