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Limited Retroperitoneal Ultrasound

Minnesota 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 $89 · 10th–90th $28$2140%10%10th90th$89Professionalmedian $79 · 10th–90th $29$2000%5%10th90th$79$5.0$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
$27.54
Median
$27.54
Typical High
$29.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$100.00
Typical High
$426.58
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$31.62
Typical High
$154.88
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.12
Median
$38.02
Typical High
$158.49
BCBS
Setting
Facility
Modifier
26 · Professional part
Typical Low
$20.42
Median
$23.44
Typical High
$23.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$218.78
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$69.18
Typical High
$97.72
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$57.54
Median
$89.13
Typical High
$120.23
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$22.91
Median
$85.11
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$117.49
Typical High
$190.55
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$51.29
Typical High
$81.28
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$47.86
Median
$64.57
Typical High
$107.15
Health Partners
Setting
Facility
Modifier
26 · Professional part
Typical Low
$75.86
Median
$109.65
Typical High
$213.80
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$144.54
Health Partners
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$40.74
Typical High
$64.57
Health Partners
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$51.29
Typical High
$79.43
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$128.82
Typical High
$562.34
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$60.26
Typical High
$186.21
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.20
Median
$60.26
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$147.91
Typical High
$446.68
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$87.10
Typical High
$223.87
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.20
Median
$64.57
Typical High
$114.82