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Breast Ultrasound (Limited, One Breast)

Maine 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?

$110

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $302 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$100$85.11 to $148
FacilityA hospital or hospital-owned outpatient department$302$209 to $389

How much rates vary

Facilitymedian $302 · 10th to 90th $102 to $501Professionalmedian $100 · 10th to 90th $48 to $204
$50$200$1K$5Kfacility $302professional $100

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
$100.00
Median
$316.23
Typical High
$501.19
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$37.15
Median
$38.02
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$91.20
Typical High
$169.82
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$34.67
Typical High
$81.28
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$57.54
Median
$57.54
Typical High
$165.96
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$56.23
Typical High
$134.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$302.00
Typical High
$302.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$120.23
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$45.71
Typical High
$61.66
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$125.89
Median
$181.97
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$52.48
Median
$75.86
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$208.93
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$47.86
Typical High
$77.62
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$46.77
Median
$75.86
Typical High
$131.83
Community Health Options
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$114.82
Typical High
$181.97
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$128.82
Typical High
$234.42
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$47.86
Typical High
$89.13
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$61.66
Median
$81.28
Typical High
$147.91
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$338.84
Typical High
$575.44
Martin's Point
Setting
Facility
Modifier
26 · Professional part
Typical Low
$37.15
Median
$38.02
Typical High
$4,466.84
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$100.00
Typical High
$190.55
Martin's Point
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$38.02
Typical High
$81.28
Martin's Point
Setting
Professional
Modifier
50 · Both sides
Typical Low
$57.54
Median
$57.54
Typical High
$165.96
Martin's Point
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$61.66
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$239.88
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$51.29
Typical High
$123.03
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$53.70
Median
$79.43
Typical High
$147.91

Where Maine 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.

Maine· 16th of 51

$110

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.