go back

Minnesota rates for HCPCS 76642

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

Facilitymedian $331 · 10th–90th $93$6760%10%10th90th$331Professionalmedian $100 · 10th–90th $39$3390%5%10th90th$100$10.0$50.0$200.0$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
$208.93 / $426.58 / $741.31
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$30.90 / $33.11 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $97.72 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $63.10 / $158.49
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$63.10 / $190.55 / $691.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $60.26 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $302.00 / $660.69
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$22.39 / $26.92 / $26.92
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $213.80 / $302.00
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $81.28 / $117.49
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$213.80 / $323.59 / $457.09
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $141.25 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $323.59 / $776.25
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$52.48 / $114.82 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $162.18 / $257.04
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $61.66 / $95.50
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $102.33 / $162.18
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $309.03 / $602.56
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$91.20 / $114.82 / $223.87
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $234.42
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $47.86 / $85.11
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $81.28 / $144.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $302.00 / $537.03
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $245.47 / $446.68
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $87.10 / $186.21
Medica
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$288.40 / $407.38 / $630.96
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $100.00 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $218.78 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $186.21 / $676.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $87.10 / $263.03
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$123.03 / $123.03 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $117.49 / $407.38