go back

North Dakota rates for HCPCS 76775

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

Facilitymedian $29 · 10th–90th $27$480%20%10th90th$29Professionalmedian $58 · 10th–90th $24$1290%5%10%10th90th$58$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
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.92 / $28.84 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $66.07 / $218.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $40.74 / $75.86
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $34.67 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $141.25 / $154.88
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $63.10 / $70.79
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $77.62 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $109.65 / $154.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $43.65 / $69.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $64.57 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $109.65 / $562.34
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $53.70 / $186.21
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $58.88 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $107.15 / $154.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $50.12 / $100.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $58.88 / $95.50