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South Carolina rates for HCPCS 76641

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

Facilitymedian $37 · 10th–90th $30$520%20%40%10th90th$37Professionalmedian $78 · 10th–90th $33$2000%5%10th90th$78$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
$29.51 / $37.15 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $102.33 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $40.74 / $95.50
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$67.61 / $602.56 / $851.14
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $66.07 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $93.33 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $32.36 / $63.10
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$112.20 / $141.25 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $104.71 / $165.96
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $53.70 / $79.43
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $64.57 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $131.83 / $213.80
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $46.77 / $74.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $87.10 / $141.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $109.65 / $194.98
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $38.02 / $67.61
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $72.44 / $125.89