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Louisiana rates for HCPCS 76641

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

Facilitymedian $45 · 10th–90th $40$590%20%40%10th90th$45Professionalmedian $78 · 10th–90th $34$2040%5%10%10th90th$78$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
$39.81 / $44.67 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $112.20 / $204.17
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $43.65 / $107.15
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$34.67 / $223.87 / $416.87
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $72.44 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $70.79 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $37.15 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$85.11 / $107.15 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $125.89 / $169.82
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $45.71 / $63.10
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $81.28 / $109.65
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $39.81 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $107.15 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $38.90 / $74.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $70.79 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $107.15 / $165.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $37.15 / $57.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $67.61 / $104.71