| Code | Description | States | Median rate |
|---|---|---|---|
| 76000 | Fluoroscopy (live X-ray), up to 1 hour | 48 | $38.69 |
| 76010 | Nose-to-rectum X-ray for a swallowed object, child | 48 | $23.34 |
| 76080 | X-ray dye study of an abscess or fistula tract, reading | 48 | $49.49 |
| 76098 | X-ray of a surgical specimen | 47 | $33.40 |
| 76140 | Consultation on outside X-rays, written report | 25 | $21.90 |
| 76145 | Medical physics dose evaluation for high radiation exposure | 39 | $762.17 |
| 76376 | 3D image reconstruction, no separate workstation | 45 | $23.21 |
| 76377 | 3D image reconstruction on a separate workstation | 45 | $70.73 |
| 76380 | Limited follow-up CT scan | 47 | $115.00 |
| 76390 | MR spectroscopy | 35 | $338.66 |
| 76391 | MRI elastography | 40 | $177.68 |
| 76496 | Unlisted fluoroscopy procedure | 16 | $78.45 |
| 76497 | Unlisted CT procedure | 15 | $95.60 |
| 76498 | Unlisted MRI procedure | 16 | $74.25 |
| 76499 | Unlisted X-ray procedure | 14 | $66.09 |
| 76506 | Head ultrasound through the soft spot, infant | 48 | $87.87 |
| 76510 | Eye ultrasound, B-scan and quantitative A-scan | 48 | $63.69 |
| 76511 | Eye ultrasound, quantitative A-scan only | 48 | $52.05 |
| 76512 | Eye ultrasound, B-scan | 48 | $44.38 |
| 76513 | Eye ultrasound, front of the eye (biomicroscopy) | 46 | $65.35 |
| 76514 | Corneal thickness measurement (pachymetry) | 47 | $9.60 |
| 76516 | Eye length measurement by ultrasound A-scan | 48 | $43.35 |
| 76519 | Eye ultrasound A-scan with lens implant power calculation | 48 | $57.48 |
| 76529 | Eye ultrasound to locate a foreign body | 48 | $68.98 |
| 76536 | Ultrasound of head and neck soft tissue (e.g. thyroid) | 48 | $86.27 |
| 76604 | Chest ultrasound | 48 | $52.95 |
| 76641 | Breast ultrasound, complete | 48 | $85.05 |
| 76642 | Breast ultrasound, limited | 48 | $70.93 |
| 76700 | Abdominal ultrasound, complete | 48 | $95.27 |
| 76705 | Abdominal ultrasound, limited | 48 | $69.96 |
| 76706 | Screening ultrasound for abdominal aortic aneurysm | 48 | $84.75 |
| 76770 | Kidney and retroperitoneal ultrasound, complete | 48 | $86.83 |
| 76775 | Kidney-area (retroperitoneal) ultrasound, limited | 48 | $54.24 |
| 76776 | Ultrasound of a transplanted kidney with Doppler | 48 | $114.83 |
| 76800 | Ultrasound of the spinal canal | 48 | $130.23 |
| 76801 | Pregnancy ultrasound, first trimester, single fetus | 48 | $98.21 |
| 76802 | Pregnancy ultrasound, first trimester, each added fetus | 48 | $53.48 |
| 76805 | Pregnancy ultrasound after first trimester | 48 | $116.39 |
| 76810 | Pregnancy ultrasound after 14 weeks, each added fetus | 48 | $78.82 |
| 76811 | Detailed fetal anatomy ultrasound, single fetus | 48 | $164.15 |
| 76812 | Detailed fetal anatomy ultrasound, each added fetus | 48 | $157.23 |
| 76813 | Fetal nuchal translucency ultrasound, single fetus | 47 | $95.74 |
| 76814 | Fetal nuchal translucency ultrasound, each added fetus | 47 | $63.26 |
| 76815 | Pregnancy ultrasound, limited or follow-up | 48 | $70.15 |
| 76816 | Pregnancy ultrasound, follow-up growth check | 48 | $88.16 |
| 76817 | Pregnancy ultrasound, transvaginal | 48 | $79.76 |
| 76818 | Fetal biophysical profile with non-stress test | 47 | $98.36 |
| 76819 | Fetal biophysical profile, no non-stress test | 48 | $75.11 |
| 76820 | Fetal Doppler, umbilical artery | 48 | $42.03 |
| 76821 | Fetal Doppler, brain artery | 48 | $76.72 |
| 76825 | Fetal echocardiogram | 48 | $208.87 |
| 76826 | Fetal echocardiogram, follow-up | 48 | $124.81 |
| 76827 | Fetal Doppler echocardiogram, complete | 48 | $62.37 |
| 76828 | Fetal Doppler echocardiogram, follow-up | 47 | $43.83 |
| 76830 | Transvaginal ultrasound, non-pregnancy | 48 | $94.22 |
| 76831 | Uterus ultrasound with saline infusion | 47 | $93.09 |
| 76856 | Pelvic ultrasound, complete, non-pregnancy | 48 | $84.54 |
| 76857 | Pelvic ultrasound, limited or follow-up | 48 | $44.86 |
| 76870 | Scrotal ultrasound | 48 | $79.96 |
| 76872 | Prostate or rectal-wall ultrasound | 48 | $104.17 |
| 76873 | Prostate ultrasound for radiation seed planning | 47 | $139.97 |
| 76881 | Joint ultrasound, complete | 48 | $51.45 |
| 76882 | Limited joint or soft tissue ultrasound | 48 | $44.69 |
| 76883 | Nerve ultrasound, complete, one limb | 46 | $59.33 |
| 76885 | Infant hip ultrasound, dynamic | 48 | $98.66 |
| 76886 | Infant hip ultrasound, limited, static | 47 | $77.93 |
| 76932 | Ultrasound guidance for a heart muscle biopsy | 47 | $71.20 |
| 76936 | Ultrasound-guided compression of a false aneurysm | 46 | $214.06 |
| 76937 | Ultrasound guidance for vascular access (add-on) | 47 | $31.02 |
| 76940 | Ultrasound guidance for tissue ablation | 47 | $133.26 |
| 76941 | Ultrasound guidance for fetal transfusion or cord sampling | 47 | $99.28 |
| 76942 | Ultrasound guidance for needle placement | 47 | $54.74 |
| 76945 | Ultrasound guidance for chorionic villus sampling | 46 | $72.45 |
| 76946 | Ultrasound guidance for amniocentesis | 48 | $30.42 |
| 76948 | Ultrasound guidance for egg retrieval | 27 | $66.49 |
| 76965 | Ultrasound guidance for radiation seed placement | 47 | $84.74 |
| 76977 | Bone density ultrasound, heel or other peripheral site | 47 | $6.79 |
| 76978 | Contrast ultrasound of a lesion, first lesion | 40 | $200.54 |
| 76979 | Contrast ultrasound of a lesion, each added lesion | 38 | $127.78 |
| 76981 | Ultrasound elastography of an organ | 44 | $90.30 |
| 76982 | Ultrasound elastography of a lesion, first | 40 | $74.90 |
| 76983 | Ultrasound elastography of a lesion, each added | 37 | $47.80 |
| 76998 | Ultrasound guidance during surgery | 45 | $110.94 |
| 76999 | Unlisted ultrasound procedure | 10 | $78.45 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.