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Breast Ultrasound (Limited, One Breast)

New Hampshire 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?

$132

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $417 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$120$91.20 to $174
FacilityA hospital or hospital-owned outpatient department$417$129 to $537

How much rates vary

Facilitymedian $417 · 10th to 90th $91 to $676Professionalmedian $120 · 10th to 90th $71 to $219
$50$100$200$500facility $417professional $120

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
$91.20
Median
$416.87
Typical High
$758.58
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$34.67
Median
$34.67
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$91.20
Typical High
$218.78
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$34.67
Typical High
$81.28
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$91.20
Median
$91.20
Typical High
$501.19
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$57.54
Typical High
$138.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$89.13
Typical High
$204.17
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$36.31
Typical High
$104.71
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$102.33
Median
$102.33
Typical High
$302.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$467.74
Typical High
$524.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$48.98
Typical High
$66.07
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$125.89
Median
$194.98
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$52.48
Median
$81.28
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$426.58
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$138.04
Typical High
$245.47
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$56.23
Typical High
$93.33
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$56.23
Median
$89.13
Typical High
$151.36
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$138.04
Typical High
$218.78
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$51.29
Typical High
$83.18
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$61.66
Median
$89.13
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$128.82
Typical High
$302.00
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$48.98
Typical High
$97.72
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$58.88
Median
$77.62
Typical High
$151.36
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$85.11
Well Sense
Setting
Facility
Modifier
26 · Professional part
Typical Low
$22.39
Median
$28.18
Typical High
$30.90

Where New Hampshire 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.

New Hampshire· 7th of 51

$132

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.