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See a sample rate comparisonCPT 76814 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.
Ob Us Nuchal Meas Add On, Ultrasound Pregnant Uterus Real Time With Image Documentation First Trimester Fetal Nuchal Translucency Measurement Transabdominal Or Transvaginal 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 | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76814 |
| Medicaid Fee Schedule | View Medicaid rates for 76814 |
National average reimbursement for CPT 76814 by major payers:
$93.94
$94.52
$97.78
$120.78
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CPT 76814
5 of 25 sample ratesHigher to lower in this preview
Melissa Althouse
Magella Medical Associates Billing Inc
$318.82Published rateDiana Villazana-Kretzer
Scott & White Clinic
$132.19Published ratePhysicians Educational Foundation, Family Medical Center-Ut
Physicians Educational Foundation
$92.12Published rateNicholette Ty
U T Physicians
$88.41Published rateNorth Texas Perinatal Associates PA
$64.09Published rate
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See a sample payer proposalCPT 76814 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76814 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 76814 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 |
|---|---|---|
| 76813-CPT | Low | Ultrasound Fetal Development, An Ultrasound (Sound Wave) Image Of The Developing Fetus Inside The Uterus Done Either On The Moms Belly Or Inserted Into The Vagina To Measure The Amount Of Fluid Behind The Fetus Neck Which Is An Early Indicator For Fetal Abnormalities. |
| 76814-CPT | Low | Ob Us Nuchal Meas Add On, Ultrasound Pregnant Uterus Real Time With Image Documentation First Trimester Fetal Nuchal Translucency Measurement Transabdominal Or Transvaginal Approach Each Additional Gestation List Separately In Addition To Code For Primary Procedure |
| 76815-CPT | Low | Ob Us Limited Fetus S, Ultrasound Pregnant Uterus Real Time With Image Documentation Limited Eg Fetal Heart Beat Placental Location Fetal Position And Or Qualitative Amniotic Fluid Volume 1 Or More Fetuses |
| 76816-CPT | Low | Ob Us Follow Up Per Fetus, Ultrasound Pregnant Uterus Real Time With Image Documentation Follow Up Eg Re Evaluation Of Fetal Size By Measuring Standard Growth Parameters And Amniotic Fluid Volume Re Evaluation Of Organ System S Suspected Or Confirmed To Be Abnormal On A Previous Scan Transabdominal Approach Per Fetus |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76814. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76814 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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