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See a sample rate comparisonCPT 76940 Fee Schedule
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.
Ultrasou Guid For & Mnitor Of Parenchymal Tissue Ablatio, Ultrasound Guidance For And Monitoring Of Parenchymal Tissue Ablatio
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Ultrasound Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component XU - Unusual Non-Overlapping Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 76940 |
| Medicaid Fee Schedule | View Medicaid rates for 76940 |
National average reimbursement for CPT 76940 by major payers:
$240.87
$207.86
$172.18
$237.45
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CPT 76940
5 of 25 sample ratesHigher to lower in this preview
Health Imaging Partners, LLC
$583.15Published rateJoseph Yetto
Radiology Associates Of North Texas, PA
$265.26Published rateDavid Erwin
Radiology Associates Of North Texas, PA
$186.27Published ratePatricia Wright
Town Center Orthopaedic Associates, P.C.
$94.00Published rateRobert Sanchez
Radiology Associates Of North Texas, PA
$63.20Published rate
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See a sample payer proposalCPT 76940 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76940 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 76940 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 |
|---|---|---|
| 76940-CPT | Moderate | Ultrasou Guid For & Mnitor Of Parenchymal Tissue Ablatio, Ultrasound Guidance For And Monitoring Of Parenchymal Tissue Ablatio |
| 77012-CPT | Low | Ct-Guided Needle Placement, A Ct (Computed Tomography) Scan Is Used To Guide The Placement Of A Needle For A Biopsy. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. |
| 77013-CPT | Moderate | Ct-Guided Surgery, An Area Inside The Body Is Viewed With Ct (Computed Tomography) During Surgery. A Ct Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. |
| 77022-CPT | Moderate | Magnet Resonan Guid For & Mnitor Of Parenchymal Tissue, Magnetic Resonance Guidance For And Monitoring Of Parenchymal Tissue |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76940. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76940 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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