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Breast Ultrasound (Limited, One Breast)

Colorado 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?

$105

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $324 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 7 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$89.13$75.86 to $123
FacilityA hospital or hospital-owned outpatient department$324$148 to $759

How much rates vary

Facilitymedian $324 · 10th to 90th $89 to $1,698Professionalmedian $89 · 10th to 90th $63 to $155
$50$100$200$500$1K$2Kfacility $324professional $89

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
$89.13
Median
$354.81
Typical High
$1,778.28
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$33.11
Median
$33.11
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$89.13
Typical High
$138.04
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$33.88
Typical High
$112.20
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$165.96
Median
$169.82
Typical High
$190.55
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$53.70
Typical High
$75.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$269.15
Typical High
$436.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$117.49
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$43.65
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$107.15
Median
$125.89
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$50.12
Median
$74.13
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$354.81
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$7.94
Median
$37.15
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$104.71
Typical High
$208.93
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$39.81
Typical High
$79.43
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$47.86
Median
$64.57
Typical High
$131.83
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$107.15
Typical High
$181.97
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$144.54
Typical High
$489.78
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$52.48
Typical High
$186.21
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$79.43
Median
$91.20
Typical High
$302.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$162.18
Typical High
$181.97
Select Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$33.11
Median
$58.88
Typical High
$67.61
Select Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$87.10
Typical High
$162.18
Select Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$34.67
Typical High
$58.88
Select Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$54.95
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$181.97
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$218.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$48.98
Typical High
$100.00
United
Setting
Professional
Modifier
50 · Both sides
Typical Low
$123.03
Median
$123.03
Typical High
$125.89
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$75.86
Typical High
$131.83

Where Colorado 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.

Colorado· 21st of 51

$105

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.