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See a sample rate comparisonCPT 76810 Fee Schedule
Medicare rates as of October 2026
CPT 76810 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 After First Trimester Or 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 | $88.51 national non-facility rate (2026) · View Medicare rates for 76810 |
| Medicaid Fee Schedule | $71.625 median of the 8 states in the free preview · View Medicaid rates for 76810 |
National average reimbursement for CPT 76810 by major payers:
$114.95
BCBS / Anthem
$114.09
UnitedHealthcare
$119.17
Aetna
$136.87
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 76810.
CPT 76810
5 of 25 sample ratesHigher to lower in this preview
Craig Steiner
Magella Medical Associates Billing Inc
$493.29Published rateMohammed Nasir Shah
Memorial Hermann Medical Group
$117.68Published rateJibi Thamaravelil
Memorial Hermann Medical Group
$109.73Published rateTara Ramirez
U T Physicians
$105.45Published rateMaureen Beck
U T Physicians
$95.90Published rate
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See a sample payer proposalCPT 76810 vs. Other Diagnostic Ultrasound Procedures Codes
The table lists codes related to 76810. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| 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 76810. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76810 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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