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Breast Ultrasound (Limited, One Breast)

New Mexico 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 New Mexico, July 2026.

Insurers have agreed to pay about $93.33 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 6 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$70.79 to $132
FacilityA hospital or hospital-owned outpatient department$204$115 to $380

How much rates vary

Facilitymedian $204 · 10th to 90th $87 to $501Professionalmedian $91 · 10th to 90th $32 to $309
$10$100$1K$10Kfacility $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
$102.33
Median
$251.19
Typical High
$501.19
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$40.74
Median
$43.65
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$97.72
Typical High
$398.11
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$50.12
Typical High
$144.54
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$158.49
Median
$524.81
Typical High
$691.83
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$38.90
Median
$58.88
Typical High
$147.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$489.78
Typical High
$812.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$58.88
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$147.91
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$40.74
Typical High
$58.88
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$63.10
Typical High
$89.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$97.72
Providence
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$109.65
Typical High
$190.55
Providence
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$128.82
Typical High
$194.98
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$44.67
Typical High
$58.88
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$67.61
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$169.82
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$102.33
Typical High
$229.09
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$40.74
Typical High
$177.83
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
$52.48
Median
$64.57
Typical High
$138.04

Where New Mexico 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 Mexico· 42nd 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.