OB ultrasound, complete (after 14 weeks)
A complete pregnancy ultrasound after the first trimester.
Based on typical US negotiated and cash-pay rates. Hospital charges can run significantly higher — often 2–10x these numbers. If your bill is well above this range, it's worth questioning.
- Billed multiple times per pregnancy without medical justification.
- Charged alongside 76811 (detailed anatomic) at the same visit.
Insurance typically covers one complete OB ultrasound per pregnancy unless medically indicated.
Frequently asked questions
What does CPT code 76805 mean?
A complete pregnancy ultrasound after the first trimester. In billing terms it's categorized as "OB ultrasound, complete (after 14 weeks)" under Imaging.
How much should CPT 76805 cost?
Typical negotiated and cash-pay rates run about $200–$900. Hospital list prices are often 2–10× higher, but insurers rarely pay those. If your bill is well above the top of this range, ask for an itemized bill and compare.
Is CPT 76805 covered by insurance?
Most commercial plans and Medicare cover ob ultrasound, complete (after 14 weeks) when it's medically necessary and coded correctly. Denials usually come from missing prior authorization, incorrect modifiers, or the payer disputing medical necessity — all of which can be appealed.
What should I do if CPT 76805 looks wrong on my bill?
Insurance typically covers one complete OB ultrasound per pregnancy unless medically indicated.
Can I dispute a charge for CPT 76805?
Yes. You have the right to request an itemized bill, dispute the coding with the provider's billing office, and appeal the insurer's decision. Federal rules (including the No Surprises Act for emergency and out-of-network ancillary services) protect you from many surprise charges. BillCheck can generate the appeal or negotiation letter for you.
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BillCheck provides informational analysis only and is not legal, medical, or financial advice. Verify all details before submitting any correspondence to insurers or providers. Prices shown are typical ranges and vary by region, payer, and facility.