How much does Medicare pay for CPT 76775?

Medicare allowed an average of $44.86 per service and paid $32.87 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $199.59, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 76775?

Limited ultrasound scan behind abdominal cavity. It was billed 330,006 times to 303,828 Medicare beneficiaries by 6,298 providers in 2024.

Does 76775 pay differently in an office than a hospital?

Yes. The allowed amount averaged $54.77 in an office setting and $26.84 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 76775 most?

Diagnostic Radiology, with 175,624 services from 4,373 clinicians. Next are Urology, Independent Diagnostic Testing Facility (IDTF), Internal Medicine.

CPT 76775

Limited ultrasound scan behind abdominal cavity

$44.86Medicare-allowed amount per service, averaged across 330,006 services

Providers submitted

$199.59

Asking price, not received

Medicare allowed

$44.86

The fee schedule figure

Medicare paid

$32.87

Balance is patient coinsurance

Providers submitted an average of $199.59 for this code and Medicare allowed $44.86 — 4.4× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $32.87 (73%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $54.77
Hospital / facility: $26.84

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 212,912 services were billed in an office setting and 117,094 in a facility.

Services: 330,006
Beneficiaries: 303,828
Providers billing it: 6,298
Total allowed: $14,804,069

What Medicare pays for CPT 76775

Across 330,006 services billed by 6,298 providers to 303,828 beneficiaries, Medicare allowed an average of $44.86 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 76775

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	175,624	172,422	$36.14	4,373
Urology	105,472	85,406	$57.60	913
Independent Diagnostic Testing Facility (IDTF)	11,187	9,961	$48.38	155
Internal Medicine	8,948	8,497	$60.01	121
Interventional Radiology	8,208	7,966	$35.68	226
Cardiology	3,825	3,647	$57.16	69
Family Practice	2,725	2,654	$52.35	56
Nurse Practitioner	2,409	2,247	$45.02	63
Nephrology	1,806	1,766	$54.64	49
Vascular Surgery	1,666	1,581	$45.52	49
Emergency Medicine	1,596	1,557	$37.86	59
Physician Assistant	1,447	1,295	$44.06	39
General Surgery	1,366	1,321	$36.86	47
Obstetrics & Gynecology	892	863	$57.60	17
General Practice	639	604	$63.76	10

76775 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
New York	44,288	$49.69	$32.10	648
California	41,856	$56.26	$37.31	526
Florida	34,771	$45.58	$32.52	584
New Jersey	30,331	$50.77	$33.41	465
Maryland	19,613	$57.88	$38.69	250
Illinois	15,568	$35.33	$24.38	337
Pennsylvania	15,311	$33.86	$23.70	318
Texas	12,323	$41.81	$30.68	328
Massachusetts	11,637	$41.89	$27.49	195
Ohio	8,185	$31.41	$22.56	198
Louisiana	6,870	$46.97	$36.43	121
Georgia	6,719	$41.34	$31.16	140
Michigan	5,633	$30.64	$21.37	138
Arizona	5,501	$49.02	$36.13	122
Tennessee	5,435	$40.83	$31.52	120
Virginia	5,268	$33.74	$24.18	146
Missouri	4,342	$33.12	$25.34	118
Kentucky	4,027	$29.96	$22.63	78
Indiana	4,023	$30.97	$23.07	99
Connecticut	3,974	$48.72	$32.65	74
Minnesota	3,843	$40.21	$27.52	114
North Carolina	3,482	$42.26	$31.70	92
West Virginia	2,855	$27.67	$19.60	69
Arkansas	2,499	$27.21	$21.45	59
Oklahoma	2,401	$27.79	$21.05	71
Mississippi	2,325	$35.94	$28.09	52
Nevada	2,170	$43.27	$30.69	44
Rhode Island	2,130	$48.71	$33.34	51
Colorado	2,097	$44.82	$30.97	83
Alabama	1,982	$31.73	$23.89	69
Delaware	1,547	$37.59	$26.08	25
Iowa	1,489	$41.67	$31.08	48
Kansas	1,458	$39.62	$29.28	40
Wisconsin	1,450	$29.17	$21.02	60
Nebraska	1,414	$33.60	$24.63	51
New Hampshire	1,388	$33.11	$23.04	48
South Carolina	1,031	$36.73	$28.12	44
Washington	1,029	$35.86	$24.71	36
District of Columbia	980	$52.37	$32.99	14
Maine	852	$27.72	$18.36	43
Vermont	789	$32.36	$21.95	22
Utah	640	$54.18	$35.70	6
North Dakota	595	$26.39	$17.64	16
Montana	573	$29.20	$20.31	23
Oregon	474	$36.01	$25.58	18
Idaho	455	$28.99	$21.70	21
South Dakota	447	$26.67	$19.22	18
New Mexico	430	$36.73	$25.91	18
Hawaii	321	$49.13	$33.96	9
Alaska	310	$35.24	$19.31	11
XX	282	$66.29	$46.07	1
Wyoming	190	$28.84	$19.82	10
Puerto Rico	158	$35.73	$27.59	2
U.S. Virgin Islands	98	$53.46	$45.66	1
Guam	71	$27.67	$17.16	2
AP	46	$56.78	$33.80	1

Related codes

76770Complete ultrasound scan behind abdominal cavity$58.76
76705Limited ultrasound scan of abdomen$35.98
76700Complete ultrasound scan of abdomen$78.56
76706Ultrasound scan of abdominal aorta$57.09
76776Ultrasound scan of transplanted kidney$41.96

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.