go back

Breast Ultrasound (Limited, One Breast)

Michigan 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?

$129

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $182 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 8 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 $162
FacilityA hospital or hospital-owned outpatient department$182$129 to $331

How much rates vary

Facilitymedian $182 · 10th to 90th $98 to $468Professionalmedian $100 · 10th to 90th $69 to $372
$50$100$200$500facility $182professional $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
$97.72
Median
$181.97
Typical High
$467.74
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$38.90
Median
$38.90
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$97.72
Typical High
$426.58
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$44.67
Typical High
$144.54
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$190.55
Median
$537.03
Typical High
$776.25
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$46.77
Median
$58.88
Typical High
$114.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$66.07
Typical High
$134.90
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$37.15
Typical High
$53.70
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$93.33
Median
$93.33
Typical High
$97.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$134.90
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$138.04
Typical High
$257.04
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
CareSource
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$60.26
Typical High
$104.71
CareSource
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$61.66
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$102.33
Typical High
$213.80
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$41.69
Typical High
$83.18
Cigna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$109.65
Median
$128.82
Typical High
$144.54
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$40.74
Median
$66.07
Typical High
$144.54
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$177.83
Health Alliance Plan
Setting
Facility
Modifier
26 · Professional part
Typical Low
$38.90
Median
$38.90
Typical High
$69.18
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$97.72
Typical High
$173.78
Health Alliance Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$38.02
Typical High
$67.61
Health Alliance Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$58.88
Typical High
$109.65
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$97.72
Typical High
$154.88
Priority Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$43.65
Typical High
$60.26
Priority Health
Setting
Professional
Modifier
50 · Both sides
Typical Low
$104.71
Median
$128.82
Typical High
$138.04
Priority Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$48.98
Median
$58.88
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$436.52
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$46.77
Typical High
$190.55
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
$50.12
Median
$66.07
Typical High
$251.19

Where Michigan 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.

Michigan· 9th of 51

$129

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.