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See a sample rate comparisonCPT 76805 Fee Schedule
Medicare rates as of October 2026
CPT 76805 is classified under Radiology Procedures, in the Diagnostic Ultrasound Procedures subgroup.
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
| 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 TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $135.94 national non-facility rate (2026) · View Medicare rates for 76805 |
| Medicaid Fee Schedule | $111.875 median of the 8 states in the free preview · View Medicaid rates for 76805 |
National average reimbursement for CPT 76805 by major payers:
$161.60
BCBS / Anthem
$166.15
UnitedHealthcare
$179.54
Aetna
$198.89
Cigna
Compare published rates across providers.
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CPT 76805
5 of 25 sample ratesHigher to lower in this preview
Paula Kolbas
Mass General Brigham Incorporated
$454.73Published rateCharleston Radiologists PA
Charleston Radiologists, P.A.
$169.86Published rateKristin Russo-Rivera
$127.27Published rateNikolaos Zacharias
Katherine Thompson Md PLLC
$114.04Published rateJeffrey Tsai
Town Center Orthopaedic Associates, P.C.
$55.88Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 76805 vs. Other Diagnostic Ultrasound Procedures Codes
The table lists codes related to 76805. 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 |
| 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 |
| 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 76805. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76805 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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