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Limited Retroperitoneal Ultrasound

Maryland 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?

$60.26

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $60.26 for this service. Most negotiated rates run $51.29 to $77.62.

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.

How much rates vary

Facilitymedian $71 · 10th to 90th $65 to $105Professionalmedian $60 · 10th to 90th $29 to $107
$50$100$200facility $71professional $60

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$70.79
Typical High
$104.71
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$52.48
Median
$56.23
Typical High
$114.82
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$24.55
Typical High
$46.77
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$28.18
Median
$31.62
Typical High
$75.86
CareFirst
Setting
Professional
Modifier
None (both parts)
Typical Low
$26.30
Median
$60.26
Typical High
$67.61
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$28.84
Typical High
$38.90
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$34.67
Median
$38.90
Typical High
$41.69
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$47.86
Median
$54.95
Typical High
$131.83
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.38
Median
$23.44
Typical High
$50.12
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.92
Median
$30.90
Typical High
$85.11
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$75.86
Typical High
$104.71
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$32.36
Typical High
$47.86
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$36.31
Median
$43.65
Typical High
$57.54
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$51.29
Median
$81.28
Typical High
$151.36
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.42
Median
$26.30
Typical High
$57.54
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.92
Median
$52.48
Typical High
$100.00
Wellpoint
Setting
Professional
Modifier
None (both parts)
Typical Low
$57.54
Median
$57.54
Typical High
$100.00
Wellpoint
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$25.70
Typical High
$42.66
Wellpoint
Setting
Professional
Modifier
TC · Technical part
Typical Low
$32.36
Median
$32.36
Typical High
$57.54
3 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
Professional
Modifier
52 · Reduced service
Typical Low
$26.30
Median
$28.18
Typical High
$28.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.47
Median
$11.22
Typical High
$11.22
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$41.69
Median
$44.67
Typical High
$44.67

Where Maryland 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.

Maryland· 48th of 51

$60.26

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.