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Breast Ultrasound (Limited, One Breast)

Wisconsin 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?

$219

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $513 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 12 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$204$95.50 to $427
FacilityA hospital or hospital-owned outpatient department$513$316 to $661

How much rates vary

Facilitymedian $513 · 10th to 90th $129 to $776Professionalmedian $204 · 10th to 90th $74 to $631
$50$100$200$500$1Kfacility $513professional $204

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
$288.40
Median
$588.84
Typical High
$776.25
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$30.20
Median
$48.98
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$208.93
Typical High
$630.96
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$151.36
Typical High
$407.38
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$371.54
Median
$562.34
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$79.43
Typical High
$407.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$48.98
Typical High
$147.91
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$123.03
Median
$190.55
Typical High
$616.60
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$79.43
Typical High
$239.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$63.10
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$426.58
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$85.11
Median
$100.00
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$263.03
Typical High
$346.74
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$97.72
Typical High
$131.83
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$56.23
Median
$162.18
Typical High
$213.80
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$169.82
Typical High
$457.09
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$177.83
Typical High
$234.42
DeanCare
Setting
Professional
Modifier
26 · Professional part
Typical Low
$58.88
Median
$67.61
Typical High
$89.13
DeanCare
Setting
Professional
Modifier
50 · Both sides
Typical Low
$229.09
Median
$263.03
Typical High
$354.81
DeanCare
Setting
Professional
Modifier
TC · Technical part
Typical Low
$95.50
Median
$109.65
Typical High
$147.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$251.19
Typical High
$562.34
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$147.91
Median
$147.91
Typical High
$295.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$165.96
Typical High
$549.54
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$77.62
Typical High
$213.80
Medica
Setting
Professional
Modifier
50 · Both sides
Typical Low
$380.19
Median
$562.34
Typical High
$794.33
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$97.72
Typical High
$338.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Network Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$123.03
Typical High
$338.84
Network Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$46.77
Typical High
$123.03
Network Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$66.07
Median
$75.86
Typical High
$208.93
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$194.98
Quartz
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$194.98
Typical High
$295.12
Quartz
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$549.54
Typical High
$549.54
Quartz
Setting
Facility
Modifier
26 · Professional part
Typical Low
$75.86
Median
$204.17
Typical High
$204.17
Quartz
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$426.58
Typical High
$549.54
Quartz
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$165.96
Typical High
$204.17
Quartz
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$257.04
Typical High
$338.84
Security Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Security Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Security Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Security Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$537.03
Security Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$83.18
Median
$97.72
Typical High
$154.88
Security Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$154.88
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$104.71
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$186.21
Typical High
$645.65
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$57.54
Median
$100.00
Typical High
$245.47
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
$81.28
Median
$102.33
Typical High
$398.11

Where Wisconsin 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.

Wisconsin· 2nd of 51

$219

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.