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New Mexico rates for HCPCS 76642

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

Facilitymedian $148 · 10th–90th $46$4270%10%10th90th$148Professionalmedian $74 · 10th–90th $30$3160%10%10th90th$74$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$83.18 / $204.17 / $389.05
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$40.74 / $43.65 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $93.33 / $398.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $40.74 / $177.83
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$100.00 / $234.42 / $645.65
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $56.23 / $147.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $489.78 / $794.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $58.88 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $107.15 / $147.91
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $42.66 / $58.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $64.57 / $89.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $97.72
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $109.65 / $190.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $128.82 / $194.98
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $42.66 / $58.88
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $64.57 / $89.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $123.03 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $102.33 / $186.21
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $40.74 / $77.62
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $64.57 / $107.15