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Breast Ultrasound (Limited, One Breast)

Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $501 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 5 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$93.33$70.79 to $123
FacilityA hospital or hospital-owned outpatient department$501$417 to $676

How much rates vary

Facilitymedian $501 · 10th to 90th $83 to $724Professionalmedian $93 · 10th to 90th $34 to $129
$50$100$200$500$1Kfacility $501professional $93

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$501.19
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$91.20
Typical High
$125.89
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$44.67
Typical High
$109.65
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$33.88
Median
$57.54
Typical High
$60.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$602.56
Typical High
$912.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$120.23
Typical High
$120.23
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$46.77
Typical High
$46.77
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$63.10
Median
$75.86
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$676.08
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$123.03
Typical High
$363.08
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$46.77
Typical High
$134.90
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$75.86
Typical High
$162.18
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$89.13
Typical High
$363.08
MVP Health Care
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$35.48
Typical High
$134.90
MVP Health Care
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$54.95
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$109.65
Typical High
$218.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$45.71
Typical High
$89.13
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$67.61
Typical High
$134.90

Where Vermont 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.

Vermont· 39th 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.