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Breast Ultrasound (Limited, One Breast)

New Jersey 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?

$95.50

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $204 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$91.20$74.13 to $123
FacilityA hospital or hospital-owned outpatient department$204$132 to $339

How much rates vary

Facilitymedian $204 · 10th to 90th $95 to $550Professionalmedian $91 · 10th to 90th $48 to $182
$50$100$200$500$1Kfacility $204professional $91

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
$95.50
Median
$204.17
Typical High
$549.54
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$26.92
Median
$43.65
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$91.20
Typical High
$181.97
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$33.88
Typical High
$77.62
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$69.18
Median
$186.21
Typical High
$630.96
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$52.48
Typical High
$87.10
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$72.44
Typical High
$81.28
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$30.90
Typical High
$64.57
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$107.15
Median
$117.49
Typical High
$204.17
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$660.69
Typical High
$1,258.93
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$138.04
AmeriHealth
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$28.84
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$141.25
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$114.82
Typical High
$181.97
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$42.66
Typical High
$69.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$72.44
Typical High
$117.49
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$102.33
Typical High
$177.83
Emblem Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$37.15
Typical High
$67.61
Emblem Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$60.26
Median
$64.57
Typical High
$109.65
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$331.13
Typical High
$1,096.48
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$75.86
Typical High
$186.21
Horizon BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$28.18
Typical High
$69.18
Horizon BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$38.90
Median
$48.98
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$131.83
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$100.00
Typical High
$173.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$38.02
Typical High
$69.18
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$40.74
Median
$64.57
Typical High
$112.20

Where New Jersey 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 Jersey· 37th of 51

$95.50

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.