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See a sample rate comparisonCPT 76801 Fee Schedule
Medicare rates as of October 2026
CPT 76801 is classified under Radiology Procedures, in the Diagnostic Ultrasound Procedures subgroup.
Ob Us 14 Wks Single Fetus, Ultrasound Pregnant Uterus Real Time With Image Documentation Fetal And Maternal Evaluation First Trimester 14 Weeks 0 Days Transabdominal Approach Single Or First Gestation
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Ultrasound Procedures |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $116.90 national non-facility rate (2026) · View Medicare rates for 76801 |
| Medicaid Fee Schedule | $96.415 median of the 8 states in the free preview · View Medicaid rates for 76801 |
National average reimbursement for CPT 76801 by major payers:
$143.68
BCBS / Anthem
$146.41
UnitedHealthcare
$157.87
Aetna
$175.71
Cigna
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CPT 76801
5 of 25 sample ratesHigher to lower in this preview
Matthew Lilley
Bend Memorial Clinic, PC
$350.52Published ratePeter Bippart
Vidant Medical Group LLC
$235.50Published rateAnika Moore
$135.80Published rateMarissa Liveris
Allergy & Asthma Of Dupage, S.C.
$100.55Published rateJorge Andrade
UPMC Western Maryland Corporation
$42.90Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 76801 vs. Other Diagnostic Ultrasound Procedures Codes
The table lists codes related to 76801. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 76801-CPT | Low | Ob Us 14 Wks Single Fetus, Ultrasound Pregnant Uterus Real Time With Image Documentation Fetal And Maternal Evaluation First Trimester 14 Weeks 0 Days Transabdominal Approach Single Or First Gestation |
| 76802-CPT | Low | Ob Us 14 Wks Addl Fetus, Ultrasound Pregnant Uterus Real Time With Image Documentation Fetal And Maternal Evaluation First Trimester 14 Weeks 0 Days Transabdominal Approach Each Additional Gestation List Separately In Addition To Code For Primary Procedure |
| 76805-CPT | Low | Pelvic Ultrasound, Ultrasound Pregnant Uterus Real Time With Image Documentation; (Fetal And Maternal Evaluation) After First Trimester (Greater Than Or = 14 Weeks 0 Days) Transabdominal Approach; Single Or First Gestation |
| 76810-CPT | Low | Ob Us 14 Wks Addl Fetus, Ultrasound Pregnant Uterus Real Time With Image Documentation Fetal And Maternal Evaluation After First Trimester Or 14 Weeks 0 Days Transabdominal Approach Each Additional Gestation List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76801. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76801 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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