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Breast Ultrasound (Limited, One Breast)

West 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?

$309

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $447 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$70.79$67.61 to $81.28
FacilityA hospital or hospital-owned outpatient department$447$363 to $550

How much rates vary

Facilitymedian $447 · 10th to 90th $123 to $661Professionalmedian $71 · 10th to 90th $32 to $174
$50$100$200$500facility $447professional $71

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
$213.80
Median
$446.68
Typical High
$660.69
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$31.62
Median
$31.62
Typical High
$34.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$70.79
Typical High
$173.78
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$69.18
Typical High
$102.33
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$104.71
Median
$104.71
Typical High
$275.42
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$50.12
Typical High
$57.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$47.86
Typical High
$85.11
CareSource
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$48.98
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$134.90
Typical High
$181.97
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
$67.61
Median
$120.23
Typical High
$398.11
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$47.86
Typical High
$151.36
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$41.69
Median
$72.44
Typical High
$251.19
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$398.11
Typical High
$562.34
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$134.90
Typical High
$147.91
Highmark BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$85.11
Typical High
$107.15
Highmark BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Highmark BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$95.50
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$181.97
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$89.13
Typical High
$169.82
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$36.31
Typical High
$75.86
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$40.74
Median
$54.95
Typical High
$104.71

Where West 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.

West Virginia· 1st of 51

$309

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.