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Rhode Island rates for HCPCS 76775

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

Facilitymedian $141 · 10th–90th $141–$1410%50%100%$141Professionalmedian $65 · 10th–90th $23–$1950%5%10%10th90th$65$10.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $109.65 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $35.48 / $95.50
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $61.66 / $114.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $75.86 / $151.36
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $33.88 / $56.23
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $37.15 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $104.71 / $141.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $39.81 / $58.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $58.88 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $83.18 / $120.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $32.36 / $53.70
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $43.65 / $81.28