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California rates for HCPCS 76641

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

Facilitymedian $45 · 10th–90th $34$2190%10%10th90th$45Professionalmedian $102 · 10th–90th $35$3980%5%10th90th$102$10.0$50.0$200.0$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
$33.88 / $44.67 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $128.82 / $467.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $50.12 / $144.54
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$63.10 / $275.42 / $794.33
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $77.62 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $102.33 / $169.82
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $77.62 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$107.15 / $158.49 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $141.25 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $190.55 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $60.26 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$125.89 / $165.96 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $131.83 / $229.09
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $169.82 / $323.59
Blue Shield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $54.95 / $104.71
Blue Shield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $117.49 / $223.87
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$8.51 / $39.81 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $141.25 / $251.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $46.77 / $87.10
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $95.50 / $181.97
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $131.83 / $177.83
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $38.90 / $52.48
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $93.33 / $125.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $123.03 / $295.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $46.77 / $81.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $104.71 / $177.83
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $851.14 / $851.14
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $281.84 / $281.84
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$446.68 / $575.44 / $575.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $41.69 / $117.49
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $144.54 / $275.42
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $44.67 / $83.18
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $93.33 / $173.78
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $117.49 / $117.49
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $125.89 / $162.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $109.65 / $281.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $38.02 / $107.15
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$79.43 / $79.43 / $151.36
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $72.44 / $162.18