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Breast Ultrasound (Limited, One Breast)

South Carolina 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?

$97.72

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $324 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$83.18$69.18 to $123
FacilityA hospital or hospital-owned outpatient department$324$110 to $603

How much rates vary

Facilitymedian $324 · 10th to 90th $79 to $794Professionalmedian $83 · 10th to 90th $48 to $288
$50$100$200$500$1Kfacility $324professional $83

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
$81.28
Median
$407.38
Typical High
$794.33
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$27.54
Median
$27.54
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$81.28
Typical High
$288.40
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$44.67
Typical High
$123.03
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$41.69
Median
$288.40
Typical High
$724.44
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$45.71
Typical High
$85.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$36.31
Typical High
$58.88
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$117.49
Median
$128.82
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$87.10
Typical High
$147.91
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$54.95
Typical High
$79.43
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.42
Median
$33.88
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$177.83
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$44.67
Typical High
$69.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$52.48
Median
$69.18
Typical High
$107.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$190.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$81.28
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$91.20
Typical High
$169.82
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$35.48
Typical High
$67.61
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$54.95
Typical High
$100.00

Where South Carolina 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.

South Carolina· 33rd of 51

$97.72

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.