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Limited Retroperitoneal Ultrasound

Rhode Island 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 $174 · 10th–90th $141$1740%50%10th$174Professionalmedian $76 · 10th–90th $27$2950%5%10%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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$141.25
Median
$173.78
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$112.20
Typical High
$467.74
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$28.84
Typical High
$109.65
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.44
Median
$75.86
Typical High
$95.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$151.36
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$33.88
Typical High
$56.23
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$29.51
Median
$41.69
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$104.71
Typical High
$141.25
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$39.81
Typical High
$58.88
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$32.36
Median
$53.70
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$83.18
Typical High
$120.23
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$32.36
Typical High
$53.70
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$28.84
Median
$40.74
Typical High
$85.11