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Idaho rates for HCPCS 76642

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

Facilitymedian $245 · 10th–90th $81$5500%10%10th90th$245Professionalmedian $81 · 10th–90th $32$3310%5%10th90th$81$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
$173.78 / $281.84 / $562.34
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$42.66 / $69.18 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $95.50 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $51.29 / $173.78
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$102.33 / $489.78 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $60.26 / $147.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $239.88 / $331.13
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $154.88 / $194.98
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $61.66 / $69.18
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $93.33 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $275.42 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $128.82 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $51.29 / $77.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $81.28 / $123.03
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $316.23 / $316.23
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $162.18 / $162.18
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $147.91 / $354.81
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$46.77 / $81.28 / $102.33
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $147.91 / $239.88
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $57.54 / $89.13
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$151.36 / $363.08 / $1,122.02
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $93.33 / $138.04
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $33.11 / $66.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $229.09 / $316.23
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $169.82 / $181.97
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $64.57 / $69.18
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $107.15 / $112.20
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $181.97
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $30.20 / $64.57
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $48.98 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $93.33 / $169.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $38.02 / $69.18
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
$52.48 / $57.54 / $104.71