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Texas rates for HCPCS 76641

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

Facilitymedian $28 · 10th–90th $22$2190%20%10th90th$28Professionalmedian $76 · 10th–90th $30$2000%5%10%10th90th$76$10.0$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
$22.39 / $25.70 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $104.71 / $263.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $37.15 / $97.72
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$48.98 / $295.12 / $741.31
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $67.61 / $123.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $81.28 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $39.81 / $83.18
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$100.00 / $128.82 / $204.17
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $69.18 / $97.72
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $74.13 / $100.00
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $141.25 / $186.21
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $53.70 / $53.70
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
$81.28 / $112.20 / $208.93
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $38.90 / $75.86
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $74.13 / $147.91
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $660.69 / $851.14
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $281.84 / $281.84
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$446.68 / $575.44 / $575.44
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$22.39 / $28.84 / $45.71
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $120.23 / $245.47
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $42.66 / $85.11
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$53.70 / $331.13 / $741.31
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $77.62 / $154.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $33.11 / $87.10
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $75.86 / $181.97
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$8.51 / $39.81 / $57.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $109.65 / $213.80
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $36.31 / $67.61
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $69.18 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $114.82 / $190.55
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $38.90 / $81.28
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
$57.54 / $75.86 / $117.49
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $100.00 / $120.23
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $34.67 / $40.74
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $66.07 / $79.43