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Breast Ultrasound (Limited, One Breast)

Rhode Island 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 Rhode Island, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $93.33 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 4 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$93.33$87.10 to $174
FacilityA hospital or hospital-owned outpatient department$204$141 to $324

How much rates vary

Facilitymedian $204 · 10th to 90th $93 to $372Professionalmedian $93 · 10th to 90th $71 to $427
$100$200$500facility $204professional $93

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
$93.33
Median
$275.42
Typical High
$389.05
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$93.33
Typical High
$426.58
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$34.67
Typical High
$144.54
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$51.29
Median
$630.96
Typical High
$851.14
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$44.67
Median
$54.95
Typical High
$102.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$177.83
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$181.97
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$39.81
Typical High
$60.26
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$66.07
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$269.15
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$123.03
Typical High
$181.97
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$47.86
Typical High
$70.79
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$77.62
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$97.72
Typical High
$162.18
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$38.02
Typical High
$63.10
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$63.10
Typical High
$102.33

Where Rhode Island 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.

Rhode Island· 35th 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.