Cost analysis for CPT 76705 — Limited ultrasound scan of abdomen
Average Medicare Payment
$27.38
2023 data
Total Payments (2023)
$25.2M
Services (2023)
919.6K
Price Change (2014–2023)
-9.9%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $30.40 | $27.6M | 948.4K | — |
| 2015 | $28.28 | $26.6M | 977.8K | -7.0% |
| 2016 | $27.70 | $27.3M | 1.0M | -2.1% |
| 2017 | $28.19 | $28.5M | 1.0M | +1.8% |
| 2018 | $28.35 | $28.6M | 1.0M | +0.6% |
| 2019 | $28.56 | $29.1M | 1.0M | +0.7% |
| 2020 | $28.37 | $24.2M | 867.2K | -0.7% |
| 2021 | $28.62 | $26.3M | 929.0K | +0.9% |
| 2022 | $27.68 | $25.3M | 916.6K | -3.3% |
| 2023 | $27.38 | $25.2M | 919.6K | -1.1% |
The most expensive state pays 2.3x more than the cheapest for this procedure. GU averages $43.19 vs VT at $18.98.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| GU | $43.19 | $15.4K | 356 | 8 |
| MD | $35.90 | $908.7K | 25.3K | 371 |
| CA | $34.57 | $3.2M | 91.2K | 1.8K |
| NJ | $34.49 | $772.4K | 22.4K | 520 |
| RI | $33.49 | $141.6K | 4.2K | 90 |
| NY | $32.76 | $1.8M | 53.9K | 1.1K |
| AK | $32.54 | $82.7K | 2.5K | 52 |
| FL | $32.22 | $2.1M | 64.5K | 1.3K |
| WY | $32.01 | $45.6K | 1.4K | 29 |
| AZ | $31.17 | $434.4K | 13.9K | 312 |
| AP | $31.02 | $3.3K | 108 | 2 |
| DC | $30.53 | $92.7K | 3.0K | 67 |
| CO | $28.76 | $421.8K | 14.7K | 366 |
| HI | $28.66 | $71.9K | 2.5K | 61 |
| NV | $28.58 | $189.4K | 6.6K | 162 |
| DE | $28.32 | $106.6K | 3.8K | 61 |
| CT | $27.83 | $269.0K | 9.7K | 241 |
| WA | $27.03 | $569.1K | 21.1K | 414 |
| TN | $26.81 | $546.7K | 20.4K | 469 |
| TX | $26.53 | $1.5M | 55.3K | 1.3K |
| NC | $26.46 | $856.1K | 32.4K | 697 |
| VA | $26.19 | $737.7K | 28.2K | 496 |
| IL | $26.13 | $1.2M | 45.7K | 852 |
| KS | $25.61 | $233.7K | 9.1K | 169 |
| PR | $25.32 | $3.5K | 137 | 3 |
| NM | $25.11 | $118.0K | 4.7K | 97 |
| AL | $25.01 | $312.2K | 12.5K | 300 |
| SC | $24.99 | $423.1K | 16.9K | 341 |
| MA | $24.94 | $677.2K | 27.2K | 541 |
| IA | $24.74 | $251.0K | 10.1K | 192 |
| GA | $24.35 | $611.0K | 25.1K | 564 |
| PA | $24.14 | $995.8K | 41.2K | 888 |
| MN | $24.13 | $553.4K | 22.9K | 629 |
| MS | $23.81 | $265.0K | 11.1K | 178 |
| OR | $23.71 | $226.7K | 9.6K | 221 |
| UT | $23.66 | $86.7K | 3.7K | 135 |
| MO | $23.12 | $516.7K | 22.3K | 431 |
| OK | $22.75 | $303.1K | 13.3K | 233 |
| MI | $22.60 | $645.8K | 28.6K | 570 |
| WI | $22.47 | $357.9K | 15.9K | 425 |
| NH | $22.44 | $116.5K | 5.2K | 113 |
| IN | $22.36 | $412.8K | 18.5K | 346 |
| NE | $22.29 | $123.2K | 5.5K | 137 |
| ND | $22.27 | $65.8K | 3.0K | 54 |
| KY | $22.23 | $278.5K | 12.5K | 231 |
| SD | $22.16 | $59.2K | 2.7K | 61 |
| OH | $22.06 | $738.8K | 33.5K | 630 |
| AR | $21.70 | $200.3K | 9.2K | 189 |
| MT | $21.64 | $53.0K | 2.4K | 65 |
| LA | $21.55 | $232.0K | 10.8K | 259 |
| ME | $21.07 | $89.1K | 4.2K | 99 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| American Diagnostics Services Llc | Independent Diagnostic Testing Facility (IDTF) | MD | $103.3K | 3.3K | $31.67 |
| Symphony Diagnostic Services No 1 Llc | Independent Diagnostic Testing Facility (IDTF) | FL | $75.1K | 2.4K | $31.64 |
| Steven Kaplan | Urology | NY | $71.7K | 877 | $81.72 |
| Precision Health Inc | Independent Diagnostic Testing Facility (IDTF) | NY | $69.4K | 1.3K | $52.47 |
| Benjamin Tripp | Urology | FL | $53.1K | 1.2K | $45.54 |
| Hillel Marans | Urology | NY | $51.6K | 663 | $77.81 |
| K & T Diagnostic, Inc. | Independent Diagnostic Testing Facility (IDTF) | CA | $47.7K | 611 | $78.09 |
| Luke Yoon | Urology | CA | $47.3K | 587 | $80.56 |
| Yousef Mehrabi | General Practice | CA | $43.1K | 536 | $80.38 |
| Mohamadali Eloubeidi | Gastroenterology | AL | $42.8K | 744 | $57.58 |
| Rao Sunkavally | Urology | CA | $38.8K | 422 | $91.97 |
| Timothy Collins | Urology | TN | $38.2K | 656 | $58.24 |
| Carolinas Imaging Services Llc | Independent Diagnostic Testing Facility (IDTF) | NC | $36.8K | 629 | $58.49 |
| Mohsen El Ramah | Internal Medicine | CA | $34.4K | 480 | $71.70 |
| Elite Diagnostic Imaging Inc | Independent Diagnostic Testing Facility (IDTF) | CA | $29.4K | 440 | $66.79 |
| Michael Plainse | Cardiology | CA | $29.3K | 377 | $77.61 |
| Lorenzo Suarez | Family Practice | CA | $28.6K | 430 | $66.52 |
| Unnati Sampat | Internal Medicine | CA | $26.6K | 389 | $68.42 |
| Steven Christie | Diagnostic Radiology | FL | $26.1K | 520 | $50.14 |
| Richard Bardowell | General Practice | CA | $24.7K | 307 | $80.61 |
The data suggests significant pricing inconsistencies for CPT 76705. With a 2.3x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
While costs have decreased 9.9% since 2014, the wide state-by-state variation suggests the pricing formula may not adequately account for regional differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.