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See a sample rate comparisonCPT 76802 Fee Schedule
Medicare rates as of October 2026
CPT 76802 is classified under Radiology Procedures, in the Diagnostic Ultrasound Procedures subgroup.
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
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Ultrasound Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $60.46 national non-facility rate (2026) · View Medicare rates for 76802 |
| Medicaid Fee Schedule | $49.485 median of the 8 states in the free preview · View Medicaid rates for 76802 |
National average reimbursement for CPT 76802 by major payers:
$75.84
BCBS / Anthem
$79.45
UnitedHealthcare
$83.47
Aetna
$93.27
Cigna
Compare published rates across providers.
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CPT 76802
5 of 25 sample ratesHigher to lower in this preview
Ann Blake
Magella Medical Associates Billing Inc
$260.44Published rateAngela Earhart
Angela Earhart PA
$111.58Published rateJulia Moorhead
Texas Childrens Physician Group
$85.47Published rateKatie Tankersley
Texas Childrens Physician Group
$85.47Published rateJoy Sheppard
Central Texas Community Health Centers
$62.50Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 76802 vs. Other Diagnostic Ultrasound Procedures Codes
The table lists codes related to 76802. 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 |
| 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 |
| 76811-CPT | Moderate | Ob Us Detailed Sngl Fetus, Ultrasound Pregnant Uterus Real Time With Image Documentation Fetal And Maternal Evaluation Plus Detailed Fetal Anatomic Examination Transabdominal Approach Single Or First Gestation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76802. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76802 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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