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Delaware rates for HCPCS 76642

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

Facilitymedian $112 · 10th–90th $43$4570%10%20%10th90th$112Professionalmedian $76 · 10th–90th $34$2140%5%10%10th90th$76$10.0$20.0$50.0$100.0$200.0$500.0$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
$93.33 / $229.09 / $457.09
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$30.90 / $36.31 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $97.72 / $275.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $46.77 / $100.00
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$69.18 / $144.54 / $295.12
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $53.70 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $102.33 / $169.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $39.81 / $63.10
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $63.10 / $97.72
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $389.05 / $446.68
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $40.74 / $630.96
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $85.11 / $144.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $41.69 / $162.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $67.61 / $269.15