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Breast Ultrasound (Limited, One Breast)

South Dakota 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?

$89.13

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $490 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 8 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$89.13$31.62 to $138
FacilityA hospital or hospital-owned outpatient department$490$316 to $525

How much rates vary

Facilitymedian $490 · 10th to 90th $120 to $708Professionalmedian $89 · 10th to 90th $30 to $186
$50$100$200$500$1Kfacility $490professional $89

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
$120.23
Median
$489.78
Typical High
$707.95
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$77.62
Typical High
$186.21
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$54.95
Typical High
$114.82
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$45.71
Median
$77.62
Typical High
$676.08
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$52.48
Median
$93.33
Typical High
$331.13
Avera
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$147.91
Typical High
$302.00
Avera
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$147.91
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$204.17
Typical High
$251.19
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$60.26
Median
$75.86
Typical High
$93.33
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$125.89
Typical High
$158.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$446.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$141.25
Typical High
$316.23
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$63.10
Typical High
$123.03
Medica
Setting
Professional
Modifier
50 · Both sides
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$102.33
Typical High
$338.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$194.98
Typical High
$194.98
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$69.18
Median
$79.43
Typical High
$79.43
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$112.20
Median
$117.49
Typical High
$117.49
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$144.54
Typical High
$165.96
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$56.23
Typical High
$63.10
Sanford Health Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$64.57
Median
$89.13
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$131.83
Typical High
$194.98
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$51.29
Typical High
$72.44
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$56.23
Median
$79.43
Typical High
$120.23
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$177.83
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$56.23
Median
$66.07
Typical High
$66.07
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$93.33
Median
$109.65
Typical High
$109.65

Where South Dakota 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 Dakota· 46th of 51

$89.13

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.