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See a sample rate comparisonCPT 76817 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.
Ultrasou Pregnant Uterus Real Time W/ Image Documnt Trans, Ultrasound Pregnant Uterus Real Time With Image Documentation Trans
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Ultrasound Procedures |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76817 |
| Medicaid Fee Schedule | View Medicaid rates for 76817 |
National average reimbursement for CPT 76817 by major payers:
$115.76
$114.78
$124.17
$138.92
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CPT 76817
5 of 25 sample ratesHigher to lower in this preview
Anwar Jackson
Aurora Medical Group Inc
$399.17Published rateMarc Buzzelli
West Virginia University Medical Corporation
$140.19Published rateRosana Salama Bello
Florida Woman Care, LLC
$109.58Published rateStephanie Carl
Christus Trinity Clinic
$58.91Published rateDee Martinez
Dee L Martinez Md PA
$34.43Published rate
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See a sample payer proposalCPT 76817 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76817 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 76817 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 |
|---|---|---|
| 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 |
| 76818-CPT | Low | Profile Of Fetal Health, Biophysical Profile (Bpp) Measures The Health Of The Fetus During Pregnancy. Five Factors Are Measured - Heart Rate Muscle Tone Movement Breathing And Amount Of Amniotic Fluid Around The Baby. The Procedure May Include A Non-Stress Test. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76817. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76817 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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