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Limited Retroperitoneal Ultrasound

Hawaii 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 $31 · 10th–90th $28$360%10%20%10th90th$31Professionalmedian $71 · 10th–90th $25$1580%5%10%10th90th$71$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
$27.54
Median
$30.90
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$95.50
Typical High
$457.09
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.38
Median
$28.84
Typical High
$109.65
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.42
Median
$34.67
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$87.10
Typical High
$173.78
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$36.31
Typical High
$58.88
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$24.55
Median
$50.12
Typical High
$131.83
HMSA
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$131.83
HMSA
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$38.02
Typical High
$38.90
HMSA
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$95.50
Typical High
$95.50
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$79.43
Typical High
$97.72
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$33.11
Typical High
$41.69
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$41.69
Median
$45.71
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$446.68
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$36.31
Typical High
$95.50
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.20
Median
$42.66
Typical High
$93.33
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$123.03
Typical High
$204.17
University Health Alliance
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$41.69
Typical High
$69.18
University Health Alliance
Setting
Professional
Modifier
TC · Technical part
Typical Low
$44.67
Median
$77.62
Typical High
$147.91