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Wisconsin rates for HCPCS 76641

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

Facilitymedian $89 · 10th–90th $52$1700%10%20%10th90th$89Professionalmedian $102 · 10th–90th $36$4070%5%10th90th$102$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
$52.48 / $72.44 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $131.83 / $478.63
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $52.48 / $245.47
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$85.11 / $169.82 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $75.86 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $154.88 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $52.48 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$151.36 / $234.42 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $102.33 / $316.23
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $81.28 / $147.91
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$91.20 / $107.15 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $295.12 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $102.33 / $141.25
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $194.98 / $275.42
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $213.80 / $288.40
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $72.44 / $97.72
DeanCare
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$281.84 / $316.23 / $426.58
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $141.25 / $190.55
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $194.98 / $660.69
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $67.61 / $218.78
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $125.89 / $446.68
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $85.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $147.91 / $416.87
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $50.12 / $131.83
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $97.72 / $275.42
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $234.42 / $436.52
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$81.28 / $218.78 / $218.78
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $524.81 / $660.69
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $177.83 / $218.78
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $338.84 / $446.68
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $389.05 / $645.65
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $104.71 / $199.53
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $199.53 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $229.09 / $794.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $102.33 / $263.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $95.50 / $257.04