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Breast Ultrasound (Limited, One Breast)

Delaware 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?

$95.50

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $240 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 4 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$91.20$81.28 to $219
FacilityA hospital or hospital-owned outpatient department$240$93.33 to $288

How much rates vary

Facilitymedian $240 · 10th to 90th $83 to $316Professionalmedian $91 · 10th to 90th $74 to $331
$20$50$100$200$500facility $240professional $91

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
$83.18
Median
$239.88
Typical High
$316.23
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$30.90
Median
$32.36
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$91.20
Typical High
$331.13
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$31.62
Typical High
$57.54
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$165.96
Median
$229.09
Typical High
$575.44
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$52.48
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$102.33
Typical High
$162.18
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$39.81
Typical High
$60.26
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$38.90
Median
$63.10
Typical High
$97.72
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$398.11
Typical High
$446.68
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Highmark BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$40.74
Typical High
$630.96
Highmark BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$85.11
Typical High
$144.54
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$44.67
Typical High
$162.18
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$46.77
Median
$72.44
Typical High
$269.15

Where Delaware 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.

Delaware· 36th of 51

$95.50

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.