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See a sample rate comparisonCPT 76536 Fee Schedule
Last Verified: September 2026
Healthcare 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Ultrasound Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76536 |
| Medicaid Fee Schedule | View Medicaid rates for 76536 |
National average reimbursement for CPT 76536 by major payers:
$133.82
$133.14
$143.49
$161.35
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CPT 76536
5 of 25 sample ratesHigher to lower in this preview
Percy Genyk
Hunterdon Cardiovascular Associates, P.A.
$200.75Published rateGeorge Kartalian, Jr.
Town Center Orthopaedic Associates, P.C.
$120.50Published rateJason Liou
Town Center Orthopaedic Associates, P.C.
$101.84Published rateGenevieve Matthews
Radu Codel, Md, PC
$40.54Published rateAlan Roth
Kew Gardens Family Physicians LLP
$19.52Published rate
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See a sample payer proposalCPT 76536 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76536 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 76536 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 |
| 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. |
| 76800-CPT | Low | Echography, Spinal Canal & Contents |
| 76882-CPT | Low | Us Lmtd Jt Fcl Evl Nvasc Xtr, Ultrasound Limited Joint Or Focal Evaluation Of Other Nonvascular Extremity Structure S Eg Joint Space Peri Articular Tendon S Muscle S Nerve S Other Soft Tissue Structure S Or Soft Tissue Mass Es Real Time With Image Documentation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76536. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76536 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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