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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Ultrasound Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76506 |
| Medicaid Fee Schedule | View Medicaid rates for 76506 |
National average reimbursement for CPT 76506 by major payers:

$134.50

$133.89

$139.95

$163.85
Choose a payer to see a sample of rates for CPT 76506.
North Shore-Lij Medical PC
Emory University
Verrazano Radiology Asociates PC
Orlin & Cohen Orthopedic Associates, LLP
White Plains Radiology Associates, P.C.
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 76506 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76506 code is part of the Radiology Procedures services used for Diagnostic Ultrasound 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 76506 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 |
|---|---|---|
| 76506-CPT | Low | Echo Exam Of Head, Echoencephalography Real Time With Image Documentation Gray Scale For Determination Of Ventricular Size Delineation Of Cerebral Contents And Detection Of Fluid Masses Or Other Intracranial Abnormalities Including A Mode Encephalography As Secondary Component Where Indicated |
| 76510-CPT | Low | Oph Us Dx B Scan Quan A Scan, Ophthalmic Ultrasound Diagnostic B Scan And Quantitative A Scan Performed During The Same Patient Encounter |
| 76511-CPT | Low | Ophthalmic Ultrasound Echogra, Ophthalmic Ultrasound Echography Diagnostic A-Scan Only With Amplitude Quantification |
| 76536-CPT | Low | Ultrasound Of Head And Neck, Ultrasound (Images With Sound Waves) Of The Thyroid Parathyroid Or Parotid Glands. These Glands Are In The Neck And Mouth. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76506. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76506 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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