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Idaho rates for HCPCS 76775

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

Facilitymedian $40 · 10th–90th $36$690%20%10th90th$40Professionalmedian $62 · 10th–90th $26$1620%5%10th90th$62$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
$36.31 / $39.81 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $102.33 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $38.02 / $109.65
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $58.88 / $128.82
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $112.20 / $138.04
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $52.48 / $58.88
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $60.26 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $93.33 / $151.36
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $42.66 / $64.57
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $48.98 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $338.84
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $112.20 / $144.54
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $151.36 / $194.98
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$36.31 / $41.69 / $72.44
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $112.20 / $177.83
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $50.12 / $75.86
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $61.66 / $95.50
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $32.36 / $39.81
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $123.03 / $147.91
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $54.95 / $58.88
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $66.07 / $77.62
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $204.17
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $25.70 / $57.54
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $33.88 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $104.71 / $223.87
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $30.90 / $56.23
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $60.26 / $165.96