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Limited Retroperitoneal Ultrasound

South Carolina 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 $23 · 10th–90th $23$400%20%40%90th$23Professionalmedian $51 · 10th–90th $25$1660%10%10th90th$51$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
$23.44
Median
$23.44
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$87.10
Typical High
$371.54
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$36.31
Typical High
$169.82
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.99
Median
$26.30
Typical High
$85.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$117.49
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.50
Median
$31.62
Typical High
$52.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$104.71
Typical High
$186.21
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$46.77
Typical High
$72.44
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$32.36
Median
$57.54
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$89.13
Typical High
$158.49
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$38.02
Typical High
$57.54
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.90
Median
$56.23
Typical High
$104.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$91.20
Typical High
$151.36
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$30.90
Typical High
$54.95
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.30
Median
$58.88
Typical High
$109.65