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Limited Retroperitoneal Ultrasound

Idaho 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 $69 · 10th–90th $36$720%20%10th90th$69Professionalmedian $69 · 10th–90th $27$1230%5%10%10th90th$69$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
$36.31
Median
$69.18
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$102.33
Typical High
$457.09
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$31.62
Typical High
$112.20
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$29.51
Median
$61.66
Typical High
$95.50
BCBS
Setting
Facility
Modifier
26 · Professional part
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$112.20
Typical High
$138.04
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$52.48
Typical High
$58.88
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$60.26
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$93.33
Typical High
$151.36
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$42.66
Typical High
$64.57
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$29.51
Median
$50.12
Typical High
$104.71
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$338.84
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$112.20
Median
$112.20
Typical High
$144.54
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$151.36
Median
$151.36
Typical High
$194.98
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$112.20
Typical High
$169.82
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$51.29
Typical High
$63.10
Moda Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$56.23
Median
$63.10
Typical High
$95.50
Molina
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$32.36
Typical High
$46.77
Regence BlueShield
Setting
Facility
Modifier
26 · Professional part
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$114.82
Typical High
$154.88
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$54.95
Typical High
$69.18
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$61.66
Typical High
$85.11
Select Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$25.70
Median
$26.30
Typical High
$52.48
Select Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$87.10
Typical High
$123.03
Select Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$39.81
Typical High
$57.54
Select Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.90
Median
$47.86
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$104.71
Typical High
$223.87
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$30.90
Typical High
$56.23
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.20
Median
$57.54
Typical High
$165.96