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Colorado rates for HCPCS 76642

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

Facilitymedian $380 · 10th–90th $87$1,6600%5%10th90th$380Professionalmedian $76 · 10th–90th $32$2140%5%10th90th$76$10.0$50.0$200.0$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
$114.82 / $416.87 / $1,698.24
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.11 / $42.66 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $93.33 / $275.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $56.23 / $128.82
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$54.95 / $144.54 / $575.44
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $56.23 / $131.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $269.15 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $120.23 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $43.65 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$100.00 / $125.89 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $74.13 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $173.78 / $354.81
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $104.71 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $39.81 / $79.43
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $64.57 / $123.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $144.54 / $489.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $52.48 / $186.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $91.20 / $302.00
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $87.10 / $131.83
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $31.62 / $51.29
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $54.95 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $181.97 / $181.97
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $125.89 / $190.55
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $53.70 / $91.20
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$123.03 / $123.03 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $74.13 / $114.82