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Breast Ultrasound (Limited, One Breast)

Illinois 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?

$107

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $251 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 7 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$91.20$61.66 to $145
FacilityA hospital or hospital-owned outpatient department$251$129 to $437

How much rates vary

Facilitymedian $251 · 10th to 90th $87 to $589Professionalmedian $91 · 10th to 90th $42 to $251
$50$100$200$500$1Kfacility $251professional $91

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
$87.10
Median
$263.03
Typical High
$588.84
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$28.84
Median
$34.67
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$87.10
Typical High
$323.59
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$46.77
Typical High
$151.36
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$61.66
Median
$302.00
Typical High
$851.14
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$52.48
Typical High
$102.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$75.86
Typical High
$117.49
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$34.67
Typical High
$60.26
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$85.11
Median
$95.50
Typical High
$223.87
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$39.81
Median
$51.29
Typical High
$72.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$239.88
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$85.11
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$158.49
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$114.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$45.71
Typical High
$67.61
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$70.79
Typical High
$109.65
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$181.97
Typical High
$467.74
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$70.79
Typical High
$194.98
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$44.67
Median
$75.86
Typical High
$275.42
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$102.33
Typical High
$109.65
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$40.74
Typical High
$42.66
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$60.26
Median
$63.10
Typical High
$67.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$74.13
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$218.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$52.48
Typical High
$114.82
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
$53.70
Median
$85.11
Typical High
$151.36

Where Illinois 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.

Illinois· 18th of 51

$107

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.