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Montana rates for HCPCS 76641

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

Facilitymedian $54 · 10th–90th $54$680%20%40%90th$54Professionalmedian $87 · 10th–90th $37$3310%10%10th90th$87$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $112.20 / $309.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $64.57 / $112.20
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$107.15 / $331.13 / $724.44
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $77.62 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$53.70 / $53.70 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $154.88 / $245.47
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $52.48 / $81.28
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $104.71 / $162.18
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $177.83 / $245.47
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$53.70 / $53.70 / $67.61
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $177.83 / $245.47
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $53.70 / $72.44
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $107.15 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $112.20 / $208.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $40.74 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $74.13 / $125.89