Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); each additional lesion with separate injection (List separately in addition to code for primary procedure)
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
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $234.42 / $691.83
Facility
$141.25
$234.42
$691.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $181.97 / $302.00
Professional
$134.90
$181.97
$302.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $416.87 / $724.44
Facility
$162.18
$416.87
$724.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $245.47 / $489.78
Professional
$162.18
$245.47
$489.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $467.74 / $1,096.48
Facility
$190.55
$467.74
$1,096.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $251.19 / $467.74
Professional
$125.89
$251.19
$467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $177.83 / $269.15
Facility
$40.74
$177.83
$269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $229.09 / $426.58
Professional
$158.49
$229.09
$426.58
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