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See a sample rate comparisonCPT 76826 Fee Schedule
CPT 76826 is classified under Radiology Procedures, in the Diagnostic Ultrasound Procedures subgroup.
Echo Exam Of Fetal Heart, Echocardiography Fetal Cardiovascular System Real Time With Image Documentation 2d With Or Without M Mode Recording Follow Up Or Repeat Study
| 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 | View Medicare rates for 76826 |
| Medicaid Fee Schedule | $127.825 median of the 8 states in the free preview · View Medicaid rates for 76826 |
National average reimbursement for CPT 76826 by major payers:
$185.04
BCBS / Anthem
$168.76
UnitedHealthcare
$186.41
Aetna
$210.68
Cigna
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CPT 76826
5 of 25 sample ratesHigher to lower in this preview
Alfredo Gei
Obstetrix Medical Group Of Texas Billing Inc
$563.41Published rateAvolonne Kimble
Magella Medical Associates Billing Inc
$195.50Published rateStephanie Mcgee
Texas Childrens Physician Group
$195.50Published rateOnur Turkoglu
Beaumont Medical Group - Hospital-Based Services
$113.48Published rateMohammed Farhan Ali
Texas Childrens Physician Group
$112.13Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 76826 vs. Other Diagnostic Ultrasound Procedures Codes
The table lists codes related to 76826. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 76825-CPT | Moderate | Echo Exam Of Fetal Heart, Echocardiography Fetal Cardiovascular System Real Time With Image Documentation 2d With Or Without M Mode Recording |
| 76826-CPT | Low | Echo Exam Of Fetal Heart, Echocardiography Fetal Cardiovascular System Real Time With Image Documentation 2d With Or Without M Mode Recording Follow Up Or Repeat Study |
| 76827-CPT | Low | Doppler Echocardiography Feta, Doppler Echocardiography Fetal Cardiovascular Systempulsed Wave Andor Continuous Wave With Spectral Display Complete |
| 76828-CPT | Low | Doppler Echocardiography Feta, Doppler Echocardiography Fetal Cardiovascular Systempulsed Wave Andor Continuous Wave With Spectral Display Follow-Up Or Repeat Study |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76826. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76826 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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