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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 July 2026.

Facilitymedian $56 · 10th–90th $25$1230%20%10th90th$56Professionalmedian $58 · 10th–90th $26$1910%10%10th90th$58$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
$24.55
Median
$56.23
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$102.33
Typical High
$371.54
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$37.15
Typical High
$158.49
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$24.55
Median
$37.15
Typical High
$173.78
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$144.54
Typical High
$181.97
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$64.57
Typical High
$81.28
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$38.02
Median
$79.43
Typical High
$109.65
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$173.78
Typical High
$295.12
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$53.70
Typical High
$123.03
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$32.36
Median
$64.57
Typical High
$190.55
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$89.13
Median
$123.03
Typical High
$123.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$112.20
Typical High
$562.34
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$38.02
Typical High
$186.21
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$28.84
Median
$58.88
Typical High
$398.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$138.04
Typical High
$181.97
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$54.95
Median
$64.57
Typical High
$87.10
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$63.10
Median
$72.44
Typical High
$125.89
Midlands
Setting
Facility
Modifier
26 · Professional part
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$154.88
Typical High
$218.78
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$54.95
Median
$70.79
Typical High
$87.10
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$77.62
Median
$81.28
Typical High
$162.18
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$54.95
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$104.71
Typical High
$181.97
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$47.86
Typical High
$109.65
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$29.51
Median
$52.48
Typical High
$100.00
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$112.20
Typical High
$125.89
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$50.12
Typical High
$56.23
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$48.98
Median
$61.66
Typical High
$70.79