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Breast Ultrasound (Limited, One Breast)

Iowa 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?

$110

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $214 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 $204
FacilityA hospital or hospital-owned outpatient department$214$174 to $355

How much rates vary

Facilitymedian $214 · 10th to 90th $85 to $589Professionalmedian $95 · 10th to 90th $48 to $447
$10$50$200$1Kfacility $214professional $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
$85.11
Median
$213.80
Typical High
$467.74
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$28.84
Median
$43.65
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$93.33
Typical High
$446.68
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$57.54
Typical High
$151.36
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$81.28
Median
$524.81
Typical High
$691.83
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$58.88
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$204.17
Typical High
$251.19
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$75.86
Typical High
$93.33
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$125.89
Typical High
$158.49
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$234.42
Typical High
$257.04
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$97.72
Typical High
$134.90
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$100.00
Typical High
$128.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$181.97
Typical High
$371.54
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$109.65
Median
$147.91
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$138.04
Typical High
$549.54
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$45.71
Typical High
$204.17
Medica
Setting
Professional
Modifier
50 · Both sides
Typical Low
$331.13
Median
$363.08
Typical High
$416.87
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$47.86
Median
$64.57
Typical High
$338.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$181.97
Typical High
$331.13
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$64.57
Median
$70.79
Typical High
$134.90
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$112.20
Typical High
$199.53
Midlands
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Midlands
Setting
Facility
Modifier
26 · Professional part
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$223.87
Typical High
$234.42
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$75.86
Median
$83.18
Typical High
$89.13
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$123.03
Median
$138.04
Typical High
$144.54
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$724.44
Typical High
$2,041.74
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$69.18
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$190.55
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$123.03
Typical High
$208.93
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$56.23
Typical High
$100.00
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$87.10
Typical High
$128.82
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$154.88
Typical High
$173.78
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$57.54
Typical High
$66.07
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$75.86
Median
$95.50
Typical High
$109.65

Where Iowa 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.

Iowa· 15th of 51

$110

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.