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Ohio rates for HCPCS 76641

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

Facilitymedian $47 · 10th–90th $34$650%20%10th90th$47Professionalmedian $89 · 10th–90th $35$2290%10%10th90th$89$0.5$2.0$10.0$50.0$200.0$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
$33.88 / $46.77 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $107.15 / $275.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $52.48 / $144.54
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$58.88 / $234.42 / $691.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $70.79 / $138.04
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $75.86 / $81.28
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 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $74.13 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $125.89 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $43.65 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$151.36 / $186.21 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $81.28 / $125.89
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $114.82 / $123.03
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $40.74 / $40.74
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $74.13 / $79.43
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $72.44 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $131.83 / $218.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $45.71 / $77.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $87.10 / $144.54
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $125.89 / $208.93
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $45.71 / $77.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$50.12 / $56.23 / $165.96
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $87.10 / $134.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $33.11 / $57.54
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $123.03 / $218.78
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $43.65 / $77.62
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $79.43 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $112.20 / $194.98
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $40.74 / $77.62
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $72.44 / $120.23