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See a sample rate comparisonCPT 76975 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.
Gastrointes Endoscopic Ultrasou Superv & Interpret, Gastrointestinal Endoscopic Ultrasound Supervision And Interpretation
| 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 52 - Reduced Services |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76975 |
| Medicaid Fee Schedule | View Medicaid rates for 76975 |
National average reimbursement for CPT 76975 by major payers:
$186.97
$249.70
$216.20
$149.27
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CPT 76975
5 of 25 sample ratesHigher to lower in this preview
Keith Hutchinson
Northern Arizona Healthcare Corporation
$275.73Published rateMatthew Horn
Northern Arizona Healthcare Corporation
$164.99Published rateJennifer Ronecker
Northern Arizona Healthcare Corporation
$97.18Published rateStephen Peters
Northern Arizona Healthcare Corporation
$67.80Published rateAdnan Zubair
Northern Arizona Healthcare Corporation
$42.59Published rate
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See a sample payer proposalCPT 76975 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76975 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 76975 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 |
| 77001-CPT | Low | Fluoroguide For Vein Device, Fluoroscopic Guidance For Central Venous Access Device Placement Replacement Catheter Only Or Complete Or Removal Includes Fluoroscopic Guidance For Vascular Access And Catheter Manipulation Any Necessary Contrast Injections Through Access Site Or Catheter With Related Venography Radiologic Supervision And Interpretation And Radiographic Documentation Of Final Catheter Position List Separately In Addition To Code For Primary Procedure |
| 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 76975. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76975 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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