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Utah rates for HCPCS 76604

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

Facilitymedian $30 · 10th–90th $30$300%50%$30Professionalmedian $59 · 10th–90th $26$1580%5%10%10th90th$59$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
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $91.20 / $380.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $38.90 / $107.15
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$41.69 / $63.10 / $446.68
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $56.23 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $97.72 / $158.49
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $36.31 / $56.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $60.26 / $104.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $125.89
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $117.49 / $181.97
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $47.86 / $57.54
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $61.66 / $123.03
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $89.13 / $165.96
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $42.66 / $64.57
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $46.77 / $104.71
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $50.12 / $107.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $85.11 / $131.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $29.51 / $46.77
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $53.70 / $83.18