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Limited Retroperitoneal Ultrasound

Alaska rates for HCPCS 76775

A focused ultrasound exam of the structures behind the abdominal cavity, such as the kidneys or major blood vessels, that looks at a specific area or concern rather than fully evaluating the whole region. It's often used as a follow-up to check on a previously identified finding. It's a narrower exam than a complete retroperitoneal ultrasound.

Rates data updated October 2026.

How much does Limited Retroperitoneal Ultrasound cost?

$182

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $417 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$182$126 to $240
FacilityA hospital or hospital-owned outpatient department$417$191 to $794

How much rates vary

Facilitymedian $417 · 10th to 90th $182 to $871Professionalmedian $182 · 10th to 90th $78 to $251
$50$100$200$500$1Kfacility $417professional $182

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$190.55
Typical High
$229.09
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$58.88
Median
$181.97
Typical High
$229.09
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$87.10
Typical High
$117.49
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.90
Median
$89.13
Typical High
$144.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$53.70
Median
$125.89
Typical High
$218.78
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$46.77
Typical High
$89.13
Moda Health
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$478.63
Typical High
$891.25
Moda Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$69.18
Median
$181.97
Typical High
$269.15
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$87.10
Typical High
$138.04
Moda Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$39.81
Median
$89.13
Typical High
$144.54
Premera BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Premera BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Premera BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Providence
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$269.15
Typical High
$478.63
Providence
Setting
Professional
Modifier
None (both parts)
Typical Low
$56.23
Median
$109.65
Typical High
$186.21
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$109.65
Median
$147.91
Typical High
$295.12
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$81.28
Typical High
$162.18
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$64.57
Median
$83.18
Typical High
$144.54

Where Alaska sits

The same service costs 3.8 times more in Alaska than in Texas. 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.

Alaska· 1st of 51

$182

AK $182TX $47.86

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.