# CPT 76642: Ultrasound, breast, unilateral, limited

Medicare CPT 76642 pays $83.50 in a non-facility setting and $83.50 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $74.26 in Arkansas to $97.66 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/76642-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $83.50 |
| National facility | $83.50 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $97.66 | $97.66 |
| District of Columbia | $95.52 | $95.52 |
| California | $94.49 | $94.49 |
| New Jersey | $92.31 | $92.31 |
| Washington | $92.22 | $92.22 |
| New York | $92.06 | $92.06 |
| Massachusetts | $91.25 | $91.25 |
| Hawaii | $90.99 | $90.99 |
| Connecticut | $88.90 | $88.90 |
| Colorado | $87.23 | $87.23 |
| Maryland | $86.46 | $86.46 |
| Oregon | $86.42 | $86.42 |
| New Hampshire | $85.74 | $85.74 |
| Rhode Island | $85.71 | $85.71 |
| Florida | $85.28 | $85.28 |
| Puerto Rico | $84.13 | $84.13 |
| Virgin Islands | $84.13 | $84.13 |
| Minnesota | $84.06 | $84.06 |
| Montana | $83.50 | $83.50 |
| Nevada | $83.28 | $83.28 |
| Illinois | $83.08 | $83.08 |
| Wyoming | $83.07 | $83.07 |
| Delaware | $82.73 | $82.73 |
| Pennsylvania | $82.59 | $82.59 |
| Texas | $82.58 | $82.58 |
| North Dakota | $82.51 | $82.51 |
| South Dakota | $82.39 | $82.39 |
| Vermont | $82.08 | $82.08 |
| Virginia | $81.99 | $81.99 |
| Arizona | $81.41 | $81.41 |
| Georgia | $81.12 | $81.12 |
| Michigan | $80.54 | $80.54 |
| Maine | $80.22 | $80.22 |
| Wisconsin | $79.84 | $79.84 |
| Utah | $79.74 | $79.74 |
| North Carolina | $78.89 | $78.89 |
| New Mexico | $78.88 | $78.88 |
| South Carolina | $78.71 | $78.71 |
| Missouri | $78.56 | $78.56 |
| Louisiana | $78.38 | $78.38 |
| Ohio | $78.31 | $78.31 |
| Indiana | $78.28 | $78.28 |
| Nebraska | $77.86 | $77.86 |
| Idaho | $77.84 | $77.84 |
| Iowa | $77.41 | $77.41 |
| Tennessee | $77.29 | $77.29 |
| Kansas | $76.93 | $76.93 |
| Oklahoma | $76.73 | $76.73 |
| Kentucky | $76.72 | $76.72 |
| West Virginia | $76.39 | $76.39 |
| Alabama | $75.30 | $75.30 |
| Mississippi | $74.76 | $74.76 |
| Arkansas | $74.26 | $74.26 |

## Related codes

- 76506: Ultrasound, brain, in infant, real time with image documentation — https://www.med-reveal.com/rates/76506-cpt-fee-schedule
- 76512: Ophthalmic ultrasound, B-scan — https://www.med-reveal.com/rates/76512-cpt-fee-schedule
- 76513: Ophthalmic ultrasound, anterior segment — https://www.med-reveal.com/rates/76513-cpt-fee-schedule
- 76514: Ophthalmic ultrasound, corneal pachymetry — https://www.med-reveal.com/rates/76514-cpt-fee-schedule
- 76516: Ophthalmic biometry by ultrasound echography, A-scan — https://www.med-reveal.com/rates/76516-cpt-fee-schedule
- 76536: Ultrasound, soft tissue of head and neck (thyroid, parotid) — https://www.med-reveal.com/rates/76536-cpt-fee-schedule
- 76604: Ultrasound, chest, real time — https://www.med-reveal.com/rates/76604-cpt-fee-schedule
- 76641: Ultrasound, breast, unilateral, complete — https://www.med-reveal.com/rates/76641-cpt-fee-schedule

Commercial negotiated rates for 76642 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules