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Tennessee rates for HCPCS 76775

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

Facilitymedian $37 · 10th–90th $24$1740%20%10th90th$37Professionalmedian $51 · 10th–90th $24$1480%5%10%10th90th$51$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
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$23.99 / $33.11 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $69.18 / $346.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $32.36 / $102.33
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $33.11 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $54.95 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $25.70 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $69.18 / $154.88
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $40.74 / $66.07
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $48.98 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $89.13 / $158.49
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $35.48 / $60.26
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $47.86 / $97.72
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $602.56
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $223.87 / $223.87
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $363.08 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $83.18 / $141.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $33.88 / $56.23
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $39.81 / $85.11