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Hawaii rates for HCPCS 76642

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

Facilitymedian $91 · 10th–90th $36$1260%10%10th90th$91Professionalmedian $79 · 10th–90th $34$2510%5%10th90th$79$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
$81.28 / $109.65 / $234.42
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$32.36 / $36.31 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $93.33 / $257.04
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $51.29 / $114.82
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$66.07 / $190.55 / $602.56
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $58.88 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $112.20 / $186.21
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $42.66 / $72.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $70.79 / $114.82
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $107.15 / $128.82
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $42.66 / $44.67
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $79.43 / $87.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $109.65 / $128.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $38.02 / $44.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $70.79 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $123.03 / $676.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $53.70 / $208.93
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $75.86 / $128.82
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $141.25 / $229.09
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $50.12 / $81.28
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $91.20 / $144.54