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Breast Ultrasound (Limited, One Breast)

Tennessee 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 Tennessee, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $162 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 6 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$74.13 to $132
FacilityA hospital or hospital-owned outpatient department$162$107 to $302

How much rates vary

Facilitymedian $162 · 10th to 90th $78 to $407Professionalmedian $89 · 10th to 90th $68 to $224
$50$100$200$500facility $162professional $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
$77.62
Median
$162.18
Typical High
$407.38
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$28.18
Median
$38.90
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$87.10
Typical High
$186.21
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$36.31
Typical High
$97.72
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$44.67
Median
$371.54
Typical High
$776.25
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$50.12
Typical High
$91.20
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$93.33
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$33.11
Typical High
$74.13
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$104.71
Median
$141.25
Typical High
$218.78
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$37.15
Median
$70.79
Typical High
$95.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$97.72
Typical High
$177.83
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$47.86
Typical High
$79.43
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$46.77
Median
$72.44
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$144.54
Typical High
$229.09
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$7.94
Median
$37.15
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$102.33
Typical High
$169.82
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$41.69
Typical High
$70.79
Cigna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$109.65
Median
$109.65
Typical High
$128.82
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$61.66
Typical High
$102.33
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Lucent Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$707.95
Typical High
$707.95
Lucent Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$204.17
Median
$263.03
Typical High
$263.03
Lucent Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$338.84
Median
$446.68
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$85.11
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$97.72
Typical High
$165.96
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$39.81
Typical High
$72.44
United
Setting
Professional
Modifier
50 · Both sides
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$47.86
Median
$58.88
Typical High
$100.00

Where Tennessee 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.

Tennessee· 29th 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.