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Limited Retroperitoneal Ultrasound

Massachusetts 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 $38 · 10th–90th $21$1320%20%10th90th$38Professionalmedian $63 · 10th–90th $26$1660%5%10th90th$63$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
Setting
Facility
Modifier
26 · Professional part
Typical Low
$21.38
Median
$27.54
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$100.00
Typical High
$363.08
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.38
Median
$33.11
Typical High
$95.50
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.44
Median
$38.02
Typical High
$134.90
AllWays Health Partners
Setting
Facility
Modifier
26 · Professional part
Typical Low
$64.57
Median
$173.78
Typical High
$173.78
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$91.20
Typical High
$602.56
AllWays Health Partners
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$36.31
Typical High
$194.98
AllWays Health Partners
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.20
Median
$58.88
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$74.13
Typical High
$169.82
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$53.70
Typical High
$70.79
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$95.50
Typical High
$190.55
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$39.81
Typical High
$77.62
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.92
Median
$57.54
Typical High
$120.23
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$53.70
Typical High
$112.20
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$102.33
Typical High
$173.78
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$43.65
Typical High
$72.44
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$34.67
Median
$57.54
Typical High
$89.13
Health New England
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$51.29
Typical High
$125.89
Mass General Brigham
Setting
Facility
Modifier
26 · Professional part
Typical Low
$64.57
Median
$173.78
Typical High
$173.78
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$91.20
Typical High
$602.56
Mass General Brigham
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$36.31
Typical High
$194.98
Mass General Brigham
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.20
Median
$58.88
Typical High
$426.58
Tufts
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$89.13
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$102.33
Typical High
$190.55
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$44.67
Typical High
$89.13
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$31.62
Median
$58.88
Typical High
$107.15