CPT 76936 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 | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
National average reimbursement for CPT 76936 by major payers:
$306.08
$337.62
$299.00
$407.65
| 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 76936 | ||||||
United | 76936 | $121.77 | 1720087513 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 76936 | $121.77 | 1972501252 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 76936 | $275.00 | 1346668225 - STEPHANIE RICE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NY | Radiation Oncology Physician (2085R0001X) |
United | 76936 | $99.97 | 1801888433 - HARSH SINGH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WI | Neurology Physician (2084N0400X) |
United | 76936 | $352.20 | 1619315967 - DAVID SILVESTRE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | PA | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | 76936 | $102.79 | 1669914552 - NORTHERN ARIZONA HEALTHCARE CORPORATION | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Family Medicine Physician (207Q00000X) |
United | 76936 | $352.20 | 1619545985 - ANDREA GUM | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 76936 | $523.20 | 1497997977 - AMANBIR DHADE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MI | Anesthesiology Physician (207L00000X) |
United | 76936 | $233.75 | 1235407248 - PHYLLIS MOORE | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Family Nurse Practitioner (363LF0000X) |
United | 76936 | $325.35 | 1982317079 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 76936 | $442.10 | 1013448240 - PRAKASH GAJERA | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 76936 | $442.10 | 1124029764 - STEVEN HOLMAN | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 76936 | $523.20 | 1467810739 - CARYN EPPERSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Family Nurse Practitioner (363LF0000X) |
United | 76936 | $253.53 | 1760639256 - CASSY FELTS | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 76936 | $695.65 | 1497747653 - LUCIANA ROCHETTI | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Physician Assistant (363A00000X) |
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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 76936 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76936 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 76936 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 |
|---|---|---|
| 76932-CPT | Low | Ultrasonic Guide Endomyocardial Biopsy R |
| 76936-CPT | Moderate | Ultrasound Guided Compression Repair Of Arterial Pseudoaneurysm Or Arteriovenous Fistulae (Includes Diagnostic Ultrasound Evaluation, Compression Of Lesion And Imaging) |
| 76937-CPT | Low | Ultrasound Guidance For Vascular Access Requiring Ultrasound Evaluation For Potential Access Sites Documentation Of Selected Vessel Patency Concurrent Realtime Ultrasound Visualization Of Vascular Needle Entry With Permenant Recording And Reporting (List Separately In Addition To Code For Primary Procedure) |
| 77002-CPT | Low | Fluoroscopic Guidance For Needle Placement (Eg Biopsy Aspiration Injection Localization Device) (List Separately In Addition To Code For Primary Procedure). (Desc Revised 1/1/2017) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76936. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76936 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 76936) and we'll show you how you compare in 15 minutes or less.