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Alaska rates for HCPCS 76642

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

Facilitymedian $309 · 10th–90th $78$5890%5%10%10th90th$309Professionalmedian $87 · 10th–90th $33$2450%5%10th90th$87$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
Typical Low / Median / Typical High
$97.72 / $323.59 / $616.60
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $141.25 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $97.72 / $251.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $51.29 / $109.65
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$54.95 / $190.55 / $630.96
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $61.66 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $144.54 / $269.15
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $56.23 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $87.10 / $165.96
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $173.78 / $616.60
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $141.25 / $380.19
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $223.87 / $371.54
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $93.33 / $169.82
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$56.23 / $204.17 / $831.76
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $141.25 / $208.93
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $501.19
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $134.90 / $194.98
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $213.80 / $309.03
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $104.71 / $218.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $162.18 / $263.03
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $45.71 / $120.23
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $70.79 / $165.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $218.78 / $457.09
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $95.50 / $204.17
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $120.23 / $257.04