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See a sample rate comparisonCPT 76857 Fee Schedule
Medicare rates as of October 2026
CPT 76857 is classified under Radiology Procedures, in the Diagnostic Ultrasound Procedures subgroup.
Echography Pelvic (Nonobstetr, Echography Pelvic (Nonobstetric) B-Scan Andor Real Timewith Image Documentation Limited Or Follow-Up (Eg For Follicles)
| 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 | $51.10 national non-facility rate (2026) · View Medicare rates for 76857 |
| Medicaid Fee Schedule | $41.235 median of the 8 states in the free preview · View Medicaid rates for 76857 |
National average reimbursement for CPT 76857 by major payers:
$65.15
BCBS / Anthem
$74.80
UnitedHealthcare
$75.85
Aetna
$84.10
Cigna
Compare published rates across providers.
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CPT 76857
5 of 25 sample ratesHigher to lower in this preview
Katrice Larece
$255.77Published rateErica Jin
$101.68Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$63.16Published rateVincenzo Berghella
Jefferson University Physicians
$40.56Published rateOurania Rossetos
Central Texas Community Health Centers
$20.20Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 76857 vs. Other Diagnostic Ultrasound Procedures Codes
The table lists codes related to 76857. Select one to see its fee schedule.
| 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 76857. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76857 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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Frequently Asked Questions
For specific pricing information on medical procedures, tailored to CPT codes and your particular location, it is recommended to use a specialized tool. Payerprice offers a fee schedule lookup tool that allows users to search with CPT codes and specific locations to find relevant cost information.
CMS (Centers for Medicare & Medicaid Services) provides fee schedules primarily for services covered under Medicare and Medicaid programs. While useful as a general reference, these may not reflect the actual rates negotiated by commercial payers or specific to your exact situation. Payerprice, on the other hand, offers a dedicated fee schedule lookup tool for users to search with CPT codes and specific locations, which can provide more relevant pricing insights for a broader range of commercial or out-of-pocket scenarios.
To use Payerprice's fee schedule lookup tool, you would input the specific CPT code for the medical procedure you are interested in, along with your specific geographic location. The tool is designed to provide you with relevant fee schedule information based on these inputs.
Payerprice's fee schedule lookup tool can provide you with information on the expected fees for CPT codes in your specific location, which is a critical component for estimating out-of-pocket costs. However, your actual out-of-pocket cost will also depend on your insurance plan's deductible, co-insurance, and coverage. While Payerprice provides valuable fee schedule data, it is recommended to also consult with your insurance provider for a complete understanding of your specific coverage and financial responsibility.