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Limited Retroperitoneal Ultrasound

Arizona 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 July 2026.

How much does Limited Retroperitoneal Ultrasound cost?

$100

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $100 for this service. Most negotiated rates run $64.57 to $141.

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.

How much rates vary

Professionalmedian $100 · 10th to 90th $51 to $347
$50$100$200$500professional $100

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
26 · Professional part
Typical Low
$28.84
Median
$97.72
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$100.00
Typical High
$363.08
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$36.31
Typical High
$158.49
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.99
Median
$66.07
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$47.86
Typical High
$63.10
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.89
Median
$25.70
Typical High
$43.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$100.00
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.89
Median
$26.30
Typical High
$41.69
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$28.84
Median
$34.67
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$89.13
Typical High
$147.91
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$33.88
Typical High
$57.54
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.30
Median
$48.98
Typical High
$91.20
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$64.57
Median
$123.03
Typical High
$123.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$109.65
Typical High
$562.34
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$30.90
Typical High
$186.21
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$29.51
Median
$74.13
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$95.50
Typical High
$151.36
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$30.90
Typical High
$138.04
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$29.51
Median
$44.67
Typical High
$91.20

Where Arizona sits

The same service costs 3.0 times more in Alaska than in Oklahoma. 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.

Arizona· 16th of 51

$100

AK $166OK $54.95

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.