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See a sample rate comparisonCPT 76820 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.
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.
| 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 76820 |
| Medicaid Fee Schedule | View Medicaid rates for 76820 |
National average reimbursement for CPT 76820 by major payers:
$57.18
$61.77
$63.19
$79.63
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CPT 76820
5 of 25 sample ratesHigher to lower in this preview
St Francis Medical Center, Inc
St Francis Medical Center Inc
$245.17Published rateThomas Fleeter
Town Center Orthopaedic Associates, P.C.
$61.02Published rateYvette Martas
Physicians For Women'S Health, LLC
$43.33Published rateCamilla Grant
Town Center Orthopaedic Associates, P.C.
$26.40Published rateAnat Zelmanovich
$21.29Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 76820 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76820 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 76820 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 76820. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76820 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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