Cost analysis for CPT 76770 — Complete ultrasound scan behind abdominal cavity
Average Medicare Payment
$40.29
2023 data
Total Payments (2023)
$53.4M
Services (2023)
1.2M
Price Change (2014–2023)
-15.9%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $47.93 | $61.2M | 1.2M | — |
| 2015 | $42.94 | $55.6M | 1.3M | -10.4% |
| 2016 | $42.11 | $58.1M | 1.3M | -1.9% |
| 2017 | $42.30 | $58.3M | 1.3M | +0.5% |
| 2018 | $42.55 | $59.1M | 1.3M | +0.6% |
| 2019 | $42.59 | $61.0M | 1.3M | +0.1% |
| 2020 | $42.21 | $51.9M | 1.1M | -0.9% |
| 2021 | $42.31 | $56.7M | 1.2M | +0.2% |
| 2022 | $40.97 | $54.5M | 1.2M | -3.2% |
| 2023 | $40.29 | $53.4M | 1.2M | -1.7% |
The most expensive state pays 3.0x more than the cheapest for this procedure. GU averages $72.33 vs AA at $24.36.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| GU | $72.33 | $16.0K | 221 | 5 |
| NJ | $67.12 | $3.1M | 46.1K | 650 |
| CA | $59.91 | $8.9M | 149.2K | 2.0K |
| VI | $57.36 | $13.3K | 232 | 5 |
| NY | $57.19 | $6.1M | 106.9K | 1.3K |
| PR | $56.90 | $64.7K | 1.1K | 49 |
| AZ | $55.13 | $1.3M | 23.0K | 320 |
| MD | $51.73 | $1.7M | 33.3K | 422 |
| FL | $49.76 | $4.5M | 91.1K | 1.3K |
| AK | $48.85 | $101.3K | 2.1K | 39 |
| NV | $47.09 | $658.4K | 14.0K | 199 |
| CT | $46.36 | $846.1K | 18.2K | 244 |
| DC | $45.83 | $182.2K | 4.0K | 54 |
| WY | $44.01 | $38.9K | 884 | 26 |
| VA | $43.66 | $1.5M | 33.7K | 473 |
| MS | $43.30 | $609.4K | 14.1K | 180 |
| DE | $42.73 | $312.2K | 7.3K | 59 |
| TX | $42.48 | $3.1M | 73.2K | 1.3K |
| NM | $41.94 | $250.2K | 6.0K | 103 |
| AP | $41.93 | $4.5K | 107 | 2 |
| RI | $41.65 | $149.2K | 3.6K | 64 |
| GA | $41.13 | $1.6M | 38.9K | 626 |
| MA | $40.68 | $1.7M | 42.3K | 514 |
| WA | $39.94 | $791.1K | 19.8K | 378 |
| TN | $39.87 | $1.1M | 28.3K | 486 |
| CO | $39.10 | $475.8K | 12.2K | 308 |
| HI | $38.35 | $116.0K | 3.0K | 62 |
| IL | $38.28 | $1.7M | 43.7K | 798 |
| NC | $36.40 | $1.2M | 32.3K | 634 |
| UT | $35.95 | $162.4K | 4.5K | 122 |
| MN | $35.83 | $600.4K | 16.8K | 453 |
| LA | $35.32 | $600.7K | 17.0K | 283 |
| SD | $35.13 | $104.0K | 3.0K | 76 |
| KS | $35.05 | $321.9K | 9.2K | 167 |
| OR | $34.75 | $335.2K | 9.6K | 214 |
| IA | $34.71 | $319.9K | 9.2K | 172 |
| PA | $33.95 | $1.5M | 44.8K | 791 |
| ID | $33.92 | $110.7K | 3.3K | 87 |
| MI | $33.90 | $1.4M | 41.3K | 592 |
| SC | $33.67 | $642.1K | 19.1K | 315 |
| KY | $33.04 | $406.3K | 12.3K | 182 |
| NE | $32.70 | $208.0K | 6.4K | 141 |
| MO | $32.59 | $665.8K | 20.4K | 410 |
| AL | $32.16 | $534.0K | 16.6K | 323 |
| IN | $31.60 | $568.3K | 18.0K | 329 |
| MT | $31.04 | $55.6K | 1.8K | 47 |
| NH | $30.66 | $134.4K | 4.4K | 98 |
| ME | $30.24 | $91.1K | 3.0K | 76 |
| WV | $30.15 | $164.9K | 5.5K | 106 |
| WI | $29.89 | $393.7K | 13.2K | 359 |
| ND | $29.73 | $73.4K | 2.5K | 43 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Mabel Imaging Inc | Independent Diagnostic Testing Facility (IDTF) | CA | $284.8K | 2.9K | $99.54 |
| Leslie Kalman | General Practice | CA | $157.8K | 1.6K | $97.95 |
| Alexander Gershman | Urology | CA | $157.1K | 1.7K | $94.42 |
| American Diagnostics Services Llc | Independent Diagnostic Testing Facility (IDTF) | MD | $151.6K | 3.8K | $40.01 |
| Paul Lang | Diagnostic Radiology | NY | $140.7K | 1.5K | $96.07 |
| Ira Fastlich | Diagnostic Radiology | NY | $130.6K | 1.3K | $98.57 |
| Lifescan Diagnostic Corp | Independent Diagnostic Testing Facility (IDTF) | CA | $126.8K | 1.3K | $98.80 |
| Richard Park | Internal Medicine | CA | $120.3K | 1.2K | $99.53 |
| Labtech Inc | Independent Diagnostic Testing Facility (IDTF) | CA | $106.3K | 1.1K | $99.59 |
| Kapil Desai | Diagnostic Radiology | CT | $105.6K | 2.2K | $48.24 |
| Vladimir Krichevsky | Urology | NY | $105.4K | 1.0K | $101.27 |
| Jonathan Schiff | Urology | NY | $104.7K | 1.1K | $94.86 |
| Symphony Diagnostic Services No 1 Llc | Independent Diagnostic Testing Facility (IDTF) | FL | $101.1K | 2.5K | $41.20 |
| Nicholas Dzebolo | Interventional Radiology | CA | $99.9K | 1.0K | $99.54 |
| Guy Bassis | Diagnostic Radiology | NY | $89.6K | 877 | $102.18 |
| Ben Jacobs | Urology | NY | $88.1K | 867 | $101.66 |
| Michael Esposito | Urology | NJ | $87.0K | 937 | $92.83 |
| Stephen Gillard | Urology | MA | $86.5K | 1.8K | $49.17 |
| Dae Rheem | Gastroenterology | CA | $83.1K | 843 | $98.57 |
| Martin Goldstein | Urology | NJ | $80.1K | 873 | $91.79 |
The data suggests significant pricing inconsistencies for CPT 76770. With a 3.0x 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 15.9% 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.