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CPT 76641 Fee Schedule

Last Verified: December 2025

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, Breast, Unilateral, Real Time With Image Documentation, Including Axilla When Performed; Complete
Key FactDetail
Service Type

Radiology Procedures

Diagnostic Ultrasound Procedures

Common Place of Service

11 - Office

22 - On Campus Outpatient Hospital

Common Modifiers

None

50 - Bilateral Procedure

26 - Professional component

Complexity LevelLow

National average reimbursement for CPT 76641 by major payers:

bcbs

$134.58

uhc

$127.45

aetna

$129.96

cigna

$165.55

Preview provider-level rates for...
For billing codeCPT 76641
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 76641

United
76641$125.681265600613 - NOLANA OPEN MRI CENTER742886405TXRadiology Clinic/Center (261QR0200X)
United
76641$119.201700057148 - TOUCHSTONE IMAGING OF MESQUITE, LP, TOUCHSTONE IMAGING RICHARDSON462908086TXRadiology Clinic/Center (261QR0200X)
United
76641$119.201104191568 - TOUCHSTONE IMAGING OF MESQUITE, LP, TOUCHSTONE IMAGING DOWNTOWN FORT WORTH462908086TXRadiology Clinic/Center (261QR0200X)
United
76641$31.361124270970 - ONE STEP DIAGNOSTIC VI, L.P.263486391 - (TX) ONE STEP DIAGNOSTIC VI LPTXRadiology Clinic/Center (261QR0200X)
United
76641$343.081467793075 - BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE, BAYLOR DIAGNOSTIC IMAGING CENTER - KELLER462908086TXRadiology Clinic/Center (261QR0200X)
United
76641$114.251730212473 - BASTROP OPEN MRI L L P PARTNERSHIP710879271TXRadiology Clinic/Center (261QR0200X)
United
76641$241.861366436719 - TOUCHSTONE IMAGING OF MESQUITE, LP, TOUCHSTONE IMAGING GARLAND462908086TXRadiology Clinic/Center (261QR0200X)
United
76641$84.001467787739 - NORTH STAR DIAGNOSTIC IMAGING, LLC270391951 - (TX) NORTH STAR DIAGNOSTIC IMAGING LLCTXRadiology Clinic/Center (261QR0200X)
United
76641$226.081851632533 - BAYLOR UNIVERSITY MEDICAL CENTER, ADVANCED IMAGING CENTER - TOM LANDRY CENTER462908086TXRadiology Clinic/Center (261QR0200X)
United
76641$75.051609872621 - AMERICAN HEALTH IMAGING OF DALLAS LLC, AMERICAN HEALTH IMAGING OF SAN ANTONIO752834692TXRadiology Clinic/Center (261QR0200X)
United
76641$126.441902801343 - ONE STEP DIAGNOSTIC IV LP, KATY OPEN MRI208920243 - (TX) ONE STEP DIAGNOSTIC IV LPTXRadiology Clinic/Center (261QR0200X)
United
76641$86.661659085561 - DRH & ASSOCIATES, INC, HOUSTON MRI AND DIAGNOSTIC IMAGING760535909 - (TX) DRH & ASSOCIATES, INC.TXRadiology Clinic/Center (261QR0200X)
United
76641$39.201831244037 - AMERICAN HEALTH IMAGING OF DALLAS LLC752834692TXRadiology Clinic/Center (261QR0200X)
United
76641$29.731629185665 - NUCLEAR IMAGING ASSOCIATES760353801 - (TX) NUCLEAR IMAGING ASSOCIATESTXRadiology Clinic/Center (261QR0200X)
United
76641$83.051508153818 - ONE STEP DIAGNOSTIC VIII LP203665083TXRadiology Clinic/Center (261QR0200X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 76641 vs. Other Diagnostic Ultrasound Procedures Codes

The CPT 76641 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 76641 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.

CodeComplexityDescription
76641-CPTLowUltrasound, Breast, Unilateral, Real Time With Image Documentation, Including Axilla When Performed; Complete
76642-CPTLowUltrasound, Breast, Unilateral, Real Time With Image Documentation, Including Axilla When Performed; Limited
76700-CPTLowUltrasound Abdominal
76705-CPTLowEchogr,Abd,B-Scan/Real Time,Doc;Ltd

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76641. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 76641 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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