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South Dakota rates for HCPCS 76770

Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete

Facilitymedian $603 · 10th–90th $112$1,0000%10%10th90th$603Professionalmedian $78 · 10th–90th $33$2290%10%10th90th$78$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $645.65 / $1,000.00
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $295.12 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $213.80 / $295.12
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $52.48 / $95.50
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $109.65 / $263.03
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $186.21 / $302.00
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $154.88 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $257.04 / $323.59
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $81.28 / $102.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $177.83 / $218.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $194.98 / $831.76
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $208.93 / $707.95
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $70.79 / $288.40
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $154.88 / $478.63
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $251.19 / $251.19
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $85.11 / $85.11
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $165.96 / $165.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $177.83 / $208.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $57.54 / $67.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $125.89 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $169.82 / $269.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $57.54 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $117.49 / $194.98
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $223.87 / $223.87
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $72.44 / $72.44
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $151.36 / $151.36