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Ultrasound Imaging Inside the Digestive Tract

South Dakota rates for HCPCS 76975

Covers performing and reading the ultrasound images made during an examination in which a sound-wave probe on the tip of a scope is used inside the digestive tract. Because the probe rests right against the wall of the tract, it gives a detailed view of the wall layers and of nearby organs such as the pancreas and bile ducts. The scope examination itself is billed separately.

Rates data updated July 2026.

Facilitymedian $245 · 10th–90th $48$4570%10%10th90th$245Professionalmedian $257 · 10th–90th $145$4570%20%10th90th$257$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
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$257.04
Typical High
$316.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$229.09
Typical High
$457.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$346.74
Typical High
$1,258.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$257.04
Typical High
$257.04
Midlands
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$331.13
Typical High
$537.03
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$562.34
Typical High
$562.34