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See a sample rate comparisonCPT 76800 Fee Schedule
Medicare rates as of October 2026
CPT 76800 is classified under Radiology Procedures, in the Diagnostic Ultrasound Procedures subgroup.
Echography, Spinal Canal & Contents
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Ultrasound Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $190.39 national non-facility rate (2026) · View Medicare rates for 76800 |
| Medicaid Fee Schedule | $144.375 median of the 8 states in the free preview · View Medicaid rates for 76800 |
National average reimbursement for CPT 76800 by major payers:
$180.99
BCBS / Anthem
$162.28
UnitedHealthcare
$181.52
Aetna
$214.45
Cigna
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CPT 76800
5 of 25 sample ratesHigher to lower in this preview
Waldo Martinez
Radiology Associates Of North Texas, PA
$360.91Published rateSteven Mccann
Northern Arizona Healthcare Corporation
$203.41Published rateJeremy Payne
Northern Arizona Healthcare Corporation
$145.80Published rateJudson Karlen
Northern Arizona Healthcare Corporation
$90.00Published rateMark Bocchicchio
Northern Arizona Healthcare Corporation
$59.90Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 76800 vs. Other Diagnostic Ultrasound Procedures Codes
The table lists codes related to 76800. Select one to see its fee schedule.
| 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 |
| 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 |
| 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 76800. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76800 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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