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Breast Ultrasound (Limited, One Breast)

Louisiana 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?

$100

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $123 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 6 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$95.50$75.86 to $112
FacilityA hospital or hospital-owned outpatient department$123$93.33 to $214

How much rates vary

Facilitymedian $123 · 10th to 90th $78 to $309Professionalmedian $95 · 10th to 90th $66 to $145
$100$200$500facility $123professional $95

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
$123.03
Typical High
$316.23
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$37.15
Median
$41.69
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$95.50
Typical High
$144.54
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$38.90
Typical High
$63.10
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$630.96
Median
$630.96
Typical High
$724.44
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$56.23
Typical High
$81.28
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$114.82
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$33.88
Typical High
$44.67
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$128.82
Typical High
$181.97
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$104.71
Typical High
$141.25
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$43.65
Typical High
$58.88
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$53.70
Median
$63.10
Typical High
$83.18
Christus
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$81.28
Christus
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$33.88
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$181.97
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$89.13
Typical High
$162.18
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$35.48
Typical High
$67.61
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$33.11
Median
$53.70
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$128.82
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$89.13
Typical High
$144.54
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$34.67
Typical High
$61.66
United
Setting
Professional
Modifier
50 · Both sides
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$38.90
Median
$52.48
Typical High
$87.10

Where Louisiana 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.

Louisiana· 28th of 51

$100

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.