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Oklahoma rates for HCPCS 76641

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

Facilitymedian $50 · 10th–90th $28$1950%20%10th90th$50Professionalmedian $72 · 10th–90th $33$1290%5%10%10th90th$72$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
$28.18 / $43.65 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $95.50 / $147.91
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $41.69 / $97.72
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$33.88 / $112.20 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $69.18 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $25.70 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $100.00 / $134.90
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $97.72 / $151.36
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $36.31 / $56.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $61.66 / $97.72
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$81.28 / $158.49 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $117.49 / $660.69
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $40.74 / $218.78
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $75.86 / $446.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $109.65 / $169.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $38.90 / $66.07
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $72.44 / $100.00