go back

Breast Ultrasound (Limited, One Breast)

Montana 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?

$135

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $195 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$123$85.11 to $240
FacilityA hospital or hospital-owned outpatient department$195$145 to $309

How much rates vary

Facilitymedian $195 · 10th to 90th $115 to $589Professionalmedian $123 · 10th to 90th $72 to $417
$10$100$1K$10K$100Kfacility $195professional $123

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
$144.54
Median
$295.12
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$426.58
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$54.95
Typical High
$144.54
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$112.20
Median
$602.56
Typical High
$870.96
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$50.12
Median
$60.26
Typical High
$147.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$66,069.34
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$112.20
Typical High
$309.03
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$50.12
Median
$50.12
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$128.82
Typical High
$199.53
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$48.98
Typical High
$75.86
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$56.23
Median
$81.28
Typical High
$120.23
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$147.91
Typical High
$186.21
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$147.91
Typical High
$186.21
Providence
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$123.03
Typical High
$199.53
Providence
Setting
Facility
Modifier
26 · Professional part
Typical Low
$50.12
Median
$50.12
Typical High
$63.10
Providence
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$199.53
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$50.12
Typical High
$67.61
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$56.23
Median
$83.18
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$93.33
Typical High
$234.42
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$38.02
Typical High
$95.50
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$63.10
Typical High
$151.36

Where Montana 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.

Montana· 6th of 51

$135

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.