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Ohio rates for HCPCS 76775

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

Facilitymedian $32 · 10th–90th $26$520%20%40%10th90th$32Professionalmedian $56 · 10th–90th $26$1320%10%10th90th$56$0.5$2.0$10.0$50.0$200.0

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
$26.30 / $32.36 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $87.10 / $245.47
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $41.69 / $102.33
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $38.90 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $47.86 / $63.10
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $22.39 / $43.65
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $33.88 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $102.33 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $38.02 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $64.57 / $97.72
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $70.79 / $114.82
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $32.36 / $53.70
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $38.02 / $61.66
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $41.69 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $89.13 / $162.18
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $36.31 / $58.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $48.98 / $109.65
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $83.18 / $158.49
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $38.02 / $64.57
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $46.77 / $109.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $54.95 / $104.71
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $33.11 / $58.88
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.22 / $20.89 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $70.79 / $120.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $31.62 / $61.66
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $34.67 / $77.62