go back

Limited Retroperitoneal Ultrasound

Montana 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.

How much does Limited Retroperitoneal Ultrasound cost?

$100

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $100 for this service. Most negotiated rates run $75.86 to $117.

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

Professionalmedian $100 · 10th to 90th $60 to $339
$50.0$100.0$200.0$500.0professional $100

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$371.54
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$38.02
Typical High
$154.88
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$33.88
Median
$75.86
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$93.33
Typical High
$93.33
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$42.66
Median
$42.66
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$141.25
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$41.69
Typical High
$64.57
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$34.67
Median
$51.29
Typical High
$79.43
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$102.33
Typical High
$190.55
Providence
Setting
Facility
Modifier
26 · Professional part
Typical Low
$42.66
Median
$42.66
Typical High
$52.48
Providence
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$100.00
Typical High
$177.83
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$42.66
Typical High
$56.23
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$34.67
Median
$51.29
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$87.10
Typical High
$162.18
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$32.36
Typical High
$169.82
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.20
Median
$42.66
Typical High
$83.18

Where Montana sits

The same service costs 3.0 times more in Alaska than in Oklahoma. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $100 · 18th of 51
AK $166OK $54.95

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.