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Nebraska rates for HCPCS 76641

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

Facilitymedian $74 · 10th–90th $44$3160%10%20%10th90th$74Professionalmedian $89 · 10th–90th $35$3240%10%10th90th$89$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
$43.65 / $74.13 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $117.49 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $74.13 / $138.04
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$81.28 / $165.96 / $724.44
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $72.44 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $234.42
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $53.70 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$151.36 / $177.83 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $186.21 / $199.53
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $64.57 / $69.18
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $123.03 / $128.82
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $229.09 / $309.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $77.62 / $102.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $147.91 / $204.17
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $162.18 / $660.69
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $63.10 / $120.23
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $104.71 / $446.68
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $223.87 / $346.74
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $75.86 / $117.49
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $144.54 / $229.09
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $229.09 / $346.74
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $77.62 / $117.49
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $147.91 / $229.09
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $74.13 / $181.97
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $151.36 / $251.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $56.23 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $97.72 / $162.18