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See a sample rate comparisonCPT 76828 Fee Schedule
Medicare rates as of October 2026
CPT 76828 is classified under Radiology Procedures, in the Diagnostic Ultrasound Procedures subgroup.
Doppler Echocardiography Feta, Doppler Echocardiography Fetal Cardiovascular Systempulsed Wave Andor Continuous Wave With Spectral Display 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 | 59 - Distinct Procedural Service 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $49.43 national non-facility rate (2026) · View Medicare rates for 76828 |
| Medicaid Fee Schedule | $40.82 median of the 8 states in the free preview · View Medicaid rates for 76828 |
National average reimbursement for CPT 76828 by major payers:
$62.41
BCBS / Anthem
$72.01
UnitedHealthcare
$66.55
Aetna
$75.32
Cigna
Compare published rates across providers.
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CPT 76828
5 of 25 sample ratesHigher to lower in this preview
Aiyanna Anderson
Obstetrix Medical Group Of Texas Billing Inc
$219.16Published rateDiana Villazana-Kretzer
Alegent Creighton Clinic
$139.85Published rateCatharina Solomon
Texas Childrens Physician Group
$65.87Published rateJessica Evey
Texas Childrens Physician Group
$65.87Published rateJorge Lodeiro
Jorge G Lodeiro Md PA
$49.68Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 76828 vs. Other Diagnostic Ultrasound Procedures Codes
The table lists codes related to 76828. 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 76828. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76828 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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