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Breast Ultrasound (Limited, One Breast)

Kentucky 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?

$91.20

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $204 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$89.13$75.86 to $151
FacilityA hospital or hospital-owned outpatient department$204$79.43 to $380

How much rates vary

Facilitymedian $204 · 10th to 90th $52 to $537Professionalmedian $89 · 10th to 90th $62 to $363
$50$100$200$500facility $204professional $89

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
$77.62
Median
$263.03
Typical High
$588.84
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$31.62
Median
$31.62
Typical High
$50.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$93.33
Typical High
$398.11
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$41.69
Typical High
$131.83
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$112.20
Median
$549.54
Typical High
$724.44
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$53.70
Typical High
$138.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$114.82
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$33.88
Typical High
$56.23
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$93.33
Median
$97.72
Typical High
$173.78
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$35.48
Median
$50.12
Typical High
$51.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$79.43
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$29.51
Typical High
$41.69
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$114.82
Median
$117.49
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$47.86
Median
$48.98
Typical High
$63.10
CareSource
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$57.54
Typical High
$104.71
CareSource
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$48.98
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$173.78
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$7.94
Median
$37.15
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$120.23
Typical High
$398.11
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$48.98
Typical High
$151.36
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$46.77
Median
$74.13
Typical High
$251.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$79.43
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$91.20
Typical High
$154.88
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$38.02
Typical High
$69.18
United
Setting
Professional
Modifier
50 · Both sides
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$54.95
Typical High
$95.50

Where Kentucky 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.

Kentucky· 45th of 51

$91.20

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.