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Limited Retroperitoneal Ultrasound

Tennessee 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?

$83.18

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $83.18 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$83.18$50.12 to $525
FacilityA hospital or hospital-owned outpatient department$83.18$66.07 to $129

How much rates vary

Facilitymedian $83 · 10th to 90th $66 to $200Professionalmedian $83 · 10th to 90th $47 to $603
$50$100$200$500facility $83professional $83

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$91.20
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$23.99
Median
$39.81
Typical High
$41.69
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$47.86
Median
$50.12
Typical High
$102.33
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$25.12
Typical High
$39.81
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.99
Median
$25.12
Typical High
$66.07
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$45.71
Median
$47.86
Typical High
$67.61
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.89
Median
$25.70
Typical High
$45.71
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$24.55
Median
$24.55
Typical High
$51.29
BCBS Tennessee
Setting
Professional
Modifier
None (both parts)
Typical Low
$42.66
Median
$63.10
Typical High
$141.25
BCBS Tennessee
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$32.36
Typical High
$57.54
BCBS Tennessee
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.44
Median
$33.88
Typical High
$97.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$91.20
Typical High
$204.17
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$46.77
Median
$54.95
Typical High
$144.54
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$26.30
Typical High
$54.95
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$24.55
Median
$26.92
Typical High
$89.13
Lucent Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$524.81
Median
$602.56
Typical High
$602.56
Lucent Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$194.98
Median
$194.98
Typical High
$223.87
Lucent Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$363.08
Median
$426.58
Typical High
$426.58
United
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$53.70
Median
$72.44
Typical High
$138.04
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$32.36
Typical High
$54.95
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.92
Median
$35.48
Typical High
$85.11
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$23.99
Median
$23.99
Typical High
$28.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.55
Median
$9.55
Typical High
$11.22
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$38.02
Median
$38.02
Typical High
$44.67

Where Tennessee 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.

Tennessee· 26th of 51

$83.18

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.