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Breast Ultrasound (Limited, One Breast)

Arizona rates for HCPCS 76642

A focused ultrasound exam of one breast that looks at a specific area of concern, such as a lump or an abnormality found on a prior mammogram, rather than scanning the entire breast. It uses sound waves to create images that can help distinguish a fluid-filled cyst from a solid mass. It's a narrower exam than a complete breast ultrasound covering the whole breast.

Rates data updated July 2026.

How much does Breast Ultrasound (Limited, One Breast) cost?

$97.72

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $200 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$95.50$81.28 to $170
FacilityA hospital or hospital-owned outpatient department$200$93.33 to $282

How much rates vary

Facilitymedian $200 · 10th to 90th $74 to $339Professionalmedian $95 · 10th to 90th $66 to $417
$10$20$50$100$200$500facility $200professional $95

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$223.87
Typical High
$346.74
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$63.10
Median
$123.03
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$95.50
Typical High
$416.87
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$48.98
Typical High
$151.36
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$112.20
Median
$537.03
Typical High
$724.44
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$54.95
Typical High
$147.91
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$72.44
Typical High
$87.10
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$30.90
Typical High
$60.26
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$91.20
Median
$112.20
Typical High
$177.83
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$33.11
Median
$37.15
Typical High
$43.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$144.54
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$81.28
Typical High
$138.04
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$30.20
Typical High
$48.98
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$44.67
Median
$53.70
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$269.15
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$107.15
Typical High
$177.83
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$40.74
Typical High
$70.79
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$64.57
Typical High
$112.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$190.55
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$75.86
Median
$147.91
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$97.72
Typical High
$549.54
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$38.02
Typical High
$204.17
Medica
Setting
Professional
Modifier
50 · Both sides
Typical Low
$91.20
Median
$194.98
Typical High
$467.74
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$48.98
Median
$58.88
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$74.13
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$91.20
Typical High
$181.97
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$38.02
Typical High
$114.82
United
Setting
Professional
Modifier
50 · Both sides
Typical Low
$123.03
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$56.23
Typical High
$128.82

Where Arizona sits

The same service costs 3.5 times more in West Virginia than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arizona· 31st of 51

$97.72

WV $309AL $87.10

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.