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See a sample rate comparisonCPT 76946 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.
Ultrasound For Amniocentesis, A Small Amount Of Amniotic Fluid Is Removed Using Ultrasound (Image Made With Sound Waves) To View The Area Accurately.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Ultrasound Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76946 |
| Medicaid Fee Schedule | View Medicaid rates for 76946 |
National average reimbursement for CPT 76946 by major payers:
$44.66
$46.87
$47.28
$54.73
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CPT 76946
5 of 25 sample ratesHigher to lower in this preview
Charles Cluff
Northern Arizona Healthcare Corporation
$74.98Published rateCharles Schmier
Northern Arizona Healthcare Corporation
$74.98Published rateHeidi Underwood
Northern Arizona Healthcare Corporation
$32.84Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$20.16Published rateKeith Hutchinson
Northern Arizona Healthcare Corporation
$13.71Published rate
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See a sample payer proposalCPT 76946 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76946 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 76946 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 |
|---|---|---|
| 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. |
| 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. |
| 76948-CPT | Low | Ultrasound To Remove Ova, Ova (Eggs) Are 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 76946. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76946 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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