go back

Hawaii rates for HCPCS 76641

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

Facilitymedian $40 · 10th–90th $35$470%20%40%10th90th$40Professionalmedian $98 · 10th–90th $35$3160%5%10th90th$98$10.0$20.0$50.0$100.0$200.0$500.0

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
$34.67 / $39.81 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $114.82 / $309.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $41.69 / $120.23
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$63.10 / $239.88 / $645.65
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $72.44 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $138.04 / $229.09
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $45.71 / $77.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $91.20 / $151.36
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $138.04 / $165.96
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $46.77 / $51.29
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $104.71 / $120.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $131.83 / $154.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $41.69 / $47.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $91.20 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $151.36 / $724.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $54.95 / $281.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $100.00 / $144.54
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $169.82 / $281.84
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $53.70 / $89.13
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $117.49 / $190.55