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Limited Retroperitoneal Ultrasound

South Dakota 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.

How much does Limited Retroperitoneal Ultrasound cost?

$102

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $102 for this service. Most negotiated rates run $75.86 to $135.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $102 · 10th to 90th $54 to $182
$50$100$200$500professional $102

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$85.11
Typical High
$141.25
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$27.54
Typical High
$117.49
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$32.36
Median
$85.11
Typical High
$162.18
Avera
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$104.71
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$144.54
Typical High
$181.97
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$51.29
Median
$64.57
Typical High
$81.28
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$64.57
Median
$79.43
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$109.65
Typical High
$562.34
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$56.23
Typical High
$186.21
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.20
Median
$60.26
Typical High
$398.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$131.83
Typical High
$131.83
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$58.88
Median
$67.61
Typical High
$67.61
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$64.57
Median
$64.57
Typical High
$70.79
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$141.25
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$44.67
Typical High
$52.48
Sanford Health Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$35.48
Median
$56.23
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$104.71
Typical High
$165.96
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$38.02
Typical High
$61.66
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$34.67
Median
$53.70
Typical High
$85.11
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$128.82
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$47.86
Median
$56.23
Typical High
$57.54
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$60.26
Median
$70.79
Typical High
$70.79

Where South Dakota sits

The same service costs 3.0 times more in Alaska than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 12th of 51

$102

AK $166OK $54.95

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.