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Alaska rates for HCPCS 76641

Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete

Facilitymedian $151 · 10th–90th $112$4370%20%10th90th$151Professionalmedian $107 · 10th–90th $36$3310%5%10th90th$107$10.0$20.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$120.23 / $151.36 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $117.49 / $295.12
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $45.71 / $144.54
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$36.31 / $288.40 / $457.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $72.44 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $173.78 / $331.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $58.88 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $114.82 / $213.80
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$112.20 / $151.36 / $436.52
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $288.40 / $446.68
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $104.71 / $190.55
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$107.15 / $331.13 / $724.44
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $177.83 / $263.03
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $426.58 / $616.60
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $144.54 / $208.93
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $281.84 / $407.38
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $199.53 / $316.23
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $48.98 / $128.82
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $93.33 / $213.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $263.03 / $562.34
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $102.33 / $218.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $158.49 / $338.84