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Washington rates for HCPCS 76604

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

Facilitymedian $45 · 10th–90th $31$930%10%10th90th$45Professionalmedian $66 · 10th–90th $27$1860%5%10th90th$66$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$30.90 / $37.15 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $91.20 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $40.74 / $151.36
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$58.88 / $100.00 / $446.68
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $54.95 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $117.49 / $177.83
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $50.12 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$117.49 / $117.49 / $141.25
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $123.03 / $181.97
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $56.23 / $79.43
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $66.07 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $125.89 / $194.98
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $46.77 / $79.43
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $77.62 / $128.82
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$30.20 / $51.29 / $229.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $128.82 / $194.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $45.71 / $70.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $81.28 / $138.04
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $69.18 / $102.33
Premera BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$36.31 / $37.15 / $37.15
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $125.89 / $169.82
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $57.54 / $79.43
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $67.61 / $95.50
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $120.23 / $181.97
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $54.95 / $75.86
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $66.07 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $89.13 / $190.55
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $30.90 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $61.66 / $114.82
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $72.44 / $134.90
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $32.36 / $57.54
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $40.74 / $77.62