go back

Montana rates for HCPCS 76775

Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited

Facilitymedian $52 · 10th–90th $43$1100%20%10th90th$52Professionalmedian $59 · 10th–90th $26$1580%10%10th90th$59$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $93.33 / $204.17
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $44.67 / $107.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $54.95 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $93.33 / $93.33
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$42.66 / $42.66 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $93.33 / $154.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $41.69 / $64.57
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $53.70 / $97.72
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $102.33 / $190.55
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$42.66 / $42.66 / $52.48
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $100.00 / $154.88
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $42.66 / $56.23
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $51.29 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $85.11 / $165.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $30.20 / $85.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $42.66 / $83.18