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Vermont rates for HCPCS 76604

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

Facilitymedian $158 · 10th–90th $158$1580%50%100%$158Professionalmedian $58 · 10th–90th $25$1150%10%10th90th$58$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
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $89.13 / $131.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $28.18 / $60.26
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $48.98 / $77.62
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $114.82
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $35.48 / $41.69
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $63.10 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $123.03 / $269.15
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $37.15 / $107.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $79.43 / $138.04
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $81.28 / $239.88
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $30.20 / $114.82
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $51.29 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $97.72 / $218.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $35.48 / $69.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $61.66 / $104.71