CPT 76977 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Radiology Procedures • Diagnostic Ultrasound Procedures |
| Common Place of Service | • 11 - Office • 99 - Other POS |
| Common Modifiers | • None • 26 - Professional component • XE - Separate encounter |
| Complexity Level | Low |
National average reimbursement for CPT 76977 by major payers:
$11.56
$13.53
$11.51
$14.84
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 76977 | ||||||
United | 76977 | $4.32 | 1659508570 - RAJEEV FERNANDO | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NY | Infectious Disease Physician (207RI0200X) |
United | 76977 | $68.51 | 1568416204 - DAVID PHELPS | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 76977 | $7.21 | 1811996382 - MARC LIEBESKIND | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 76977 | $7.21 | 1457447120 - STEVEN LUTZKER | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 76977 | $18.04 | 1871098749 - KAI WANG | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | GA | Diagnostic Radiology Physician (2085R0202X) |
United | 76977 | $4.32 | 1730543067 - JORDAN SELZER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NV | Emergency Medicine Physician (207P00000X) |
United | 76977 | $19.20 | 1093014136 - ADAM NORWOOD | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AR | Adult Reconstructive Orthopaedic Surgery Physician (207XS0114X) |
United | 76977 | $19.20 | 1790051860 - CHIKAKO OKAI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | FL | Certified Registered Nurse Anesthetist (367500000X) |
United | 76977 | $4.80 | 1922379023 - BOCEIFUS MEDLIN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 76977 | $4.80 | 1285874362 - FARHOUD KHOSRAVI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IA | Gastroenterology Physician (207RG0100X) |
United | 76977 | $2.89 | 1669914552 - NORTHERN ARIZONA HEALTHCARE CORPORATION | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Family Medicine Physician (207Q00000X) |
United | 76977 | $3.68 | 1750341269 - DAVID RIEPE | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 76977 | $24.57 | 1689095325 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 76977 | $13.18 | 1366400376 - SUNRISE HOME HEALTH CARE INC. | 650307774 - (FL) SUNRISE HOME HEALTH CARE INC | FL | Home Health Agency (251E00000X) |
United | 76977 | $18.04 | 1033552005 - SHOEB CHAUDRY | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 76977 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76977 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 76977 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 |
|---|---|---|
| 76977-CPT | Low | Ultrasound Bone Density Measurement And Interpretation Peripheral Site(S) Any Method |
| 77067-CPT | Low | Screening Mammography, Bilateral (2-View Study Of Each Breast), Including Computer-Aided Detection (Cad) When Performed |
| 77071-CPT | Low | Manual Application Of Stress Performed By Physician Or Other Qualified Health Care Professional For Joint Radiography Including Contralateral Joint If Indicated (Rvsd 1/1/13) |
| 77072-CPT | Low | Bone Age Studies |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76977. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76977 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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