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Oregon rates for HCPCS 76642

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

Facilitymedian $166 · 10th–90th $63$4470%10%10th90th$166Professionalmedian $91 · 10th–90th $35$3800%10%10th90th$91$10.0$100.0$1.0K$10.0K$100.0K$1.0M

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
$97.72 / $288.40 / $512.86
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$44.67 / $67.61 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $114.82 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $66.07 / $151.36
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$72.44 / $229.09 / $776.25
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $61.66 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $239.88 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $162.18 / $239.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $58.88 / $91.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $100.00 / $151.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $181.97 / $218.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $66.07 / $77.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $112.20 / $141.25
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $151.36 / $407.38
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$44.67 / $64.57 / $87.10
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $169.82 / $269.15
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $66.07 / $102.33
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$69.18 / $173.78 / $724.44
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $107.15 / $162.18
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $102.33 / $165.96
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $64.57 / $102.33
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $120.23 / $218.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $173.78 / $239.88
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $66.07 / $93.33
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $107.15 / $151.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $281.84 / $371.54
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $186.21 / $245.47
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $70.79 / $93.33
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $117.49 / $151.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $323.59 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $102.33 / $229.09
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $38.02 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $63.10 / $141.25