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New York rates for HCPCS 76641

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

Facilitymedian $40 · 10th–90th $28$1150%20%40%10th90th$40Professionalmedian $95 · 10th–90th $35$2880%10%20%10th90th$95$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$27.54 / $39.81 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $117.49 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $50.12 / $112.20
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$53.70 / $234.42 / $724.44
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $74.13 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $75.86 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $39.81 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$97.72 / $114.82 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $74.13 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $117.49 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $37.15 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$147.91 / $173.78 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $79.43 / $141.25
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $100.00 / $151.36
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$8.51 / $39.81 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $147.91 / $354.81
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $51.29 / $114.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $100.00 / $239.88
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $128.82 / $204.17
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $50.12 / $72.44
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $91.20 / $144.54
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $131.83 / $234.42
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $45.71 / $79.43
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $87.10 / $154.88
Fidelis
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $69.18 / $104.71
Fidelis
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $66.07 / $83.18
Fidelis
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$165.96 / $181.97 / $186.21
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $120.23 / $186.21
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $61.66 / $85.11
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$141.25 / $177.83 / $275.42
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $138.04 / $141.25
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $147.91 / $229.09
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $50.12 / $77.62
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $95.50 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $134.90 / $398.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $45.71 / $125.89
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$181.97 / $457.09 / $109,647.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $91.20 / $269.15
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$27.54 / $40.74 / $58.88
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $120.23 / $239.88
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $44.67 / $87.10
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $79.43 / $158.49