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Limited Retroperitoneal Ultrasound

North Dakota 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 $29 · 10th–90th $28$480%50%10th90th$29Professionalmedian $65 · 10th–90th $26$1480%10%10th90th$65$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
$28.84
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$81.28
Typical High
$245.47
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$28.84
Typical High
$117.49
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.99
Median
$75.86
Typical High
$158.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$154.88
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$47.86
Median
$61.66
Typical High
$70.79
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$58.88
Median
$75.86
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$109.65
Typical High
$154.88
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$41.69
Typical High
$69.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.90
Median
$61.66
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$109.65
Typical High
$562.34
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$53.70
Typical High
$186.21
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$36.31
Median
$58.88
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$144.54
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$48.98
Typical High
$89.13
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.20
Median
$56.23
Typical High
$85.11