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See a sample rate comparisonCPT 76870 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.
Ultrasound Of Scrotum, An Ultrasound (Sound Waves) To Create An Image Of The Interior Of The Scrotum.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Ultrasound Procedures |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76870 |
| Medicaid Fee Schedule | View Medicaid rates for 76870 |
National average reimbursement for CPT 76870 by major payers:
$120.80
$119.94
$133.00
$145.05
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CPT 76870
5 of 25 sample ratesHigher to lower in this preview
Rachel Voss
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$138.97Published rateKimberley Lee
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$95.15Published rateCarla Moodie
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$80.88Published rateArthur Parsee
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$43.83Published rateCorinne Steffen
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$37.25Published rate
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See a sample payer proposalCPT 76870 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76870 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 76870 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 |
|---|---|---|
| 76700-CPT | Low | Ultrasound Abdominal |
| 76870-CPT | Low | Ultrasound Of Scrotum, An Ultrasound (Sound Waves) To Create An Image Of The Interior Of The Scrotum. |
| 76872-CPT | Moderate | Ultrasound Scan Of Pelvis, Ultrasound (Sound Waves) Taken By Inserting A Hand-Held Device Into The Rectum. |
| 76873-CPT | Moderate | Ultrasou Transrectal; Prostat Volum Study For Brachythera Treat, Ultrasound Transrectal; Prostate Volume Study For Brachytherapy Treat |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76870. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76870 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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