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Arizona rates for HCPCS 76775

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

Facilitymedian $98 · 10th–90th $42$1320%20%10th90th$98Professionalmedian $60 · 10th–90th $26$2000%5%10th90th$60$10.0$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
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$41.69 / $97.72 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $100.00 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $43.65 / $117.49
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $47.86 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $46.77 / $50.12
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $22.39 / $38.90
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $57.54 / $102.33
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $25.12 / $43.65
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $33.88 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $89.13 / $147.91
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $33.88 / $56.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $48.98 / $91.20
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$64.57 / $123.03 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $109.65 / $562.34
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $30.90 / $186.21
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $74.13 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $89.13 / $147.91
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $30.90 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $44.67 / $89.13