Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 76873 Fee Schedule
Medicare rates as of October 2026
CPT 76873 is classified under Radiology Procedures, in the Diagnostic Ultrasound Procedures subgroup.
Ultrasou Transrectal; Prostat Volum Study For Brachythera Treat, Ultrasound Transrectal; Prostate Volume Study For Brachytherapy Treat
| 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 | Moderate |
| Medicare Fee Schedule | $178.70 national non-facility rate (2026) · View Medicare rates for 76873 |
| Medicaid Fee Schedule | $144.885 median of the 8 states in the free preview · View Medicaid rates for 76873 |
National average reimbursement for CPT 76873 by major payers:
$204.72
BCBS / Anthem
$204.73
UnitedHealthcare
$206.68
Aetna
$251.39
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 76873.
CPT 76873
5 of 25 sample ratesHigher to lower in this preview
Alexander Goodwin
Radiology Associates Of North Texas, PA
$428.57Published rateRonald Chilcoat
Radiology Associates Of North Texas, PA
$243.72Published rateDouglas Trippe
Radiology Associates Of North Texas, PA
$199.41Published rateValerie Van Ravenswaay
Northern Arizona Healthcare Corporation
$132.00Published rateRestorative Health Rehabilitation Inc
$55.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 76873 vs. Other Diagnostic Ultrasound Procedures Codes
The table lists codes related to 76873. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 76856-CPT | Low | Ultrasou Pelvic (Nonobstetric) Real Time W/ Image Documnt;, Ultrasound Pelvic (Nonobstetric) Real Time With Image Documentation; |
| 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 76873. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76873 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 76873) and we'll show you how you compare in 15 minutes or less.