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Limited Retroperitoneal Ultrasound

Nebraska 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 $85 · 10th–90th $56$2450%20%10th90th$85Professionalmedian $62 · 10th–90th $26$1580%10%10th90th$62$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
$50.12
Median
$85.11
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$107.15
Typical High
$338.84
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$37.15
Typical High
$154.88
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$28.84
Median
$75.86
Typical High
$173.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$120.23
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.89
Median
$45.71
Typical High
$64.57
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$109.65
Typical High
$114.82
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$47.86
Median
$51.29
Typical High
$53.70
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$53.70
Median
$57.54
Typical High
$63.10
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$131.83
Typical High
$181.97
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$56.23
Typical High
$81.28
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.70
Median
$64.57
Typical High
$100.00
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$123.03
Median
$123.03
Typical High
$131.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$109.65
Typical High
$562.34
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$50.12
Typical High
$186.21
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$33.11
Median
$60.26
Typical High
$398.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$128.82
Typical High
$204.17
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$52.48
Median
$60.26
Typical High
$93.33
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$60.26
Median
$64.57
Typical High
$112.20
Midlands
Setting
Facility
Modifier
26 · Professional part
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$151.36
Typical High
$154.88
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$47.86
Median
$56.23
Typical High
$67.61
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$64.57
Median
$95.50
Typical High
$107.15
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$54.95
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$109.65
Typical High
$223.87
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$48.98
Typical High
$83.18
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$33.11
Median
$61.66
Typical High
$120.23