go back

Breast Ultrasound (Limited, One Breast)

Florida 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?

$89.13

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $214 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 8 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$81.28$61.66 to $126
FacilityA hospital or hospital-owned outpatient department$214$123 to $398

How much rates vary

Facilitymedian $214 · 10th to 90th $83 to $646Professionalmedian $81 · 10th to 90th $56 to $214
$50$100$200$500$1Kfacility $214professional $81

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
$218.78
Typical High
$660.69
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$21.88
Median
$64.57
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$83.18
Typical High
$218.78
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$37.15
Typical High
$128.82
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$147.91
Median
$316.23
Typical High
$691.83
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$33.88
Median
$47.86
Typical High
$114.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$123.03
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$30.20
Typical High
$56.23
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$89.13
Median
$107.15
Typical High
$213.80
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$37.15
Median
$39.81
Typical High
$47.86
AvMed
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$81.28
Typical High
$107.15
AvMed
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$52.48
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$134.90
Typical High
$257.04
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$7.94
Median
$42.66
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$93.33
Typical High
$181.97
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.91
Median
$38.02
Typical High
$72.44
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$35.48
Median
$57.54
Typical High
$120.23
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$141.25
Typical High
$229.09
Florida Blue
Setting
Facility
Modifier
26 · Professional part
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$79.43
Typical High
$123.03
Florida Blue
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$30.90
Typical High
$47.86
Florida Blue
Setting
Professional
Modifier
TC · Technical part
Typical Low
$34.67
Median
$47.86
Typical High
$74.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$35.48
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$72.44
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$85.11
Typical High
$186.21
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$34.67
Typical High
$87.10
United
Setting
Professional
Modifier
50 · Both sides
Typical Low
$85.11
Median
$85.11
Typical High
$125.89
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$40.74
Median
$52.48
Typical High
$109.65
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$85.11
Wellpoint
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$21.88
Typical High
$33.11
Wellpoint
Setting
Professional
Modifier
TC · Technical part
Typical Low
$35.48
Median
$35.48
Typical High
$52.48

Where Florida 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.

Florida· 49th of 51

$89.13

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.