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See a sample rate comparisonCPT 76641 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 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 | None 50 - Bilateral Procedure 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76641 |
| Medicaid Fee Schedule | View Medicaid rates for 76641 |
National average reimbursement for CPT 76641 by major payers:
$134.58
$127.45
$129.96
$161.70
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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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See a sample payer proposalCPT 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.
| 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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