How can I find out the cost of a specific medical procedure?

To find the cost of a specific medical procedure, you'll typically need the CPT code for that procedure and your specific location. You can then use tools designed for this purpose. For a fee schedule lookup based on CPT code and location, consider using Payerprice's fee schedule lookup tool. It can help you understand potential costs from various payers. You should also contact your insurance provider directly for an estimate of your out-of-pocket costs, as these can vary significantly based on your plan and individual circumstances.

What is a CPT code, and why is it important for understanding medical costs?

CPT stands for "Current Procedural Terminology." CPT codes are standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services to payers for reimbursement. They are crucial for understanding medical costs because they provide a universal language for procedures, allowing you to research average costs, compare prices, and understand what services you are being billed for. When looking up prices, having the CPT code for a specific service is essential.

Where can I find information about what my insurance plan covers?

The best source for information about your specific insurance plan's coverage is your insurance provider directly. You can usually find this information by logging into your insurance company's member portal on their website, reviewing your "Summary of Benefits and Coverage" document, or calling the member services number on the back of your insurance card. They can provide details on covered services, deductibles, co-pays, coinsurance, and in-network vs. out-of-network benefits.

What should I do if I receive a medical bill that seems too high?

If you receive a medical bill that seems too high, the first step is to review it carefully for any errors or services you didn't receive. Next, contact the billing department of the healthcare provider to ask for an itemized bill and an explanation of the charges. You should also compare the billed services to your Explanation of Benefits (EOB) from your insurance company. If you need to research typical costs for specific procedures (using CPT codes), Payerprice's fee schedule lookup tool can be a valuable resource to compare against the bill you received. If discrepancies persist, you can negotiate with the provider or seek assistance from patient advocacy groups.

What's the difference between a co-pay, deductible, and coinsurance?

These are common terms related to your out-of-pocket costs in a health insurance plan: * **Co-pay:** A fixed amount you pay for a covered healthcare service after you've paid your deductible (or sometimes before, depending on the service). For example, a $20 co-pay for a doctor's visit. * **Deductible:** The amount you must pay for healthcare services yourself before your insurance plan starts to pay. For example, if your deductible is $1,000, you pay the first $1,000 of covered services yourself. * **Coinsurance:** Your share of the cost of a healthcare service, calculated as a percentage (e.g., 20%) of the allowed amount for the service, after you've met your deductible. For example, if your plan pays 80% and you pay 20% coinsurance, and the allowed amount is $100, you'd pay $20 after your deductible is met.

CPT 76775 Fee Schedule

Q: 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.

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.

Echography Retroperitoneal (E, Echography Retroperitoneal (Eg Renal Aorta Nodes)B-Scan Andor Real Time With Image Documentation Limited

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 59 - Distinct Procedural Service
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 76775
Medicaid Fee Schedule	View Medicaid rates for 76775

National average reimbursement for CPT 76775 by major payers:

$77.57

$85.56

$94.50

$98.88

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 76775.

CPT 76775

5 of 25 sample ratesHigher to lower in this preview

Michael Theobald
Naples Radiologists, P.A.
FLDiagnostic Radiology PhysicianNPI 1952393464Tax ID 59-0946454
$115.72Published rate
Christopher Nguyen
Montefiore Mount Vernon Hospital
VADiagnostic Radiology PhysicianNPI 1114997806Tax ID 46-2916938
$67.30Published rate
Barry Mccook
UPMC
FLDiagnostic Radiology PhysicianNPI 1922072875Tax ID 23-2919472
$57.24Published rate
Mita Majmundar
The Board Of Trustees Of The University Of Illinois
FLDiagnostic Radiology PhysicianNPI 1639123870Tax ID 37-6000511
$40.74Published rate
Anne Glaser
Tristate Ny Diagnostics Inc
FLDiagnostic Radiology PhysicianNPI 1689671828Tax ID 81-2480472
$23.15Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 76775 vs. Other Diagnostic Ultrasound Procedures Codes

The CPT 76775 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 76775 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
76770-CPT	Low	Us Exam Abdo Back Wall Comp, Ultrasound Retroperitoneal Eg Renal Aorta Nodes Real Time With Image Documentation Complete
76775-CPT	Low	Echography Retroperitoneal (E, Echography Retroperitoneal (Eg Renal Aorta Nodes)B-Scan Andor Real Time With Image Documentation Limited
76776-CPT	Low	Kidney Transplant Ultrasound, Ultrasound (Sound Wave) Images Of A Transplanted Kidney. Images May Be Taken In Real-Time And Superimposed To Show Movement.
76800-CPT	Low	Echography, Spinal Canal & Contents

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76775. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 76775 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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CPT 76775 Fee Schedule

Michael Theobald

Christopher Nguyen

Barry Mccook

Mita Majmundar

Anne Glaser