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See a sample rate comparisonCPT 76641 Fee Schedule
Medicare rates as of October 2026
CPT 76641 is classified under Radiology Procedures, in the Diagnostic Ultrasound Procedures subgroup.
Ultrasound Breast Complete, Ultrasound Breast Unilateral Real Time With Image Documentation Including Axilla When Performed Complete
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Ultrasound Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 50 - Bilateral Procedure 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $100.20 national non-facility rate (2026) · View Medicare rates for 76641 |
| Medicaid Fee Schedule | $80.905 median of the 8 states in the free preview · View Medicaid rates for 76641 |
National average reimbursement for CPT 76641 by major payers:
$134.58
BCBS / Anthem
$127.45
UnitedHealthcare
$129.96
Aetna
$161.70
Cigna
Compare published rates across providers.
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CPT 76641
5 of 25 sample ratesHigher to lower in this preview
Touchstone Imaging Of Mesquite, Lp, Touchstone Imaging Euless
$339.32Published rateScott Kerns
Radiology Associates Of Muncie, Inc.
$209.22Published rateChildrens National Medical Center
Childrens Hospital
$154.35Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$86.74Published rateDavid Podhaizer
North Shore Hematology-Oncology Associates, P.C.
$42.36Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 76641 vs. Other Diagnostic Ultrasound Procedures Codes
The table lists codes related to 76641. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 76641-CPT | Low | Ultrasound Breast Complete, Ultrasound Breast Unilateral Real Time With Image Documentation Including Axilla When Performed Complete |
| 76642-CPT | Low | Ultrasound Breast Limited, Ultrasound Breast Unilateral Real Time With Image Documentation Including Axilla When Performed Limited |
| 76700-CPT | Low | Ultrasound Abdominal |
| 76705-CPT | Low | Echography Abdominal B-Scan, Echography Abdominal B-Scan Andor Real Time With Imagedocumentation Limited (Eg Single Organ Quadrant Follow-Up) |
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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