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Follow-Up Heart Ultrasound, Congenital Condition

Ohio 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?

$166

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $166 for this service. Most negotiated rates run $145 to $214.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $166 · 10th to 90th $123 to $324
$50$100$200$500$1Kprofessional $166

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
$38.02
Median
$64.57
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$741.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$151.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$158.49
Typical High
$251.19
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$8.91
Median
$40.74
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$186.21
Typical High
$309.03
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$181.97
Typical High
$288.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$32.36
Typical High
$70.79
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$162.18
Typical High
$281.84

Where Ohio 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.

Ohio· 41st of 51

$166

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.