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Limited Retroperitoneal Ultrasound

Louisiana 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?

$69.18

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $123 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$67.61$50.12 to $74.13
FacilityA hospital or hospital-owned outpatient department$123$74.13 to $186

How much rates vary

Facilitymedian $123 · 10th to 90th $74 to $251Professionalmedian $68 · 10th to 90th $36 to $95
$50$100$200facility $123professional $68

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
$34.67
Median
$85.11
Typical High
$331.13
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$31.62
Median
$41.69
Typical High
$128.82
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$63.10
Median
$69.18
Typical High
$95.50
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$34.67
Typical High
$46.77
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$31.62
Median
$33.11
Typical High
$42.66
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$47.86
Median
$47.86
Typical High
$58.88
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$26.92
Typical High
$30.90
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$181.97
Typical High
$275.42
BCBS Louisiana
Setting
Professional
Modifier
None (both parts)
Typical Low
$67.61
Median
$74.13
Typical High
$79.43
BCBS Louisiana
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$35.48
Typical High
$40.74
BCBS Louisiana
Setting
Professional
Modifier
TC · Technical part
Typical Low
$33.11
Median
$38.90
Typical High
$38.90
Christus
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Christus
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$25.12
Typical High
$26.92
Cigna
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$91.20
Typical High
$134.90
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$35.48
Median
$38.90
Typical High
$95.50
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.60
Median
$18.20
Typical High
$48.98
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$18.62
Median
$20.89
Typical High
$46.77
United
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$158.49
Typical High
$288.40
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$44.67
Median
$66.07
Typical High
$107.15
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$28.18
Typical High
$47.86
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.91
Median
$31.62
Typical High
$60.26
6 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
Facility
Modifier
52 · Reduced service
Typical Low
$15.85
Median
$23.44
Typical High
$64.57
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$6.31
Median
$9.33
Typical High
$25.70
Aetna
Setting
Facility
Modifier
FX · Film X-ray
Typical Low
$25.12
Median
$37.15
Typical High
$102.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$31.62
Median
$33.11
Typical High
$36.31
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.88
Median
$13.18
Typical High
$14.45
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$51.29
Median
$52.48
Typical High
$57.54

Where Louisiana 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.

Louisiana· 40th of 51

$69.18

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.