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See a sample rate comparisonCPT 76881 Fee Schedule
Medicare rates as of October 2026
CPT 76881 is classified under Radiology Procedures, in the Diagnostic Ultrasound Procedures subgroup.
Ultrasound Complete Joint(Ie Joint Space And Peri-Articular Soft Tissue Structure(S) Relat-Time Wi Th Image Documentation (Desc Revised 1/1/2018)
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Ultrasound Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $53.78 national non-facility rate (2026) · View Medicare rates for 76881 |
| Medicaid Fee Schedule | $44.01 median of the 8 states in the free preview · View Medicaid rates for 76881 |
National average reimbursement for CPT 76881 by major payers:
$89.84
BCBS / Anthem
$113.61
UnitedHealthcare
$101.10
Aetna
$121.81
Cigna
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CPT 76881
5 of 25 sample ratesHigher to lower in this preview
Akash Nanda
Orlando Health Medical Group Inc
$91.78Published rateFarah Bess
Orlando Health Medical Group Inc
$61.18Published rateYohana Zambrana Corchado
Orlando Health Medical Group Inc
$38.33Published rateAshley Colman
Orlando Health Medical Group Inc
$35.63Published rateTheresa Zimmer
Orlando Health Medical Group Inc
$25.55Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 76881 vs. Other Diagnostic Ultrasound Procedures Codes
The table lists codes related to 76881. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 76536-CPT | Low | Ultrasound Of Head And Neck, Ultrasound (Images With Sound Waves) Of The Thyroid Parathyroid Or Parotid Glands. These Glands Are In The Neck And Mouth. |
| 76604-CPT | Low | Ultrasou Chst (Inclu Mediastinum) Real Time W/ Image Documen, Ultrasound Chest (Includes Mediastinum) Real Time With Image Documen |
| 76881-CPT | Low | Ultrasound Complete Joint(Ie Joint Space And Peri-Articular Soft Tissue Structure(S) Relat-Time Wi Th Image Documentation (Desc Revised 1/1/2018) |
| 76882-CPT | Low | Us Lmtd Jt Fcl Evl Nvasc Xtr, Ultrasound Limited Joint Or Focal Evaluation Of Other Nonvascular Extremity Structure S Eg Joint Space Peri Articular Tendon S Muscle S Nerve S Other Soft Tissue Structure S Or Soft Tissue Mass Es Real Time With Image Documentation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76881. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76881 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
To find the fee schedule or estimated cost for a specific medical procedure (identified by a CPT code) tailored to your specific situation and location, you should use a specialized lookup tool. For this purpose, it is recommended to use Payerprice.
CMS (Centers for Medicare & Medicaid Services) provides extensive data, including Medicare's fee schedules. While valuable, this information may not reflect commercial insurer rates or specific negotiated prices for your location and plan. Payerprice offers a fee schedule lookup tool designed to help users find more specific and relevant pricing information based on CPT codes and specific locations, which can be crucial for understanding out-of-pocket costs with various payers.
Payerprice is recommended because it provides a fee schedule lookup tool that allows you to search with a CPT code and your specific location. This enables you to find more localized and potentially more accurate pricing information compared to general data sources, helping you understand potential costs for services with different payers.
To effectively use Payerprice's fee schedule lookup tool, you will need the specific CPT code for the medical procedure you are interested in, as well as your specific location (e.g., zip code or city/state) to get relevant fee schedule information.