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Kentucky rates for HCPCS 76642

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

Facilitymedian $257 · 10th–90th $43$5500%5%10th90th$257Professionalmedian $74 · 10th–90th $31$2690%5%10th90th$74$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
$79.43 / $316.23 / $616.60
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$30.90 / $33.11 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $93.33 / $407.38
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $52.48 / $128.82
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$63.10 / $147.91 / $724.44
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $56.23 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $79.43 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $33.88 / $50.12
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$93.33 / $102.33 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $47.86 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $79.43 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $29.51 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$114.82 / $117.49 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $48.98 / $63.10
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $58.88 / $107.15
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $51.29 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $173.78
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.94 / $37.15 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $114.82 / $398.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $47.86 / $151.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $74.13 / $245.47
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $66.07 / $162.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $91.20 / $147.91
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $38.02 / $63.10
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $54.95 / $89.13