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Florida rates for HCPCS 76642

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

Facilitymedian $245 · 10th–90th $78$6460%5%10th90th$245Professionalmedian $74 · 10th–90th $32$2570%5%10th90th$74$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
$83.18 / $251.19 / $645.65
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$21.88 / $23.99 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $97.72 / $323.59
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $56.23 / $158.49
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$48.98 / $186.21 / $660.69
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $54.95 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $72.44 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $30.20 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$89.13 / $104.71 / $213.80
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $37.15 / $39.81
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $74.13 / $107.15
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $52.48 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $134.90 / $257.04
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.94 / $42.66 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $93.33 / $181.97
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $38.02 / $72.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $58.88 / $117.49
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $123.03 / $234.42
Florida Blue
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $79.43 / $123.03
Florida Blue
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $30.90 / $47.86
Florida Blue
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $48.98 / $75.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $33.88 / $81.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $72.44 / $154.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $83.18 / $165.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $33.11 / $75.86
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$85.11 / $85.11 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $50.12 / $100.00
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $85.11
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $21.88 / $33.11
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $35.48 / $52.48