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South Dakota rates for HCPCS 76775

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

Facilitymedian $27 · 10th–90th $27$270%50%$27Professionalmedian $60 · 10th–90th $27$1290%10%10th90th$60$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
$26.92 / $26.92 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $69.18 / $158.49
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $58.88 / $109.65
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $63.10 / $162.18
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $104.71 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $144.54 / $181.97
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $64.57 / $81.28
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $79.43 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $109.65 / $562.34
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $56.23 / $186.21
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $60.26 / $398.11
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $131.83 / $131.83
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $67.61 / $67.61
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $64.57 / $70.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $100.00 / $141.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $44.67 / $52.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $56.23 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $104.71 / $165.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $38.02 / $61.66
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $53.70 / $85.11
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $125.89 / $125.89
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $57.54 / $57.54
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $69.18 / $69.18