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Breast Ultrasound (Limited, One Breast)

Washington, DC 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?

$87.10

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $372 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 5 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$85.11$77.62 to $126
FacilityA hospital or hospital-owned outpatient department$372$95.50 to $724

How much rates vary

Facilitymedian $372 · 10th to 90th $81 to $813Professionalmedian $85 · 10th to 90th $69 to $245
$50$100$200$500$1Kfacility $372professional $85

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
$81.28
Median
$234.42
Typical High
$933.25
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$28.84
Median
$70.79
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$81.28
Typical High
$181.97
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$30.90
Typical High
$181.97
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$134.90
Median
$363.08
Typical High
$512.86
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$52.48
Typical High
$61.66
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$93.33
Typical High
$263.03
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$33.11
Typical High
$40.74
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$53.70
Median
$54.95
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$436.52
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$104.71
Typical High
$204.17
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$38.90
Typical High
$74.13
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$64.57
Typical High
$128.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$95.50
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$33.88
Typical High
$70.79
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$52.48
Median
$61.66
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$446.68
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$95.50
Typical High
$512.86
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$95.50
Typical High
$190.55
United
Setting
Professional
Modifier
50 · Both sides
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$48.98
Median
$95.50
Typical High
$316.23

Where Washington, DC 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.

Washington, DC· 50th of 51

$87.10

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.