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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 July 2026.

Facilitymedian $36 · 10th–90th $32$470%50%10th90th$36Professionalmedian $39 · 10th–90th $23$850%10%10th90th$39$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
$32.36
Median
$36.31
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$66.07
Typical High
$112.20
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$33.88
Typical High
$57.54
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.91
Median
$33.11
Typical High
$61.66
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$46.77
Typical High
$58.88
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.62
Median
$28.84
Typical High
$38.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$74.13
Typical High
$102.33
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$35.48
Typical High
$48.98
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$33.11
Median
$38.90
Typical High
$51.29
Christus
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$25.70
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$64.57
Typical High
$141.25
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.50
Median
$30.90
Typical High
$56.23
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.05
Median
$33.11
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$64.57
Typical High
$120.23
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$29.51
Typical High
$48.98
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.91
Median
$30.90
Typical High
$64.57