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See a sample rate comparisonCPT 76945 is classified under Radiology Procedures, in the Diagnostic Ultrasound Procedures subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Ultrasound Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $32.07 national non-facility rate (2026) · View Medicare rates for 76945 |
| Medicaid Fee Schedule | $67.92 median of the 7 states in the free preview · View Medicaid rates for 76945 |
National average reimbursement for CPT 76945 by major payers:

$110.03
BCBS / Anthem

$107.18
UnitedHealthcare

$104.46
Aetna

$136.37
Cigna
Choose a payer to see a sample of rates for CPT 76945.
Robert Emery
Radiology Associates Of North Texas, PA
William Horstman
Radiology Associates Of North Texas, PA
Collin Messerly
Town Center Orthopaedic Associates, P.C.
Peter Mcgowan
Radiology Associates Of North Texas, PA
Jennifer Fulk
Town Center Orthopaedic Associates, P.C.
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 76945 vs. Other Diagnostic Ultrasound Procedures Codes
The table lists codes related to 76945. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 76941-CPT | Low | Ultrasound-Guided Transfusion, The Uterus Is Viewed With Ultrasound (Sound Waves) To Guide A Blood Transfusion For The Fetus Or To Remove Excess Fluid From The Umbilical Cord. |
| 76942-CPT | Low | Ultrasonic Guidance Proc, Ultrasonic Guidance For Needle Placement (E.G. Biopsy Aspiration Injection Localization Device) Imaging Supervision And Interpretation |
| 76945-CPT | Low | Ultrasound Of Placenta, The Placenta And Uterus Are Viewed With Ultrasound (Sound Waves) To Guide Taking A Tissue Sample From The Placenta (Chorionic Villus). The Sample Is Tested For Genetic Abnormalities. |
| 76946-CPT | Low | Ultrasound For Amniocentesis, A Small Amount Of Amniotic Fluid Is Removed Using Ultrasound (Image Made With Sound Waves) To View The Area Accurately. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76945. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76945 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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