In Florida, any diagnostic ultrasound falls under the State’s definition of a “diagnostic‑imaging service,” and by law may only be performed on the basis of a valid order or referral from a licensed provider. Specifically:

Definition of diagnostic imaging: Florida Statutes § 456.053(3)(d) expressly includes “ultrasound” in its list of “diagnostic‑imaging services” Findlaw.

Requirement for referral/order: Under § 456.053(4)(a), a group practice or sole provider may not perform—or accept outside referrals for—any diagnostic‑imaging service unless it is provided pursuant to a referral (i.e., an order) from a physician or other licensed health care provider. No exam may be billed or performed without that referral Findlaw.

This statute, often called Florida’s Patient Self‑Referral Act, was enacted to ensure that imaging studies are appropriately prescribed, to prevent unnecessary testing, and to avoid conflicts of interest.

No mater if you are using a self paid option, without insurance.

In Florida “ultrasound” is statutorily a “diagnostic‑imaging service,” and state law says it may only be performed on the basis of a referral (i.e. an order) from a licensed health‑care provider—no matter who’s paying. There is no carve‑out for cash/self‑pay patients.

“Diagnostic imaging services” include ultrasound. Florida Statutes § 456.053(3)(d) defines diagnostic‑imaging services to include ultrasound Findlaw.

Referral required for any diagnostic imaging. Under § 456.053(4)(a), a group practice or sole provider may not perform—or accept referrals for—diagnostic imaging unless there is a valid referral/order from a physician or other authorized provider. There is no exception for self‑pay exams Findlaw.

So even if you intend to pay out‑of‑pocket, the facility must have a proper order from an appropriate licensed provider before doing the scan.