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Georgia rates for HCPCS 76642

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

Facilitymedian $186 · 10th–90th $72$5890%5%10%10th90th$186Professionalmedian $79 · 10th–90th $33$2950%5%10th90th$79$2.0$10.0$50.0$200.0$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
$81.28 / $218.78 / $676.08
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.18 / $50.12 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $97.72 / $416.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $58.88 / $158.49
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$54.95 / $169.82 / $660.69
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $56.23 / $138.04
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $89.13 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $42.66 / $60.26
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$91.20 / $158.49 / $245.47
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $46.77 / $151.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $138.04 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $104.71 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $38.90 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$123.03 / $151.36 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $60.26 / $97.72
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $67.61 / $123.03
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $52.48 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $117.49 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $117.49 / $208.93
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $45.71 / $85.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $72.44 / $128.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $93.33 / $269.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $36.31 / $102.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $60.26 / $165.96
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $371.54 / $1,202.26
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $72.44 / $151.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $186.21 / $218.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $107.15 / $190.55
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $42.66 / $75.86
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$123.03 / $123.03 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $66.07 / $117.49