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Maryland rates for HCPCS 76641

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

Facilitymedian $36 · 10th–90th $30$410%50%10th90th$36Professionalmedian $87 · 10th–90th $35$3160%5%10%10th90th$87$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
$30.20 / $36.31 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $114.82 / $331.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $54.95 / $138.04
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$67.61 / $281.84 / $776.25
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $74.13 / $154.88
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $100.00 / $114.82
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $37.15 / $41.69
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $70.79 / $87.10
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $120.23 / $204.17
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $40.74 / $70.79
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $81.28 / $141.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $123.03 / $177.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $39.81 / $57.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $81.28 / $123.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $109.65 / $234.42
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $38.02 / $83.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $75.86 / $151.36
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $131.83 / $154.88
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $42.66 / $51.29
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $89.13 / $104.71