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Tennessee rates for HCPCS 76873

Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)

Facilitymedian $427 · 10th–90th $120–$4790%20%40%10th90th$427Professionalmedian $138 · 10th–90th $65–$2690%10%10th90th$138$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
$120.23 / $407.38 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $165.96 / $281.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $72.44 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $194.98 / $354.81
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $109.65 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $190.55 / $331.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $95.50 / $162.18
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,445.44 / $1,445.44
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$478.63 / $616.60 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $190.55 / $316.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $91.20 / $144.54