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Illinois rates for HCPCS 76642

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

Facilitymedian $288 · 10th–90th $81$6460%5%10th90th$288Professionalmedian $83 · 10th–90th $34$2880%5%10th90th$83$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
$89.13 / $323.59 / $660.69
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.84 / $41.69 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $100.00 / $354.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $61.66 / $169.82
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$63.10 / $177.83 / $660.69
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $61.66 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $81.28 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $34.67 / $46.77
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$93.33 / $104.71 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $57.54 / $72.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $234.42 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $87.10 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $158.49 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $114.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $45.71 / $69.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $70.79 / $109.65
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $181.97 / $467.74
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $70.79 / $194.98
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $75.86 / $275.42
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $102.33 / $109.65
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $40.74 / $42.66
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $63.10 / $67.61
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $74.13 / $204.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $123.03 / $218.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $51.29 / $100.00
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
$51.29 / $81.28 / $151.36