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New Jersey rates for HCPCS 76641

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

Facilitymedian $47 · 10th–90th $29$2190%20%10th90th$47Professionalmedian $85 · 10th–90th $33$2400%10%10th90th$85$0.0$0.2$2.0$20.0$200.0$2.0K

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
$28.84 / $46.77 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $112.20 / $302.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $45.71 / $107.15
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$50.12 / $218.78 / $457.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $72.44 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $93.33 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $57.54 / $81.28
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$125.89 / $158.49 / $245.47
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $181.97
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $30.90 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $141.25 / $229.09
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $45.71 / $74.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $93.33 / $154.88
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $134.90 / $194.98
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $44.67 / $72.44
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $91.20 / $138.04
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $93.33 / $218.78
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $30.20 / $70.79
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $64.57 / $154.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $120.23 / $208.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $39.81 / $70.79
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $79.43 / $141.25