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Breast Ultrasound (Limited, One Breast)

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $138 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$91.20$75.86 to $123
FacilityA hospital or hospital-owned outpatient department$138$83.18 to $398

How much rates vary

Facilitymedian $138 · 10th to 90th $56 to $617Professionalmedian $91 · 10th to 90th $48 to $151
$50$100$200$500$1Kfacility $138professional $91

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
$346.74
Typical High
$676.08
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$28.84
Median
$38.02
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$81.28
Typical High
$134.90
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$43.65
Typical High
$83.18
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$23.99
Median
$169.82
Typical High
$223.87
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$52.48
Typical High
$95.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$346.74
Typical High
$436.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$42.66
Typical High
$63.10
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$123.03
Median
$169.82
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$50.12
Median
$70.79
Typical High
$104.71
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$85.11
Typical High
$229.09
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$32.36
Typical High
$40.74
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$48.98
Median
$54.95
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$234.42
Typical High
$524.81
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
$70.79
Median
$107.15
Typical High
$190.55
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$39.81
Typical High
$70.79
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$64.57
Typical High
$123.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$95.50
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$33.88
Typical High
$45.71
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$48.98
Median
$61.66
Typical High
$81.28
Medcost
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$107.15
Typical High
$169.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$138.04
Sentara
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$74.13
Typical High
$165.96
Sentara
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$95.50
Typical High
$234.42
Sentara
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$43.65
Typical High
$67.61
Sentara
Setting
Professional
Modifier
TC · Technical part
Typical Low
$53.70
Median
$69.18
Typical High
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$117.49
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$97.72
Typical High
$177.83
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$38.90
Typical High
$69.18
United
Setting
Professional
Modifier
50 · Both sides
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$63.10
Typical High
$109.65

Where Virginia 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.

Virginia· 34th 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.