CPT 76886 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Radiology Procedures • Diagnostic Ultrasound Procedures |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 19 - Off Campus Outpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Low |
National average reimbursement for CPT 76886 by major payers:
$123.62
$121.31
$122.80
$150.05
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 76886 | ||||||
United | 76886 | $107.19 | 1609950500 - MICHAEL REIDY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NV | Pulmonary Disease Physician (207RP1001X) |
United | 76886 | $192.16 | 1609966522 - MATTHEW MURRAY | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 76886 | $248.11 | 1932520673 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 76886 | $137.63 | 1073566295 - ZI YIN | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 76886 | $78.50 | 1699204081 - KEVIN HOANG | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 76886 | $114.58 | 1609950500 - MICHAEL REIDY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | ID | Pulmonary Disease Physician (207RP1001X) |
United | 76886 | $75.43 | 1740324235 - DEBORAH MERRILL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | OR | Anesthesiology Physician (207L00000X) |
United | 76886 | $31.76 | 1255726386 - SURAJUDEEN BOLARINWA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | DC | Adult Reconstructive Orthopaedic Surgery Physician (207XS0114X) |
United | 76886 | $107.19 | 1801888433 - HARSH SINGH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Neurology Physician (2084N0400X) |
United | 76886 | $107.19 | 1790002350 - KRISTOPHER DAY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IA | Surgery Physician (208600000X) |
United | 76886 | $78.50 | 1194992842 - STEPHEN WEI | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 76886 | $75.43 | 1790002350 - KRISTOPHER DAY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | RI | Surgery Physician (208600000X) |
United | 76886 | $166.19 | 1568436871 - ROBERT WYLIE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Orthopaedic Surgery Physician (207X00000X) |
United | 76886 | $166.19 | 1952324170 - NAVJOT SINGH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Gastroenterology Physician (207RG0100X) |
United | 76886 | $166.19 | 1922413285 - STEVEN NUANES | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 76886 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76886 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 76886 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 |
|---|---|---|
| 76885-CPT | Low | Ultrasound Infant Hips Real Time With Imaging Documentation; Dynamic (Requiring Physician Or Otherqualified Health Care Professional Manipulation) (Revised 1/1/2013) |
| 76886-CPT | Low | Ultrasound Infant Hips Real Time With Imaging Documentation; Limited Static (Not Requiring Phy- Sician Or Other Qualified Health Care Professionalmanipulation) (Revised 1/1/2013) |
| 77072-CPT | Low | Bone Age Studies |
| 77073-CPT | Low | Bone Length Studies |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76886. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76886 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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