How much does Medicare pay for CPT 76983?

Medicare allowed an average of $52.08 per service and paid $41.56 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $158.71, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 76983?

Ultrasound scan of growth for measuring elasticity, each additional growth. It was billed 1,208 times to 775 Medicare beneficiaries by 12 providers in 2024.

Does 76983 pay differently in an office than a hospital?

Yes. The allowed amount averaged $52.84 in an office setting and $22.46 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 76983 most?

Pathology, with 592 services from 2 clinicians. Next are Hematology-Oncology, Diagnostic Radiology, Endocrinology.

CPT 76983

Ultrasound scan of growth for measuring elasticity, each additional growth

$52.08Medicare-allowed amount per service, averaged across 1,208 services

Providers submitted

$158.71

Asking price, not received

Medicare allowed

$52.08

The fee schedule figure

Medicare paid

$41.56

Balance is patient coinsurance

Providers submitted an average of $158.71 for this code and Medicare allowed $52.08 — 3.0× 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 $41.56 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $52.84
Hospital / facility: $22.46

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. 1,178 services were billed in an office setting and 30 in a facility.

Services: 1,208
Beneficiaries: 775
Providers billing it: 12
Total allowed: $62,913

What Medicare pays for CPT 76983

Across 1,208 services billed by 12 providers to 775 beneficiaries, Medicare allowed an average of $52.08 per service. That is 1.6 services per beneficiary, so this is a code patients typically receive more than once. 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 76983

Specialty	Services	Beneficiaries	Avg allowed	Providers
Pathology	592	375	$55.72	2
Hematology-Oncology	225	103	$34.28	1
Diagnostic Radiology	218	171	$52.29	5
Endocrinology	122	80	$61.20	1
Family Practice	26	23	$68.37	1
General Surgery	13	11	$64.00	1
Internal Medicine	12	12	$61.79	1

76983 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
Tennessee	592	$55.72	$48.31	2
Pennsylvania	225	$34.28	$28.85	1
Texas	122	$61.20	$48.31	1
Florida	114	$58.43	$47.71	1
Arkansas	60	$53.91	$47.95	1
California	39	$66.92	$46.60	2
Kentucky	16	$21.78	$16.24	1
South Carolina	14	$23.23	$19.24	1
Georgia	14	$59.34	$48.28	1
New York	12	$61.79	$48.21	1

Related codes

76942Ultrasonic guidance for needle placement$45.45
76937Ultrasonic guidance for blood vessel access$17.11
76981Ultrasound scan of organ tissue for measuring elasticity$81.38
76998Ultrasonic guidance during surgery$51.66
76982Ultrasound scan of growth for measuring elasticity$63.16
76965Ultrasonic guidance for administration of radiation therapy$69.84
76984Ultrasound of chest aorta during surgery$29.82

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.