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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 July 2026.

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

$182

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $182 for this service. Most negotiated rates run $145 to $288.

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.

How much rates vary

Professionalmedian $182 · 10th to 90th $105 to $603
$50$100$200$500professional $182

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$33.88
Median
$57.54
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$630.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$128.82
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$309.03
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$245.47
Typical High
$758.58
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$60.26
Typical High
$257.04
Hally Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$181.97
Typical High
$194.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$181.97
Typical High
$309.03

Where Illinois sits

The same service costs 2.4 times more in Alaska than in Washington, DC. 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· 34th of 51

$182

AK $380DC $158

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.