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Tennessee rates for HCPCS 76604

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

Facilitymedian $38 · 10th–90th $23$1740%20%10th90th$38Professionalmedian $55 · 10th–90th $25$1510%5%10%10th90th$55$5.0$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
$23.44 / $38.02 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $79.43 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $38.02 / $107.15
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$54.95 / $89.13 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $38.02 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $54.95 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $28.84 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $89.13 / $154.88
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $39.81 / $63.10
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $67.61 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $87.10 / $154.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $33.88 / $57.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $56.23 / $95.50
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $478.63 / $478.63
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $89.13 / $147.91
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $33.11 / $56.23
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $56.23 / $91.20