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See a sample rate comparisonCPT 76819 Fee Schedule
Medicare rates as of October 2026
CPT 76819 is classified under Radiology Procedures, in the Diagnostic Ultrasound Procedures subgroup.
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 | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $87.84 national non-facility rate (2026) · View Medicare rates for 76819 |
| Medicaid Fee Schedule | $72.28 median of the 8 states in the free preview · View Medicaid rates for 76819 |
National average reimbursement for CPT 76819 by major payers:
$103.97
BCBS / Anthem
$106.46
UnitedHealthcare
$114.20
Aetna
$127.09
Cigna
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
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Payer Contract Negotiation
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See a sample payer proposalCPT 76819 vs. Other Diagnostic Ultrasound Procedures Codes
The table lists codes related to 76819. Select one to see its fee schedule.
| 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.
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