Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 76816 Fee Schedule
Medicare rates as of October 2026
CPT 76816 is classified under Radiology Procedures, in the Diagnostic Ultrasound Procedures subgroup.
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
| 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 | $111.23 national non-facility rate (2026) · View Medicare rates for 76816 |
| Medicaid Fee Schedule | $89.90 median of the 8 states in the free preview · View Medicaid rates for 76816 |
National average reimbursement for CPT 76816 by major payers:
$130.20
BCBS / Anthem
$130.11
UnitedHealthcare
$140.78
Aetna
$157.41
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 76816.
CPT 76816
5 of 25 sample ratesHigher to lower in this preview
Audra Meadows
Healing The Soul
$435.44Published rateAmir Fassihi
$182.00Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$104.28Published rateRussell Perry Md, A Medical Corporation
Russell Perry Md A Medical Corporation
$79.00Published rateStephanie Bousquet
Rochester General Hospital
$37.25Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 76816 vs. Other Diagnostic Ultrasound Procedures Codes
The table lists codes related to 76816. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| 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 |
| 76817-CPT | Low | Ultrasou Pregnant Uterus Real Time W/ Image Documnt Trans, Ultrasound Pregnant Uterus Real Time With Image Documentation Trans |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76816. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76816 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 76816) and we'll show you how you compare in 15 minutes or less.