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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 October 2026.

How much does Limited Retroperitoneal Ultrasound cost?

$129

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $457 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$117$93.33 to $162
FacilityA hospital or hospital-owned outpatient department$457$269 to $490

How much rates vary

Facilitymedian $457 · 10th to 90th $102 to $589Professionalmedian $117 · 10th to 90th $62 to $316
$50$100$200$500facility $457professional $117

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
$61.66
Median
$478.63
Typical High
$676.08
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$57.54
Median
$61.66
Typical High
$158.49
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$27.54
Typical High
$52.48
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$29.51
Median
$34.67
Typical High
$87.10
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$331.13
Typical High
$758.58
BCBS Minnesota
Setting
Professional
Modifier
None (both parts)
Typical Low
$100.00
Median
$128.82
Typical High
$190.55
BCBS Minnesota
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$57.54
Typical High
$85.11
BCBS Minnesota
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$75.86
Typical High
$109.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$213.80
Typical High
$616.60
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$63.10
Median
$95.50
Typical High
$269.15
Cigna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$79.43
Median
$120.23
Typical High
$338.84
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$72.44
Median
$114.82
Typical High
$199.53
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$45.71
Typical High
$89.13
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$38.02
Median
$64.57
Typical High
$112.20
Health Partners
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$204.17
Typical High
$478.63
Health Partners
Setting
Facility
Modifier
26 · Professional part
Typical Low
$57.54
Median
$91.20
Typical High
$213.80
Health Partners
Setting
Facility
Modifier
TC · Technical part
Typical Low
$70.79
Median
$112.20
Typical High
$269.15
Health Partners
Setting
Professional
Modifier
None (both parts)
Typical Low
$93.33
Median
$93.33
Typical High
$177.83
Health Partners
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$40.74
Typical High
$79.43
Health Partners
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$51.29
Typical High
$100.00
Medica
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$239.88
Typical High
$549.54
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$70.79
Median
$181.97
Typical High
$562.34
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$83.18
Typical High
$186.21
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$35.48
Median
$93.33
Typical High
$398.11
United
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$281.84
Typical High
$371.54
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$60.26
Median
$109.65
Typical High
$181.97
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$50.12
Typical High
$89.13
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.20
Median
$56.23
Typical High
$107.15
5 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
$30.90
Median
$30.90
Typical High
$30.90
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$26.92
Median
$30.90
Typical High
$47.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.72
Median
$12.30
Typical High
$19.05
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$38.02
Median
$46.77
Typical High
$89.13

Where Minnesota 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.

Minnesota· 4th of 51

$129

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.