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Breast Ultrasound (Limited, One Breast)

Hawaii 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?

$105

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $105 for this service. Most negotiated rates run $81.28 to $135.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $110 · 10th to 90th $81 to $339Professionalmedian $105 · 10th to 90th $50 to $200
$50$100$200$500facility $110professional $105

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
$109.65
Typical High
$338.84
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$32.36
Median
$36.31
Typical High
$43.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$91.20
Typical High
$181.97
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$44.67
Typical High
$112.20
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$112.20
Median
$190.55
Typical High
$776.25
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$36.31
Median
$50.12
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$112.20
Typical High
$181.97
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$42.66
Typical High
$69.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$39.81
Median
$70.79
Typical High
$114.82
HMSA
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$107.15
Typical High
$128.82
HMSA
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$43.65
Typical High
$44.67
HMSA
Setting
Professional
Modifier
TC · Technical part
Typical Low
$75.86
Median
$79.43
Typical High
$91.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$109.65
Typical High
$138.04
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$38.02
Typical High
$47.86
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$64.57
Median
$70.79
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$676.08
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$51.29
Typical High
$208.93
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$75.86
Typical High
$109.65
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$229.09
University Health Alliance
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$50.12
Typical High
$81.28
University Health Alliance
Setting
Professional
Modifier
TC · Technical part
Typical Low
$72.44
Median
$91.20
Typical High
$144.54

Where Hawaii 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.

Hawaii· 20th of 51

$105

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.