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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 October 2026.

How much does Limited Retroperitoneal Ultrasound cost?

$117

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $93.33 to $132.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $91 · 10th to 90th $59 to $170Professionalmedian $117 · 10th to 90th $71 to $166
$100$200$500facility $91professional $117

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$58.88
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$53.70
Median
$61.66
Typical High
$123.03
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$25.12
Typical High
$30.90
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$29.51
Median
$34.67
Typical High
$91.20
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$93.33
Median
$131.83
Typical High
$181.97
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$64.57
Typical High
$81.28
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$69.18
Typical High
$100.00
Medica
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$91.20
Typical High
$169.82
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$64.57
Median
$109.65
Typical High
$562.34
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$53.70
Typical High
$186.21
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$33.11
Median
$56.23
Typical High
$398.11
Midlands
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$60.26
Median
$67.61
Typical High
$67.61
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$64.57
Median
$64.57
Typical High
$72.44
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$97.72
Typical High
$141.25
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$43.65
Typical High
$52.48
Sanford Health Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$35.48
Median
$54.95
Typical High
$102.33
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$64.57
Median
$107.15
Typical High
$117.49
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$52.48
Typical High
$57.54
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$33.11
Median
$56.23
Typical High
$63.10
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$112.20
Median
$128.82
Typical High
$128.82
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$57.54
Typical High
$57.54
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$61.66
Median
$70.79
Typical High
$70.79

Where South Dakota sits

The same service costs 3.8 times more in Alaska than in Texas. 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· 7th of 51

$117

AK $182TX $47.86

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.