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Limited Retroperitoneal Ultrasound

Utah 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 $32 · 10th–90th $32$430%50%90th$32Professionalmedian $63 · 10th–90th $27$1660%5%10th90th$63$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
$32.36
Median
$32.36
Typical High
$32.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$100.00
Typical High
$371.54
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$48.98
Typical High
$158.49
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.30
Median
$79.43
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$91.20
Typical High
$162.18
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$38.90
Typical High
$58.88
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$27.54
Median
$48.98
Typical High
$114.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$154.88
Regence BlueShield
Setting
Facility
Modifier
26 · Professional part
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$100.00
Typical High
$120.23
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$45.71
Typical High
$56.23
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$53.70
Typical High
$61.66
Select Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Select Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$87.10
Typical High
$100.00
Select Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$39.81
Typical High
$45.71
Select Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$33.88
Median
$46.77
Typical High
$53.70
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$53.70
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$66.07
Typical High
$120.23
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$29.51
Typical High
$48.98
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$29.51
Median
$33.88
Typical High
$85.11