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Follow-Up Heart Ultrasound, Congenital Condition

Illinois rates for HCPCS 93304

An ultrasound scan of the heart taken through the chest wall in a person whose heart is structured differently from birth. This is the shorter follow-up or limited study, answering specific questions about a known condition rather than surveying the whole heart in full detail.

Rates data updated October 2026.

How much does Follow-Up Heart Ultrasound, Congenital Condition cost?

$182

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $708 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$182$148 to $234
FacilityA hospital or hospital-owned outpatient department$708$363 to $1,047

How much rates vary

Facilitymedian $708 · 10th to 90th $245 to $1,820Professionalmedian $182 · 10th to 90th $59 to $282
$50$100$200$500$1K$2Kfacility $708professional $182

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$245.47
Typical High
$251.19
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$41.69
Median
$58.88
Typical High
$58.88
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$138.04
Median
$186.21
Typical High
$194.98
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$147.91
Median
$181.97
Typical High
$263.03
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$41.69
Typical High
$60.26
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$138.04
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$117.49
Median
$117.49
Typical High
$151.36
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$794.33
Typical High
$2,041.74
BCBS Illinois
Setting
Professional
Modifier
None (both parts)
Typical Low
$38.90
Median
$131.83
Typical High
$288.40
Cigna
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$794.33
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$141.25
Median
$177.83
Typical High
$239.88
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$48.98
Typical High
$57.54
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$93.33
Median
$138.04
Typical High
$186.21
Hally Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$208.93
Typical High
$660.69
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$51.29
Typical High
$199.53
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$109.65
Median
$158.49
Typical High
$446.68
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$181.97
Typical High
$194.98
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,479.11
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$141.25
Median
$186.21
Typical High
$316.23
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$47.86
Typical High
$72.44
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$104.71
Median
$141.25
Typical High
$245.47
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$79.43
Median
$91.20
Typical High
$91.20
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$31.62
Median
$36.31
Typical High
$36.31

Where Illinois sits

The same service costs 3.0 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 30th of 51

$182

AK $380UT $129

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.