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Breast Ultrasound (Limited, One Breast)

Utah 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?

$93.33

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $355 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$85.11$69.18 to $148
FacilityA hospital or hospital-owned outpatient department$355$219 to $575

How much rates vary

Facilitymedian $355 · 10th to 90th $91 to $631Professionalmedian $85 · 10th to 90th $39 to $363
$50$100$200$500facility $355professional $85

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
$85.11
Median
$380.19
Typical High
$645.65
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$85.11
Typical High
$380.19
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$64.57
Typical High
$131.83
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$112.20
Median
$524.81
Typical High
$691.83
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$60.26
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$173.78
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$45.71
Typical High
$69.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$50.12
Median
$67.61
Typical High
$107.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$83.18
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$302.00
Regence BlueShield
Setting
Facility
Modifier
26 · Professional part
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$141.25
Typical High
$173.78
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$53.70
Typical High
$66.07
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$74.13
Median
$89.13
Typical High
$109.65
Select Health
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Select Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Select Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$120.23
Typical High
$134.90
Select Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$50.12
Typical High
$52.48
Select Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$53.70
Median
$74.13
Typical High
$83.18
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$74.13
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$151.36
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$35.48
Typical High
$60.26
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$54.95
Typical High
$91.20

Where Utah 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.

Utah· 41st of 51

$93.33

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.