CPT 76805 Radiology

How Much Does Pregnancy Ultrasound (Complete, After First Trimester) Cost?

Also known as: Ob us >/= 14 wks sngl fetus (CPT 76805)

A standard obstetric ultrasound to check on your baby during pregnancy, including measurements and anatomy.

Pregnancy Ultrasound (Complete, After First Trimester) (CPT 76805) costs $136 at Medicare rates.

The rates shown below represent the complete Medicare reimbursement for this service. No separate facility fee applies for this type of procedure.

Medicare (Facility)
$136
CMS PFS 2026 national rate

Patient Guide: Pregnancy Ultrasound (Complete, After First Trimester)

What you need to know before your appointment

What to Expect

You will lie on your back while a technologist moves a probe with gel over your belly to check the baby position, growth, heartbeat, and anatomy. You may see the baby on screen.

How Long Does It Take?

30-45 minutes

Common Reasons Doctors Order This

Routine pregnancy anatomy scan (usually around 18-20 weeks), checking baby growth and position, confirming due date

How to Prepare

You may be asked to drink water beforehand in early pregnancy. Wear two-piece clothing for easy access to your belly.

Procedures Commonly Done Together

These procedures are frequently performed alongside Ob us >/= 14 wks sngl fetus

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How to Reduce Your Cost for Ob us >/= 14 wks sngl fetus

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

0.97
Work RVU
3.03
Practice Expense RVU
0.07
Malpractice RVU
4.07
Total RVU

Payment = Total RVU (4.07) x CF ($33.40) = $136

People Also Ask

Common questions people search for about this procedure

How much does it cost for a liver ultrasound?

On MDsave, the cost of a Liver Scan ranges from 94 to ,805. Those on high deductible health plans or without insurance can shop, compare prices and save. Read more about how MDsave works.

Source: www.mdsave.com See our data-backed answer →
Is prenatal ultrasound covered by insurance?

The cost of an ultrasound depends on the type of ultrasound you get and where you get it. Most insurance plans cover the cost of ultrasounds during pregnancy, but check with your insurance company to be sure.

Source: www.plannedparenthood.org See our data-backed answer →
How many ultrasounds do you get your entire pregnancy?
How much is an ultrasound for a kidney stone?

An abdominal ultrasound costs 00 to ,000 without insurance and is the most common type ordered for general abdominal symptoms or routine health evaluations. This scan covers multiple organs, including the kidneys, bladder, liver, pancreas, and spleen.

Source: bettercare.com See our data-backed answer →

Frequently Asked Questions

How much does Ob us >/= 14 wks sngl fetus cost?

The Medicare facility rate for Ob us >/= 14 wks sngl fetus is $136. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Ob us >/= 14 wks sngl fetus cost without insurance?

Without insurance, the cost of Ob us >/= 14 wks sngl fetus can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Ob us >/= 14 wks sngl fetus?

Most commercial health insurance plans and Medicare cover Ob us >/= 14 wks sngl fetus when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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