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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.

Facilitymedian $107 · 10th–90th $41$1320%20%10th90th$107Professionalmedian $65 · 10th–90th $26$2000%5%10th90th$65$20.0$50.0$100.0$200.0$500.0

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
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