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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 July 2026.

Facilitymedian $37 · 10th–90th $24$1740%20%10th90th$37Professionalmedian $49 · 10th–90th $25$1290%10%10th90th$49$5.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$23.99
Median
$35.48
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$245.47
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$28.84
Typical High
$102.33
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.99
Median
$32.36
Typical High
$89.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$54.95
Typical High
$89.13
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.89
Median
$29.51
Typical High
$64.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$69.18
Typical High
$158.49
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$40.74
Typical High
$67.61
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.30
Median
$51.29
Typical High
$114.82
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$6.92
Median
$32.36
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$89.13
Typical High
$158.49
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$35.48
Typical High
$60.26
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.30
Median
$47.86
Typical High
$97.72
Lucent Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$602.56
Lucent Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$194.98
Median
$223.87
Typical High
$223.87
Lucent Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$363.08
Median
$363.08
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$79.43
Typical High
$138.04
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$33.88
Typical High
$58.88
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.92
Median
$37.15
Typical High
$85.11