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Breast Ultrasound (Limited, One Breast)

North Dakota 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?

$93.33

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $380 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 5 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$89.13$75.86 to $158
FacilityA hospital or hospital-owned outpatient department$380$89.13 to $490

How much rates vary

Facilitymedian $380 · 10th to 90th $87 to $525Professionalmedian $89 · 10th to 90th $40 to $219
$50$100$200$500facility $380professional $89

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
$87.10
Median
$380.19
Typical High
$524.81
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$33.11
Median
$33.88
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$89.13
Typical High
$186.21
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$45.71
Typical High
$114.82
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$45.71
Median
$81.28
Typical High
$676.08
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$60.26
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$218.78
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$54.95
Median
$74.13
Typical High
$83.18
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$218.78
Median
$288.40
Typical High
$323.59
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$117.49
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$204.17
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$47.86
Typical High
$83.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$44.67
Median
$81.28
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$147.91
Typical High
$263.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$162.18
Typical High
$549.54
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$70.79
Typical High
$123.03
Medica
Setting
Professional
Modifier
50 · Both sides
Typical Low
$213.80
Median
$331.13
Typical High
$467.74
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$102.33
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$147.91
Typical High
$204.17
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$57.54
Typical High
$100.00
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$91.20
Typical High
$123.03

Where North Dakota 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 Dakota· 43rd of 51

$93.33

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.