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Michigan rates for HCPCS 76641

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

Facilitymedian $42 · 10th–90th $42$520%50%90th$42Professionalmedian $93 · 10th–90th $35$3160%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
$41.69 / $41.69 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $120.23 / $398.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $47.86 / $147.91
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$104.71 / $269.15 / $812.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $75.86 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $77.62 / $169.82
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $53.70 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$107.15 / $125.89 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $162.18 / $302.00
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$323.59 / $323.59 / $436.52
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $79.43 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $123.03 / $275.42
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $44.67 / $89.13
Cigna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$128.82 / $158.49 / $173.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $85.11 / $190.55
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$41.69 / $41.69 / $75.86
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $117.49 / $275.42
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $41.69 / $95.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$112.20 / $281.84 / $812.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $77.62 / $151.36
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $114.82 / $204.17
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $41.69 / $64.57
Priority Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$128.82 / $158.49 / $186.21
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $74.13 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $120.23 / $269.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $43.65 / $208.93
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $77.62 / $114.82