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Limited Retroperitoneal Ultrasound

Oregon 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 $62 · 10th–90th $38$690%20%40%10th90th$62Professionalmedian $76 · 10th–90th $28$1660%5%10th90th$76$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
$38.02
Median
$61.66
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$100.00
Typical High
$371.54
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$38.90
Typical High
$109.65
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$24.55
Median
$75.86
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$120.23
Typical High
$213.80
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$50.12
Typical High
$77.62
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$34.67
Median
$69.18
Typical High
$154.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$131.83
Typical High
$158.49
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$51.29
Median
$57.54
Typical High
$67.61
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$64.57
Median
$72.44
Typical High
$91.20
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$134.90
Typical High
$194.98
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$54.95
Typical High
$79.43
Moda Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$69.18
Typical High
$104.71
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$57.54
Typical High
$109.65
Providence
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$125.89
Typical High
$204.17
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$56.23
Typical High
$77.62
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$48.98
Median
$74.13
Typical High
$158.49
Regence BlueShield
Setting
Facility
Modifier
26 · Professional part
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$141.25
Typical High
$177.83
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$63.10
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$56.23
Median
$75.86
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$89.13
Typical High
$177.83
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$32.36
Typical High
$87.10
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.20
Median
$50.12
Typical High
$95.50