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Breast Ultrasound (Limited, One Breast)

Georgia 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?

$100

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $166 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$95.50$74.13 to $155
FacilityA hospital or hospital-owned outpatient department$166$91.20 to $275

How much rates vary

Facilitymedian $166 · 10th to 90th $78 to $617Professionalmedian $95 · 10th to 90th $56 to $282
$10$50$200$1K$5Kfacility $166professional $95

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
$223.87
Typical High
$691.83
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$28.18
Median
$32.36
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$93.33
Typical High
$363.08
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$56.23
Typical High
$194.98
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$112.20
Median
$575.44
Typical High
$776.25
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$50.12
Typical High
$120.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$102.33
Typical High
$151.36
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$44.67
Typical High
$60.26
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$91.20
Median
$134.90
Typical High
$245.47
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$37.15
Median
$46.77
Typical High
$60.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$138.04
Typical High
$181.97
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$100.00
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$38.90
Typical High
$61.66
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$123.03
Median
$151.36
Typical High
$245.47
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$53.70
Median
$60.26
Typical High
$97.72
CareSource
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$61.66
Typical High
$109.65
CareSource
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$51.29
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$208.93
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$45.71
Typical High
$83.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$46.77
Median
$72.44
Typical High
$128.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$93.33
Typical High
$269.15
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$36.31
Typical High
$102.33
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$52.48
Median
$60.26
Typical High
$165.96
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$1,202.26
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$69.18
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$177.83
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$190.55
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$41.69
Typical High
$79.43
United
Setting
Professional
Modifier
50 · Both sides
Typical Low
$123.03
Median
$123.03
Typical High
$125.89
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$48.98
Median
$64.57
Typical High
$114.82

Where Georgia 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.

Georgia· 27th of 51

$100

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.