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Utah rates for HCPCS 76641

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

Facilitymedian $41 · 10th–90th $41$410%50%$41Professionalmedian $89 · 10th–90th $35$3240%5%10%10th90th$89$20.0$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
$40.74 / $40.74 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $114.82 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $40.74 / $107.15
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$34.67 / $234.42 / $776.25
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $72.44 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $141.25 / $213.80
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $48.98 / $74.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $89.13 / $141.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $102.33
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $181.97 / $223.87
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $64.57 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $117.49 / $141.25
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $158.49 / $229.09
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $54.95 / $81.28
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $102.33 / $147.91
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $93.33 / $169.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $109.65 / $181.97
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $37.15 / $61.66
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $72.44 / $117.49