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Limited Retroperitoneal Ultrasound

Delaware 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 $28 · 10th–90th $26$310%50%10th90th$28Professionalmedian $68 · 10th–90th $26$2340%10%10th90th$68$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
$26.30
Median
$28.18
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$100.00
Typical High
$245.47
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$28.84
Typical High
$169.82
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.30
Median
$40.74
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$87.10
Typical High
$120.23
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$33.11
Typical High
$51.29
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.70
Median
$47.86
Typical High
$85.11
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Highmark BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$34.67
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$104.71
Typical High
$302.00
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.91
Median
$36.31
Typical High
$138.04
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.92
Median
$54.95
Typical High
$109.65