go back

North Dakota rates for HCPCS 76642

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

Facilitymedian $447 · 10th–90th $87$7410%10%10th90th$447Professionalmedian $76 · 10th–90th $31$2040%5%10%10th90th$76$10.0$20.0$50.0$100.0$200.0$500.0$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
$89.13 / $457.09 / $741.31
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.11 / $33.88 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $89.13 / $208.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $40.74 / $89.13
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$104.71 / $173.78 / $380.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $58.88 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $194.98 / $218.78
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $75.86 / $83.18
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$223.87 / $295.12 / $323.59
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $120.23 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $131.83 / $213.80
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $48.98 / $83.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $81.28 / $128.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $147.91 / $263.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $162.18 / $549.54
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $70.79 / $123.03
Medica
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$213.80 / $331.13 / $467.74
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $102.33 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $147.91 / $204.17
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $57.54 / $100.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $91.20 / $125.89