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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 October 2026.

How much does Limited Retroperitoneal Ultrasound cost?

$126

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $288 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$120$89.13 to $141
FacilityA hospital or hospital-owned outpatient department$288$138 to $380

How much rates vary

Facilitymedian $288 · 10th to 90th $110 to $631Professionalmedian $120 · 10th to 90th $66 to $182
$50$100$200$500facility $288professional $120

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$123.03
Typical High
$128.82
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$57.54
Median
$74.13
Typical High
$151.36
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$34.67
Typical High
$69.18
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.90
Median
$39.81
Typical High
$81.28
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$114.82
Median
$120.23
Typical High
$141.25
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$35.48
Typical High
$64.57
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$338.84
Typical High
$645.65
BCBS Nebraska
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$48.98
Typical High
$51.29
BCBS Nebraska
Setting
Professional
Modifier
TC · Technical part
Typical Low
$52.48
Median
$56.23
Typical High
$60.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$602.56
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$112.20
Median
$131.83
Typical High
$147.91
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$51.29
Median
$63.10
Typical High
$67.61
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$60.26
Median
$64.57
Typical High
$79.43
Medica
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$338.84
Typical High
$645.65
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$72.44
Median
$123.03
Typical High
$562.34
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$54.95
Typical High
$186.21
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$35.48
Median
$66.07
Typical High
$398.11
Midlands
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$131.83
Typical High
$151.36
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$52.48
Median
$67.61
Typical High
$69.18
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$63.10
Median
$64.57
Typical High
$83.18
Midlands
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$114.82
Median
$138.04
Typical High
$151.36
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$323.59
Typical High
$331.13
Oscar Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$28.84
Median
$57.54
Typical High
$112.20
United
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$138.04
Typical High
$177.83
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$72.44
Median
$114.82
Typical High
$181.97
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$52.48
Typical High
$72.44
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$33.88
Median
$61.66
Typical High
$100.00
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$28.84
Median
$28.84
Typical High
$31.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.48
Median
$11.48
Typical High
$12.88
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$45.71
Median
$45.71
Typical High
$45.71

Where Nebraska sits

The same service costs 3.8 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Nebraska· 5th of 51

$126

AK $182TX $47.86

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.