{"procedure":{"code_type":"CPT","code":"76813","lay_name":"Nuchal translucency ultrasound, first baby","blurb":"First-trimester ultrasound that measures the fluid at the back of the fetus's neck as part of risk screening; covers one fetus.","slug":"cpt-76813-nuchal-translucency-ultrasound-first-baby","description":"US Fetal Nuchal Translucency 1st Gestation|TECHNICAL COMPONENT","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"197","label":"Other diagnostic ultrasound or optical coherence tomography (OCT)","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-02-06","filing_date_max":"2026-09-21","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:13:52.941847Z","n_priced_setters":3956,"n_filed":1586,"n_usable":1420,"n_not_usable":0,"n_labelled":125,"n_no_cash":41,"n_estimated":0,"n_states":50,"cash_p10":114.52,"cash_p20":149.14,"cash_p25":178.4,"cash_p50":327.0,"cash_p75":547.3,"cash_p80":660.75,"cash_p90":878.0,"cash_mean_trimmed":345.2,"gross_p50":552.87,"cash_to_gross_p50":0.6,"medicare_rate":106.81,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":3.0615,"by_state":[{"state":"AK","n":7,"p20":null,"p50":null,"p80":null},{"state":"AL","n":15,"p20":95.0,"p50":169.0,"p80":229.55},{"state":"AR","n":4,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":15,"p20":150.0,"p50":183.3,"p80":193.13},{"state":"CA","n":115,"p20":220.5,"p50":476.0,"p80":761.6},{"state":"CO","n":40,"p20":232.2,"p50":404.1,"p80":663.7},{"state":"CT","n":15,"p20":217.0,"p50":231.65,"p80":405.0},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":59,"p20":196.01,"p50":288.0,"p80":1177.3},{"state":"GA","n":44,"p20":108.3,"p50":148.98,"p80":742.0},{"state":"HI","n":12,"p20":153.6,"p50":335.3,"p80":463.74},{"state":"IA","n":31,"p20":104.0,"p50":220.99,"p80":465.4},{"state":"ID","n":14,"p20":216.0,"p50":277.4,"p80":441.0},{"state":"IL","n":55,"p20":150.0,"p50":604.2,"p80":940.8},{"state":"IN","n":47,"p20":93.32,"p50":153.15,"p80":331.8},{"state":"KS","n":12,"p20":172.41,"p50":246.3,"p80":1325.57},{"state":"KY","n":25,"p20":158.69,"p50":427.0,"p80":729.0},{"state":"LA","n":21,"p20":88.32,"p50":135.96,"p80":241.5},{"state":"MA","n":35,"p20":280.0,"p50":539.25,"p80":776.0},{"state":"MD","n":23,"p20":406.61,"p50":516.23,"p80":684.0},{"state":"ME","n":6,"p20":null,"p50":null,"p80":null},{"state":"MI","n":36,"p20":261.8,"p50":374.05,"p80":734.0},{"state":"MN","n":33,"p20":227.57,"p50":305.09,"p80":353.07},{"state":"MO","n":28,"p20":153.13,"p50":300.0,"p80":414.7},{"state":"MS","n":11,"p20":83.75,"p50":109.02,"p80":145.0},{"state":"MT","n":6,"p20":null,"p50":null,"p80":null},{"state":"NC","n":33,"p20":178.93,"p50":221.13,"p80":459.2},{"state":"ND","n":11,"p20":282.24,"p50":289.8,"p80":404.0},{"state":"NE","n":17,"p20":149.52,"p50":223.8,"p80":378.84},{"state":"NH","n":7,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":46,"p20":121.0,"p50":141.9,"p80":209.6},{"state":"NM","n":7,"p20":null,"p50":null,"p80":null},{"state":"NV","n":7,"p20":null,"p50":null,"p80":null},{"state":"NY","n":78,"p20":125.84,"p50":243.21,"p80":401.0},{"state":"OH","n":84,"p20":202.8,"p50":477.1,"p80":660.0},{"state":"OK","n":18,"p20":105.0,"p50":209.5,"p80":280.8},{"state":"OR","n":26,"p20":260.87,"p50":328.25,"p80":452.86},{"state":"PA","n":67,"p20":124.68,"p50":334.8,"p80":814.23},{"state":"RI","n":5,"p20":null,"p50":null,"p80":null},{"state":"SC","n":19,"p20":193.85,"p50":379.0,"p80":681.75},{"state":"SD","n":7,"p20":null,"p50":null,"p80":null},{"state":"TN","n":15,"p20":126.15,"p50":126.15,"p80":189.58},{"state":"TX","n":64,"p20":268.9,"p50":354.0,"p80":879.75},{"state":"UT","n":25,"p20":894.13,"p50":894.13,"p80":1051.91},{"state":"VA","n":39,"p20":217.2,"p50":436.0,"p80":868.5},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":47,"p20":256.8,"p50":343.96,"p80":525.7},{"state":"WI","n":57,"p20":292.5,"p50":294.45,"p80":670.7},{"state":"WV","n":20,"p20":63.0,"p50":133.5,"p80":296.8},{"state":"WY","n":6,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1170,"p20":147.55,"p50":331.2,"p80":670.7},{"key":"childrens","n":26,"p20":287.2,"p50":529.97,"p80":787.8},{"key":"critical_access","n":220,"p20":165.0,"p50":294.45,"p80":498.1}],"ownership":[{"key":"for_profit","n":139,"p20":148.98,"p50":428.01,"p80":1434.0},{"key":"government","n":183,"p20":148.98,"p50":246.3,"p80":448.3},{"key":"nonprofit","n":1094,"p20":149.52,"p50":334.8,"p80":648.9}],"affiliation":[{"key":"affiliated","n":1235,"p20":148.98,"p50":333.48,"p80":668.0},{"key":"independent","n":185,"p20":153.0,"p50":300.0,"p80":530.0}]},"histogram":[{"lo":94.23,"hi":121.54,"n":102},{"lo":121.54,"hi":156.75,"n":140},{"lo":156.75,"hi":202.18,"n":109},{"lo":202.18,"hi":260.77,"n":135},{"lo":260.77,"hi":336.33,"n":175},{"lo":336.33,"hi":433.79,"n":189},{"lo":433.79,"hi":559.5,"n":149},{"lo":559.5,"hi":721.63,"n":107},{"lo":721.63,"hi":930.75,"n":125},{"lo":930.75,"hi":1200.46,"n":48}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-02-06","filing_date_max":"2026-09-21","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:13:52.941847Z","n_priced_setters":3956,"n_filed":1142,"n_usable":1027,"n_not_usable":0,"n_labelled":83,"n_no_cash":32,"n_estimated":0,"n_states":50,"cash_p10":118.86,"cash_p20":167.0,"cash_p25":198.49,"cash_p50":346.37,"cash_p75":596.25,"cash_p80":668.0,"cash_p90":842.84,"cash_mean_trimmed":366.15,"gross_p50":558.9,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":9,"p20":null,"p50":null,"p80":null},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":13,"p20":153.97,"p50":183.3,"p80":193.13},{"state":"CA","n":102,"p20":309.5,"p50":513.48,"p80":761.6},{"state":"CO","n":34,"p20":232.2,"p50":391.5,"p80":663.7},{"state":"CT","n":8,"p20":null,"p50":null,"p80":null},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":37,"p20":199.8,"p50":279.0,"p80":776.0},{"state":"GA","n":40,"p20":108.3,"p50":148.98,"p80":214.36},{"state":"HI","n":7,"p20":null,"p50":null,"p80":null},{"state":"IA","n":23,"p20":104.0,"p50":208.52,"p80":465.4},{"state":"ID","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":43,"p20":150.0,"p50":435.0,"p80":845.28},{"state":"IN","n":31,"p20":93.32,"p50":153.4,"p80":331.8},{"state":"KS","n":5,"p20":null,"p50":null,"p80":null},{"state":"KY","n":16,"p20":146.23,"p50":244.5,"p80":427.0},{"state":"LA","n":10,"p20":106.34,"p50":170.06,"p80":334.6},{"state":"MA","n":33,"p20":280.0,"p50":594.0,"p80":866.0},{"state":"MD","n":16,"p20":406.61,"p50":427.67,"p80":597.48},{"state":"ME","n":6,"p20":null,"p50":null,"p80":null},{"state":"MI","n":34,"p20":234.9,"p50":374.05,"p80":734.0},{"state":"MN","n":26,"p20":227.57,"p50":305.09,"p80":353.07},{"state":"MO","n":15,"p20":208.8,"p50":262.9,"p80":372.0},{"state":"MS","n":4,"p20":null,"p50":null,"p80":null},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":20,"p20":178.93,"p50":186.5,"p80":472.5},{"state":"ND","n":10,"p20":282.24,"p50":289.8,"p80":404.0},{"state":"NE","n":11,"p20":149.52,"p50":159.48,"p80":378.84},{"state":"NH","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":23,"p20":137.2,"p50":146.71,"p80":720.32},{"state":"NM","n":5,"p20":null,"p50":null,"p80":null},{"state":"NV","n":5,"p20":null,"p50":null,"p80":null},{"state":"NY","n":33,"p20":116.52,"p50":275.16,"p80":425.0},{"state":"OH","n":76,"p20":202.8,"p50":477.1,"p80":631.12},{"state":"OK","n":14,"p20":105.0,"p50":172.0,"p80":221.92},{"state":"OR","n":14,"p20":100.75,"p50":323.57,"p80":518.5},{"state":"PA","n":57,"p20":154.23,"p50":394.2,"p80":814.23},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":14,"p20":338.4,"p50":379.0,"p80":681.75},{"state":"SD","n":5,"p20":null,"p50":null,"p80":null},{"state":"TN","n":13,"p20":126.15,"p50":126.15,"p80":189.58},{"state":"TX","n":50,"p20":268.9,"p50":311.03,"p80":539.57},{"state":"UT","n":22,"p20":894.13,"p50":894.13,"p80":1051.91},{"state":"VA","n":31,"p20":126.15,"p50":436.0,"p80":522.0},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":36,"p20":324.68,"p50":363.0,"p80":617.28},{"state":"WI","n":44,"p20":292.5,"p50":293.7,"p80":670.7},{"state":"WV","n":5,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":874,"p20":153.6,"p50":338.4,"p80":670.7},{"key":"childrens","n":21,"p20":389.9,"p50":636.96,"p80":787.8},{"key":"critical_access","n":128,"p20":216.48,"p50":356.59,"p80":625.98}],"ownership":[{"key":"for_profit","n":81,"p20":145.79,"p50":311.03,"p80":827.1},{"key":"government","n":110,"p20":172.2,"p50":278.6,"p80":506.69},{"key":"nonprofit","n":832,"p20":168.6,"p50":370.5,"p80":668.0}],"affiliation":[{"key":"affiliated","n":924,"p20":168.85,"p50":356.59,"p80":670.7},{"key":"independent","n":103,"p20":153.0,"p50":294.0,"p80":510.0}]},"histogram":[{"lo":100.75,"hi":127.43,"n":79},{"lo":127.43,"hi":161.18,"n":71},{"lo":161.18,"hi":203.87,"n":76},{"lo":203.87,"hi":257.87,"n":93},{"lo":257.87,"hi":326.17,"n":116},{"lo":326.17,"hi":412.55,"n":117},{"lo":412.55,"hi":521.81,"n":133},{"lo":521.81,"hi":660.02,"n":75},{"lo":660.02,"hi":834.82,"n":115},{"lo":834.82,"hi":1055.92,"n":54}],"previous":null}},"related":[{"code_type":"CPT","code":"93970","lay_name":"Vein ultrasound for blood clots, both arms or both legs","slug":"cpt-93970-vein-ultrasound-for-blood-clots-both-arms-or-both-legs"},{"code_type":"CPT","code":"93971","lay_name":"Vein ultrasound for blood clots, one limb or limited","slug":"cpt-93971-vein-ultrasound-for-blood-clots-one-limb-or-limited"},{"code_type":"CPT","code":"76856","lay_name":"Complete pelvic ultrasound through the abdomen","slug":"cpt-76856-complete-pelvic-ultrasound-through-the-abdomen"},{"code_type":"CPT","code":"93925","lay_name":"Leg artery ultrasound with color Doppler, both legs","slug":"cpt-93925-leg-artery-ultrasound-with-color-doppler-both-legs"},{"code_type":"CPT","code":"76870","lay_name":"Ultrasound of the scrotum and testicles","slug":"cpt-76870-ultrasound-of-the-scrotum-and-testicles"},{"code_type":"CPT","code":"76830","lay_name":"Pelvic ultrasound using a vaginal probe","slug":"cpt-76830-pelvic-ultrasound-using-a-vaginal-probe"},{"code_type":"CPT","code":"93926","lay_name":"Leg artery ultrasound with color Doppler, one leg or limited","slug":"cpt-93926-leg-artery-ultrasound-with-color-doppler-one-leg-or-limited"},{"code_type":"CPT","code":"76882","lay_name":"Limited ultrasound of an arm or leg joint or soft tissue","slug":"cpt-76882-limited-ultrasound-of-an-arm-or-leg-joint-or-soft-tissue"},{"code_type":"CPT","code":"76604","lay_name":"Ultrasound of the chest","slug":"cpt-76604-ultrasound-of-the-chest"},{"code_type":"CPT","code":"76857","lay_name":"Limited pelvic ultrasound through the abdomen","slug":"cpt-76857-limited-pelvic-ultrasound-through-the-abdomen"},{"code_type":"CPT","code":"76801","lay_name":"Early pregnancy ultrasound, first baby (under 14 weeks)","slug":"cpt-76801-early-pregnancy-ultrasound-first-baby-under-14-weeks"},{"code_type":"CPT","code":"76815","lay_name":"Limited pregnancy ultrasound","slug":"cpt-76815-limited-pregnancy-ultrasound"}]}