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Wisconsin rates for HCPCS 76775

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

Facilitymedian $58 · 10th–90th $41$1230%20%10th90th$58Professionalmedian $66 · 10th–90th $26$2570%5%10th90th$66$10.0$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
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$40.74 / $46.77 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $100.00 / $467.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $46.77 / $186.21
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $37.15 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $89.13 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $40.74 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $46.77 / $162.18
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $46.77 / $89.13
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$72.44 / $85.11 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $169.82 / $245.47
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $81.28 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $95.50 / $131.83
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $125.89 / $169.82
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $57.54 / $75.86
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $69.18 / $93.33
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $134.90 / $562.34
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $54.95 / $186.21
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $79.43 / $398.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $112.20
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $144.54 / $263.03
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $47.86 / $100.00
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $83.18 / $199.53
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $147.91 / $323.59
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $173.78 / $173.78
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $338.84 / $562.34
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $141.25 / $186.21
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $245.47 / $398.11
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $245.47 / $446.68
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $100.00 / $154.88
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $107.15 / $177.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $218.78 / $436.52
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $100.00 / $208.93
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $89.13 / $229.09