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South Dakota rates for HCPCS 76641

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

Facilitymedian $35 · 10th–90th $35$350%50%$35Professionalmedian $87 · 10th–90th $37$2290%10%10th90th$87$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $107.15 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $64.57 / $123.03
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$112.20 / $114.82 / $269.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $72.44 / $234.42
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $245.47 / $309.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $81.28 / $102.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $162.18 / $204.17
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $173.78 / $660.69
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $66.07 / $218.78
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $128.82 / $446.68
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $239.88 / $239.88
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $85.11 / $85.11
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $154.88 / $154.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $173.78 / $199.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $60.26 / $67.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $117.49 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $162.18 / $234.42
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $54.95 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $104.71 / $158.49
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $213.80 / $213.80
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $72.44 / $72.44
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $141.25 / $141.25