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 76819 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.
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.
| 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 76819 |
| Medicaid Fee Schedule | View Medicaid rates for 76819 |
National average reimbursement for CPT 76819 by major payers:
$103.97
$106.46
$114.20
$127.09
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 76819.
CPT 76819
5 of 25 sample ratesHigher to lower in this preview
Chima Ndubizu
$353.70Published rateDawn Russell
Emory University
$127.83Published rateJeffrey Tsai
Town Center Orthopaedic Associates, P.C.
$96.60Published rateJeffrey Tsai
Town Center Orthopaedic Associates, P.C.
$59.73Published rateJerald Korman
$38.52Published 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 76819 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76819 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 76819 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 |
|---|---|---|
| 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. |
| 76819-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. |
| 76820-CPT | Low | Umbilical Artery Ultrasound, An Ultrasound (Sound Waves) Of Blood Flow Through The Umbilical Artery. Doppler Sound Waves Are Used To Evaluate The Pressure And Velocity Of Blood As It Flows To The Fetus. |
| 76821-CPT | Low | Brain Artery Ultrasound, An Ultrasound (Sound Waves) Of The Blood Flow Through A Fetal Brain Artery. Doppler Sound Waves Are Used To Evaluate Pressure And Velocity Of The Blood Flow. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76819. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76819 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 76819) and we'll show you how you compare in 15 minutes or less.