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Limited Retroperitoneal Ultrasound

Iowa 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 October 2026.

How much does Limited Retroperitoneal Ultrasound cost?

$107

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $170 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$102$58.88 to $129
FacilityA hospital or hospital-owned outpatient department$170$117 to $363

How much rates vary

Facilitymedian $170 · 10th to 90th $107 to $955Professionalmedian $102 · 10th to 90th $35 to $155
$50$100$200$500$1Kfacility $170professional $102

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$107.15
Typical High
$128.82
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$32.36
Median
$66.07
Typical High
$120.23
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$53.70
Median
$57.54
Typical High
$123.03
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$26.92
Typical High
$52.48
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$28.84
Median
$30.90
Typical High
$85.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$91.20
Median
$131.83
Typical High
$177.83
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$60.26
Typical High
$81.28
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$56.23
Median
$72.44
Typical High
$91.20
Hally Health
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$117.49
Typical High
$251.19
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$45.71
Typical High
$120.23
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$28.18
Median
$63.10
Typical High
$147.91
Medica
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$154.88
Typical High
$316.23
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$64.57
Median
$128.82
Typical High
$562.34
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$54.95
Typical High
$186.21
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.20
Median
$70.79
Typical High
$398.11
Midlands
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$154.88
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$56.23
Median
$60.26
Typical High
$70.79
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$64.57
Median
$72.44
Typical High
$83.18
Midlands
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$120.23
Median
$151.36
Typical High
$302.00
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$446.68
Typical High
$1,258.93
Oscar Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$28.84
Median
$57.54
Typical High
$112.20
United
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$263.03
Typical High
$331.13
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$58.88
Median
$74.13
Typical High
$128.82
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$33.11
Typical High
$61.66
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$28.84
Median
$38.90
Typical High
$77.62
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$112.20
Median
$112.20
Typical High
$125.89
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$50.12
Typical High
$56.23
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$61.66
Median
$61.66
Typical High
$70.79
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.70
Median
$26.92
Typical High
$45.71
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.23
Median
$10.72
Typical High
$18.20
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$40.74
Median
$42.66
Typical High
$45.71

Where Iowa sits

The same service costs 3.8 times more in Alaska than in Texas. 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.

Iowa· 11th of 51

$107

AK $182TX $47.86

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.