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Tennessee rates for HCPCS 76642

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

Facilitymedian $186 · 10th–90th $74$4790%5%10th90th$186Professionalmedian $74 · 10th–90th $32$3020%5%10th90th$74$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$77.62 / $208.93 / $478.63
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.18 / $38.90 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $97.72 / $407.38
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $52.48 / $141.25
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$47.86 / $173.78 / $776.25
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $56.23 / $138.04
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $91.20 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $30.20 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$91.20 / $138.04 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $70.79 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $97.72 / $173.78
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $47.86 / $77.62
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $72.44 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $138.04 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $102.33 / $169.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $41.69 / $70.79
Cigna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$109.65 / $109.65 / $194.98
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $61.66 / $102.33
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $707.95 / $707.95
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$204.17 / $263.03 / $263.03
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $446.68 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $81.28 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $97.72 / $162.18
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $39.81 / $67.61
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $58.88 / $97.72