Cost analysis for CPT 76641 — Complete ultrasound scan of 1 breast
Average Medicare Payment
$65.43
2023 data
Total Payments (2023)
$29.1M
Services (2023)
394.8K
Price Change (2015–2023)
+11.1%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2015 | $58.88 | $27.1M | 399.6K | — |
| 2016 | $56.58 | $29.1M | 446.1K | -3.9% |
| 2017 | $57.81 | $30.3M | 460.9K | +2.2% |
| 2018 | $58.72 | $31.8M | 472.4K | +1.6% |
| 2019 | $60.03 | $34.0M | 503.6K | +2.2% |
| 2020 | $60.69 | $30.6M | 443.9K | +1.1% |
| 2021 | $60.87 | $35.5M | 506.5K | +0.3% |
| 2022 | $61.86 | $33.0M | 461.4K | +1.6% |
| 2023 | $65.43 | $29.1M | 394.8K | +5.8% |
The most expensive state pays 3.8x more than the cheapest for this procedure. NV averages $98.45 vs NE at $25.94.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NV | $98.45 | $455.3K | 4.6K | 46 |
| HI | $93.96 | $108.5K | 1.2K | 12 |
| NY | $84.29 | $9.1M | 108.5K | 626 |
| GA | $83.61 | $662.5K | 7.9K | 100 |
| MD | $82.76 | $203.0K | 2.5K | 64 |
| GU | $82.69 | $46.6K | 564 | 6 |
| AZ | $81.02 | $656.0K | 8.1K | 79 |
| NJ | $80.56 | $2.3M | 29.1K | 246 |
| UT | $78.39 | $19.5K | 249 | 6 |
| CA | $78.18 | $3.4M | 43.5K | 467 |
| CO | $76.51 | $214.1K | 2.8K | 34 |
| WA | $75.76 | $194.5K | 2.6K | 39 |
| FL | $74.22 | $4.1M | 54.9K | 419 |
| MO | $74.00 | $215.3K | 2.9K | 48 |
| NC | $72.81 | $274.6K | 3.8K | 48 |
| CT | $72.40 | $1.0M | 14.3K | 145 |
| PR | $72.09 | $252.5K | 3.5K | 59 |
| NM | $71.80 | $251.6K | 3.5K | 31 |
| RI | $69.78 | $153.8K | 2.2K | 26 |
| TN | $69.71 | $488.5K | 7.0K | 91 |
| LA | $68.19 | $211.4K | 3.1K | 33 |
| VI | $67.20 | $6.9K | 102 | 2 |
| DE | $66.57 | $43.5K | 653 | 12 |
| IL | $64.29 | $459.1K | 7.1K | 150 |
| WY | $63.03 | $32.5K | 515 | 6 |
| MA | $62.40 | $357.0K | 5.7K | 44 |
| IN | $61.25 | $93.3K | 1.5K | 26 |
| DC | $60.76 | $79.0K | 1.3K | 21 |
| WI | $60.14 | $41.4K | 689 | 14 |
| OR | $55.86 | $57.9K | 1.0K | 29 |
| OH | $55.23 | $158.7K | 2.9K | 59 |
| MI | $54.08 | $154.8K | 2.9K | 71 |
| TX | $53.30 | $1.4M | 25.9K | 324 |
| VA | $53.16 | $232.4K | 4.4K | 82 |
| PA | $51.52 | $726.3K | 14.1K | 166 |
| AR | $51.10 | $104.1K | 2.0K | 30 |
| IA | $50.71 | $102.1K | 2.0K | 41 |
| AL | $50.35 | $160.0K | 3.2K | 64 |
| MN | $50.08 | $60.8K | 1.2K | 23 |
| KS | $48.02 | $65.7K | 1.4K | 24 |
| WV | $47.64 | $38.4K | 806 | 19 |
| ME | $47.13 | $17.2K | 365 | 10 |
| MT | $45.86 | $28.1K | 612 | 20 |
| SC | $43.35 | $83.2K | 1.9K | 35 |
| VT | $40.80 | $37.7K | 924 | 12 |
| MS | $39.62 | $86.9K | 2.2K | 39 |
| KY | $35.87 | $18.4K | 514 | 15 |
| OK | $35.85 | $46.6K | 1.3K | 26 |
| NE | $25.94 | $15.6K | 602 | 15 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Robin Ehrenpreis | Diagnostic Radiology | NY | $294.3K | 4.5K | $65.92 |
| John Kehoe | Surgical Oncology | NY | $215.6K | 1.6K | $138.47 |
| Shenin Sachedina | General Surgery | FL | $195.5K | 1.8K | $111.63 |
| Saint Barnabas Outpatient Centers | Independent Diagnostic Testing Facility (IDTF) | NJ | $164.9K | 1.9K | $88.25 |
| Gail Calamari | Diagnostic Radiology | NY | $164.2K | 1.3K | $128.48 |
| Patricia Kelly | Diagnostic Radiology | NY | $153.8K | 1.3K | $117.58 |
| Christopher Petti | Diagnostic Radiology | NJ | $124.6K | 1.0K | $122.62 |
| Michael Shamis | Diagnostic Radiology | NV | $121.3K | 971 | $124.90 |
| Stacey Tashman | Diagnostic Radiology | NY | $118.5K | 938 | $126.28 |
| Guy Bassis | Diagnostic Radiology | NY | $117.1K | 1.1K | $106.95 |
| Dipa Patel | Diagnostic Radiology | CA | $117.0K | 786 | $148.91 |
| Ian Grady | General Surgery | CA | $115.5K | 960 | $120.31 |
| Stanford Schwimer | Diagnostic Radiology | CA | $109.0K | 800 | $136.23 |
| Michael Mecca | Diagnostic Radiology | NV | $105.4K | 785 | $134.30 |
| Elizabeth Thomson | Diagnostic Radiology | NY | $104.4K | 825 | $126.49 |
| Olga Tsireshkin | Diagnostic Radiology | NY | $98.6K | 748 | $131.87 |
| Kelly Mcaleese | Diagnostic Radiology | CO | $93.4K | 890 | $104.93 |
| Alexandra Perkins | Diagnostic Radiology | NY | $92.6K | 732 | $126.52 |
| Ross Goldberg | Diagnostic Radiology | CA | $85.3K | 633 | $134.69 |
| Kenneth Averill | Diagnostic Radiology | CA | $82.3K | 701 | $117.41 |
The data suggests significant pricing inconsistencies for CPT 76641. With a 3.8x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have risen 11.1% since 2015, outpacing inflation and raising questions about whether reimbursement rates reflect actual costs.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.