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Limited Retroperitoneal Ultrasound

Vermont 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?

$102

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $603 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$89.13$79.43 to $117
FacilityA hospital or hospital-owned outpatient department$603$339 to $851

How much rates vary

Facilitymedian $603 · 10th to 90th $339 to $912Professionalmedian $89 · 10th to 90th $60 to $166
$100$200$500$1Kfacility $603professional $89

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
$338.84
Median
$602.56
Typical High
$912.01
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$58.88
Median
$117.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$30.20
Typical High
$43.65
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.90
Median
$87.10
Typical High
$109.65
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$616.60
Typical High
$851.14
BCBS Vermont
Setting
Professional
Modifier
None (both parts)
Typical Low
$79.43
Median
$95.50
Typical High
$95.50
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$602.56
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$79.43
Median
$89.13
Typical High
$181.97
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$39.81
Typical High
$81.28
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$39.81
Median
$48.98
Typical High
$102.33
MVP Health Care
Setting
Professional
Modifier
None (both parts)
Typical Low
$60.26
Median
$66.07
Typical High
$251.19
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$60.26
Median
$83.18
Typical High
$151.36
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$34.67
Typical High
$57.54
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.20
Median
$42.66
Typical High
$112.20

Where Vermont 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.

Vermont· 13th of 51

$102

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.