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Arizona rates for HCPCS 76641

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

Facilitymedian $123 · 10th–90th $40$1660%10%20%10th90th$123Professionalmedian $93 · 10th–90th $35$3390%5%10th90th$93$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$36.31 / $123.03 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $120.23 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $57.54 / $162.18
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$51.29 / $269.15 / $776.25
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $75.86 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $81.28 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.60 / $28.18 / $48.98
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$97.72 / $123.03 / $144.54
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $61.66 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $102.33 / $173.78
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $30.90 / $54.95
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $67.61 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $128.82 / $213.80
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $43.65 / $72.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $85.11 / $141.25
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$81.28 / $158.49 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $117.49 / $660.69
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $39.81 / $218.78
Medica
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$109.65 / $151.36 / $234.42
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $75.86 / $446.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $109.65 / $208.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $39.81 / $95.50
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $72.44 / $120.23