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New Hampshire rates for HCPCS 76641

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

Facilitymedian $37 · 10th–90th $37$660%50%90th$37Professionalmedian $95 · 10th–90th $38$2290%5%10th90th$95$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
$37.15 / $37.15 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $104.71 / $223.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $46.77 / $107.15
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$53.70 / $223.87 / $416.87
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $72.44 / $138.04
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $58.88 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $151.36 / $208.93
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $50.12 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$151.36 / $229.09 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $97.72 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $165.96 / $281.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $58.88 / $95.50
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $117.49 / $194.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $177.83 / $269.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $60.26 / $89.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $120.23 / $177.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $154.88 / $363.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $52.48 / $104.71
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $100.00 / $199.53
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$23.99 / $30.90 / $33.88