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Pennsylvania rates for HCPCS 76775

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

Facilitymedian $49 · 10th–90th $25$950%10%10th90th$49Professionalmedian $52 · 10th–90th $25$1550%5%10th90th$52$5.0$20.0$100.0$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
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$24.55 / $48.98 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $89.13 / $295.12
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $38.02 / $97.72
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $41.69 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $45.71 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $39.81 / $42.66
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $74.13 / $181.97
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $34.67 / $43.65
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $61.66 / $141.25
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $35.48 / $67.61
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $45.71 / $91.20
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.76 / $31.62 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $91.20 / $158.49
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $33.88 / $54.95
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $50.12 / $104.71
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $85.11 / $128.82
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $37.15 / $57.54
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $47.86 / $70.79
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $83.18 / $125.89
Geisinger
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $34.67 / $48.98
Geisinger
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $46.77 / $81.28
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $74.13 / $79.43
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $32.36 / $45.71
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $69.18 / $89.13
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $34.67 / $57.54
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$24.55 / $35.48 / $64.57
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $77.62 / $158.49
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $32.36 / $63.10
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $40.74 / $95.50
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $104.71 / $154.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.92 / $26.92 / $41.69
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $22.39 / $77.62
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $27.54 / $41.69
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $30.20 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $74.13 / $138.04
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $31.62 / $66.07
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $38.02 / $97.72