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Limited Retroperitoneal Ultrasound

Wisconsin 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 $72 · 10th–90th $41$1510%10%10th90th$72Professionalmedian $100 · 10th–90th $28$3550%5%10th90th$100$20.0$50.0$100.0$200.0$500.0$1.0K

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
$40.74
Median
$46.77
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$123.03
Typical High
$676.08
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$102.33
Typical High
$288.40
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.30
Median
$60.26
Typical High
$354.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$89.13
Typical High
$302.00
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$40.74
Typical High
$141.25
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.20
Median
$46.77
Typical High
$162.18
CareSource
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$42.66
Typical High
$89.13
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$72.44
Median
$85.11
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$181.97
Typical High
$245.47
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$81.28
Typical High
$112.20
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$39.81
Median
$97.72
Typical High
$131.83
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$125.89
Typical High
$169.82
DeanCare
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$57.54
Typical High
$75.86
DeanCare
Setting
Professional
Modifier
TC · Technical part
Typical Low
$60.26
Median
$69.18
Typical High
$93.33
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$134.90
Typical High
$562.34
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$54.95
Typical High
$186.21
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$31.62
Median
$79.43
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$112.20
Network Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$144.54
Typical High
$263.03
Network Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$47.86
Typical High
$100.00
Network Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$41.69
Median
$83.18
Typical High
$199.53
Quartz
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$147.91
Typical High
$323.59
Quartz
Setting
Facility
Modifier
26 · Professional part
Typical Low
$100.00
Median
$173.78
Typical High
$173.78
Quartz
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$363.08
Typical High
$602.56
Quartz
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$141.25
Typical High
$194.98
Quartz
Setting
Professional
Modifier
TC · Technical part
Typical Low
$47.86
Median
$257.04
Typical High
$426.58
Security Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Security Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Security Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Security Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$269.15
Typical High
$446.68
Security Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$83.18
Median
$100.00
Typical High
$154.88
Security Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$107.15
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$213.80
Typical High
$436.52
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$51.29
Median
$100.00
Typical High
$208.93
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$38.90
Median
$95.50
Typical High
$223.87