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See a sample rate comparisonCPT 76830 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.
Vaginal Ultrasound, Ultrasound (Sound Wave Images) Of The Reproductive System Taken By Inserting A Hand-Held Probe Into The Vagina.
| 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 TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76830 |
| Medicaid Fee Schedule | View Medicaid rates for 76830 |
National average reimbursement for CPT 76830 by major payers:
$140.66
$139.62
$154.37
$168.01
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CPT 76830
5 of 25 sample ratesHigher to lower in this preview
Roma Pegany
$725.66Published rateAlan Penzias
Boston Ivf Fertility Services At The Womens Hospital LLC
$120.72Published ratePaul Kidder
$71.94Published rateSusan Roitman
Regional Women'S Health Group, LLC
$47.18Published rateCharles Haddad, Md
Charles Haddad Md
$32.49Published rate
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See a sample payer proposalCPT 76830 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76830 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 76830 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 |
|---|---|---|
| 76830-CPT | Low | Vaginal Ultrasound, Ultrasound (Sound Wave Images) Of The Reproductive System Taken By Inserting A Hand-Held Probe Into The Vagina. |
| 76831-CPT | Low | Uterus Ultrasound Enhanced, Ultrasound (Sound Wave Images) Taken Of The Uterus. Saltwater (Saline) Is Given To Highlight Parts Of The Video. |
| 76856-CPT | Low | Ultrasou Pelvic (Nonobstetric) Real Time W/ Image Documnt;, Ultrasound Pelvic (Nonobstetric) Real Time With Image Documentation; |
| 76857-CPT | Low | Echography Pelvic (Nonobstetr, Echography Pelvic (Nonobstetric) B-Scan Andor Real Timewith Image Documentation Limited Or Follow-Up (Eg For Follicles) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76830. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76830 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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