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Breast Ultrasound (Limited, One Breast)

Idaho 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?

$123

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $105 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 9 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$105$85.11 to $170
FacilityA hospital or hospital-owned outpatient department$214$135 to $302

How much rates vary

Facilitymedian $214 · 10th to 90th $83 to $447Professionalmedian $105 · 10th to 90th $78 to $240
$100$200$500facility $214professional $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
$120.23
Median
$245.47
Typical High
$562.34
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$46.77
Median
$81.28
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$95.50
Typical High
$239.88
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$37.15
Typical High
$100.00
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$112.20
Median
$645.65
Typical High
$776.25
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$47.86
Median
$60.26
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$245.47
Typical High
$331.13
BCBS
Setting
Facility
Modifier
26 · Professional part
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$154.88
Typical High
$194.98
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$52.48
Median
$61.66
Typical High
$69.18
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$79.43
Median
$93.33
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$275.42
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$128.82
Typical High
$199.53
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$50.12
Typical High
$77.62
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$47.86
Median
$81.28
Typical High
$123.03
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$316.23
Typical High
$316.23
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.92
Median
$162.18
Typical High
$162.18
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$104.71
Typical High
$190.55
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$158.49
Typical High
$204.17
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$51.29
Median
$57.54
Typical High
$85.11
Moda Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$58.88
Median
$95.50
Typical High
$114.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$33.11
Typical High
$147.91
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$229.09
Typical High
$316.23
Regence BlueShield
Setting
Facility
Modifier
26 · Professional part
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$169.82
Typical High
$204.17
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$64.57
Typical High
$81.28
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$74.13
Median
$104.71
Typical High
$125.89
Select Health
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$83.18
Typical High
$371.54
Select Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$30.20
Median
$30.90
Typical High
$83.18
Select Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$120.23
Typical High
$151.36
Select Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$46.77
Typical High
$60.26
Select Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$47.86
Median
$74.13
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$93.33
Typical High
$169.82
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$38.90
Typical High
$69.18
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
$52.48
Median
$57.54
Typical High
$104.71

Where Idaho 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.

Idaho· 11th of 51

$123

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.