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Missouri rates for HCPCS 76641

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

Facilitymedian $42 · 10th–90th $34$810%20%10th90th$42Professionalmedian $87 · 10th–90th $35$2570%5%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
$33.88 / $41.69 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $114.82 / $398.11
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
$79.43 / $229.09 / $776.25
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $70.79 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $75.86 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $40.74 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$109.65 / $112.20 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $117.49 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $41.69 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$147.91 / $173.78 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $75.86 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $109.65 / $147.91
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $39.81 / $57.54
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $72.44 / $95.50
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
$85.11 / $125.89 / $245.47
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $45.71 / $91.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $85.11 / $169.82
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$81.28 / $158.49 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $123.03 / $660.69
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $43.65 / $218.78
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $81.28 / $446.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $117.49 / $194.98
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $41.69 / $89.13
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $75.86 / $123.03