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Breast Ultrasound (Limited, One Breast)

Missouri 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?

$97.72

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $155 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$93.33$74.13 to $151
FacilityA hospital or hospital-owned outpatient department$155$85.11 to $347

How much rates vary

Facilitymedian $155 · 10th to 90th $78 to $468Professionalmedian $93 · 10th to 90th $55 to $380
$50$100$200$500facility $155professional $93

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
$162.18
Typical High
$467.74
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$31.62
Median
$38.02
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$93.33
Typical High
$416.87
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$53.70
Typical High
$131.83
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$74.13
Median
$281.84
Typical High
$691.83
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$54.95
Typical High
$125.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$67.61
Typical High
$128.82
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$36.31
Typical High
$53.70
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$81.28
Median
$93.33
Typical High
$109.65
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$33.11
Median
$44.67
Typical High
$77.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$95.50
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$38.90
Typical High
$63.10
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$120.23
Median
$144.54
Typical High
$239.88
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$46.77
Median
$56.23
Typical High
$95.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$87.10
Typical High
$204.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$93.33
Typical High
$134.90
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$37.15
Typical High
$53.70
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$56.23
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$177.83
Typical High
$245.47
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$7.94
Median
$37.15
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$213.80
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$41.69
Typical High
$85.11
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$66.07
Typical High
$131.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$120.23
Typical High
$338.84
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$75.86
Median
$147.91
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$102.33
Typical High
$549.54
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$41.69
Typical High
$204.17
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$46.77
Median
$61.66
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$74.13
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$97.72
Typical High
$186.21
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$40.74
Typical High
$100.00
United
Setting
Professional
Modifier
50 · Both sides
Typical Low
$123.03
Median
$123.03
Typical High
$125.89
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$46.77
Median
$60.26
Typical High
$144.54

Where Missouri 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.

Missouri· 32nd of 51

$97.72

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.