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North Dakota rates for HCPCS 76641

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

Facilitymedian $36 · 10th–90th $35$590%20%40%10th90th$36Professionalmedian $85 · 10th–90th $34$2510%5%10th90th$85$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
$34.67 / $36.31 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $107.15 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $36.31 / $120.23
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$112.20 / $229.09 / $457.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $70.79 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $234.42 / $263.03
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $81.28 / $89.13
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$269.15 / $354.81 / $398.11
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $154.88 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $158.49 / $257.04
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $52.48 / $89.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $104.71 / $165.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $194.98 / $660.69
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $67.61 / $218.78
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $128.82 / $446.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $173.78 / $245.47
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $63.10 / $100.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $112.20 / $177.83