Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 76965 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.
Ultrasonic Guidance For Inters, Ultrasonic Guidance For Interstitial Radioelementapplication Ultrasonic Guidance For Interstitial Radioelement
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Ultrasound Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76965 |
| Medicaid Fee Schedule | View Medicaid rates for 76965 |
National average reimbursement for CPT 76965 by major payers:
$123.77
$145.08
$131.76
$162.76
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 76965.
CPT 76965
5 of 25 sample ratesHigher to lower in this preview
Daniel Knight
Thedacare Medical Center New London Inc
$324.29Published rateRaymond Rost
Professional Radiology, Inc.
$129.69Published rateKell West Regional Hospital LLC
Kell West Regional Hospital, LLC
$92.05Published rateAditya Bahel
Professional Radiology, Inc.
$43.43Published rateIgnacio Castellon
South Broward Hospital District
$20.86Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 76965 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76965 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 76965 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 |
|---|---|---|
| 76965-CPT | Low | Ultrasonic Guidance For Inters, Ultrasonic Guidance For Interstitial Radioelementapplication Ultrasonic Guidance For Interstitial Radioelement |
| 76975-CPT | Low | Gastrointes Endoscopic Ultrasou Superv & Interpret, Gastrointestinal Endoscopic Ultrasound Supervision And Interpretation |
| 76977-CPT | Low | Ultrasound Of Bone Density, An Ultrasound (Sound-Wave) Test Using A Probe On The Surface Of The Body To Measure Bone Density Usually At The Ankle. This Is A Screening Test For Osteoporosis. |
| 77002-CPT | Low | X-Ray-Guided Needle Placement, Fluoroscopic Guidance Is Used To Place A Needle In A Precise Location. Fluoroscopy Is An X-Ray Technique That Shows Movement In Real-Time With The Aid Of Contrast Dye. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76965. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76965 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 76965) and we'll show you how you compare in 15 minutes or less.