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Breast Ultrasound (Limited, One Breast)

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $282 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$93.33$75.86 to $182
FacilityA hospital or hospital-owned outpatient department$282$135 to $347

How much rates vary

Facilitymedian $282 · 10th to 90th $83 to $447Professionalmedian $93 · 10th to 90th $69 to $380
$20$50$100$200$500facility $282professional $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
$83.18
Median
$302.00
Typical High
$446.68
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$28.84
Median
$35.48
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$380.19
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$53.70
Typical High
$144.54
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$112.20
Median
$575.44
Typical High
$741.31
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$53.70
Typical High
$144.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$208.93
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$60.26
Typical High
$123.03
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$107.15
Median
$128.82
Typical High
$316.23
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$63.10
Typical High
$85.11
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$75.86
Typical High
$97.72
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$70.79
Median
$97.72
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$141.25
Typical High
$316.23
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
$125.89
Typical High
$218.78
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$48.98
Typical High
$87.10
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$75.86
Typical High
$134.90
Medcost
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$194.98
Medcost
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$218.78
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$69.18
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$87.10
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$102.33
Typical High
$218.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$40.74
Typical High
$91.20
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
$46.77
Median
$63.10
Typical High
$131.83
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Wellcare
Setting
Facility
Modifier
26 · Professional part
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$707.95
Wellcare
Setting
Professional
Modifier
26 · Professional part
Typical Low
$204.17
Median
$204.17
Typical High
$263.03
Wellcare
Setting
Professional
Modifier
TC · Technical part
Typical Low
$338.84
Median
$338.84
Typical High
$446.68

Where North Carolina 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.

North Carolina· 8th 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.