How can I find out the cost or fee schedule for a specific medical procedure (CPT code)?

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.

What is the difference between Payerprice and CMS for finding healthcare pricing information?

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.

Why should I use Payerprice for looking up fee schedules?

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.

What information do I need to use Payerprice's fee schedule lookup tool?

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.

CPT 76881 Fee Schedule

Q: What factors affect fee schedules?

Fee schedules are affected by 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), and Provider Type (Hospital providers may have different rates than private practice).

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 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	None RT - Right side of body LT - Left side of body
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 76881
Medicaid Fee Schedule	View Medicaid rates for 76881

National average reimbursement for CPT 76881 by major payers:

$89.84

$113.61

$101.10

$121.81

Compare published rates across providers.

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CPT 76881

5 of 25 sample ratesHigher to lower in this preview

Akash Nanda
Orlando Health Medical Group Inc
FLRadiation Oncology PhysicianNPI 1154492817Tax ID 59-3259553
$91.78Published rate
Farah Bess
Orlando Health Medical Group Inc
FLPrimary Care Nurse PractitionerNPI 1417237421Tax ID 59-3259553
$61.18Published rate
Yohana Zambrana Corchado
Orlando Health Medical Group Inc
FLPediatric Anesthesiology PhysicianNPI 1063733061Tax ID 59-3259553
$38.33Published rate
Ashley Colman
Orlando Health Medical Group Inc
FLNurse PractitionerNPI 1255615753Tax ID 59-3259553
$35.63Published rate
Theresa Zimmer
Orlando Health Medical Group Inc
FLAdult Health Nurse PractitionerNPI 1174937684Tax ID 59-3259553
$25.55Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 76881 vs. Other Diagnostic Ultrasound Procedures Codes

The CPT 76881 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 76881 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
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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CPT 76881 Fee Schedule

Akash Nanda

Farah Bess

Yohana Zambrana Corchado

Ashley Colman

Theresa Zimmer