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See a sample rate comparisonCPT 76800 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.
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 | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76800 |
| Medicaid Fee Schedule | View Medicaid rates for 76800 |
National average reimbursement for CPT 76800 by major payers:
$180.99
$162.28
$181.52
$214.45
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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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See a sample payer proposalCPT 76800 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76800 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 76800 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 |
|---|---|---|
| 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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