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See a sample rate comparisonCPT 76145 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Medical Physics Dose Eval Radiation Exposure Incl, Medical Physics Dose Evaluation For Radiation Exposure That Exceeds Institutional Review Threshold Incl Report
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 23 - Emergency Room 11 - Office |
| Common Modifiers | None 26 - Professional component |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 76145 |
| Medicaid Fee Schedule | View Medicaid rates for 76145 |
National average reimbursement for CPT 76145 by major payers:
$1,154.61
$1,030.67
$914.35
$1,314.33
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CPT 76145
5 of 25 sample ratesHigher to lower in this preview
Edward Tang
$5,788.27Published rateAndrew Price
$1,646.56Published rateBradford Uricchio
Nchmd Inc
$1,084.47Published rateNmc Operating Company LLC, The Spine Hospital Of Louisiana
Nmc Operating Company, LLC
$285.45Published rateVhs Brownsville Hospital Company LLC, Valley Baptist Medical Center - Brownsville
$126.87Published rate
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See a sample payer proposalCPT 76145 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 76145 code is part of the Radiology Procedures services used for Diagnostic Radiology (Diagnostic Imaging) Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 76145 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 76125-CPT | Low | Cine/Video X-Rays Add-On, Cineradiography/Videoradiography To Complement Routine Examination (List Separately In Addition To Code For Primary Procedure) |
| 76140-CPT | Low | Consult--X-Ray Made Elsewh,Written |
| 76145-CPT | High | Medical Physics Dose Eval Radiation Exposure Incl, Medical Physics Dose Evaluation For Radiation Exposure That Exceeds Institutional Review Threshold Incl Report |
| 76376-CPT | Low | 3d Render W Intrp Postproces, 3d Rendering With Interpretation And Reporting Of Computed Tomography Magnetic Resonance Imaging Ultrasound Or Other Tomographic Modality With Image Postprocessing Under Concurrent Supervision Not Requiring Image Postprocessing On An Independent Workstation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76145. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76145 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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