CPT code 76000: Fluoroscopy, under one hour2026 Medicare rate & RVUs in Hawaii, Guam, HI
Reports physician or qualified health care professional fluoroscopy lasting less than one hour when live x-ray imaging is performed and interpreted.
In Hawaii, Guam, HI, Medicare pays $48.01 for 76000 in the office.
Check a contract rate as a % of Medicare · 76000 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 76000 covers
Code 76000 describes physician- or qualified health care professional-supervised fluoroscopy lasting less than one hour. Fluoroscopy uses continuous or intermittent x-ray imaging to show motion, contrast flow, or the position of devices in real time. It may be performed in an operating room, procedure suite, or office when the clinician needs live imaging during a service. The clinician’s report should identify the reason for imaging, the fluoroscopic findings, and the interpretation.
Choose this code based on the fluoroscopic service performed and its duration, not simply because an x-ray unit was present. When imaging is guidance for a specific procedure, compare the service with codes that describe that particular guidance before reporting 76000 separately. CMS recognizes professional and technical components: modifier 26 reports the interpretation, modifier TC reports the equipment and staff, and billing without either modifier represents the global service. Documentation should support the component billed and the physician or qualified health care professional’s fluoroscopy time.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Hawaii, Guam, HI compares for 76000
Across 109 of 109 payment localities, the office rate for 76000 runs from $38.83 in Arkansas to $59.04 in San Benito County, CA. Hawaii, Guam, HI pays $48.01. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Hawaii, Guam, HI · this page$48.01
- Los Angeles, CA · California$50.04+$2.03
- Washington, DC area · District of Columbia$50.61+$2.60
- Miami, FL · Florida$47.47−$0.54
- Chicago, IL · Illinois$46.05−$1.96
- Manhattan, NY · New York$50.82+$2.81
- Alaska · Alaska$50.63+$2.62
Other areas in Hawaii first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $39.42 | — |
| ArkansasArkansas | $38.83 | — |
| ArizonaArizona | $42.88 | — |
| Bakersfield, CACalifornia | $46.90 | — |
| Chico, CACalifornia | $46.78 | — |
| El Centro, CACalifornia | $46.79 | — |
| Fresno, CACalifornia | $46.78 | — |
| Hanford, CACalifornia | $46.78 | — |
| Madera, CACalifornia | $46.78 | — |
| Merced, CACalifornia | $46.78 | — |
| Modesto, CACalifornia | $46.78 | — |
| Napa, CACalifornia | $54.47 | — |
| Oxnard, CACalifornia | $49.82 | — |
| Redding, CACalifornia | $46.78 | — |
| Rest of CaliforniaCalifornia | $46.78 | — |
| Riverside, CACalifornia | $47.22 | — |
| Sacramento, CACalifornia | $49.17 | — |
| Salinas, CACalifornia | $48.98 | — |
| San Diego, CACalifornia | $50.19 | — |
| Marin County, CACalifornia | $57.74 | — |
| San Francisco, CACalifornia | $57.69 | — |
| San Benito County, CACalifornia | $59.04 | — |
| Santa Clara County, CACalifornia | $58.85 | — |
| San Luis Obispo, CACalifornia | $48.19 | — |
| Santa Cruz, CACalifornia | $50.72 | — |
| Santa Maria, CACalifornia | $49.18 | — |
| Santa Rosa, CACalifornia | $51.23 | — |
| Stockton, CACalifornia | $46.78 | — |
| Vallejo, CACalifornia | $54.41 | — |
| Visalia, CACalifornia | $46.78 | — |
| Yuba City, CACalifornia | $46.78 | — |
| ColoradoColorado | $46.01 | — |
| ConnecticutConnecticut | $47.09 | — |
| DelawareDelaware | $43.61 | — |
| Fort Lauderdale, FLFlorida | $45.59 | — |
| Rest of FloridaFlorida | $43.32 | — |
| Atlanta, GAGeorgia | $44.91 | — |
| Rest of GeorgiaGeorgia | $40.81 | — |
| IowaIowa | $40.50 | — |
| IdahoIdaho | $40.77 | — |
| East St. Louis, ILIllinois | $42.83 | — |
| Rest of IllinoisIllinois | $41.99 | — |
| Suburban Chicago, ILIllinois | $46.07 | — |
| IndianaIndiana | $41.01 | — |
| KansasKansas | $40.28 | — |
| KentuckyKentucky | $40.34 | — |
| New Orleans, LALouisiana | $42.34 | — |
| Rest of LouisianaLouisiana | $40.27 | — |
| Metropolitan Boston, MAMassachusetts | $50.70 | — |
| Rest of MassachusettsMassachusetts | $45.71 | — |
| Baltimore area, MDMaryland | $46.96 | — |
| Rest of MarylandMaryland | $44.47 | — |
| Rest of MaineMaine | $40.97 | — |
| Southern Maine, MEMaine | $43.30 | — |
| Detroit, MIMichigan | $43.86 | — |
| Rest of MichiganMichigan | $41.41 | — |
| MinnesotaMinnesota | $44.10 | — |
| Metropolitan Kansas City, MOMissouri | $42.06 | — |
| Metropolitan St. Louis, MOMissouri | $42.52 | — |
| Rest of MissouriMissouri | $39.54 | — |
| MississippiMississippi | $39.19 | — |
| MontanaMontana | $44.09 | — |
| North CarolinaNorth Carolina | $41.41 | — |
| North DakotaNorth Dakota | $43.30 | — |
| NebraskaNebraska | $40.74 | — |
| New HampshireNew Hampshire | $45.26 | — |
| Northern New JerseyNew Jersey | $50.05 | — |
| Rest of New JerseyNew Jersey | $47.63 | — |
| New MexicoNew Mexico | $41.64 | — |
| NevadaNevada | $43.90 | — |
| NYC suburbs and Long Island, NYNew York | $52.06 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $47.93 | — |
| Queens, NYNew York | $51.28 | — |
| Rest of New YorkNew York | $42.06 | — |
| OhioOhio | $41.25 | — |
| OklahomaOklahoma | $40.29 | — |
| Portland, OROregon | $47.54 | — |
| Rest of OregonOregon | $43.56 | — |
| Metropolitan Philadelphia, PAPennsylvania | $45.87 | — |
| Rest of PennsylvaniaPennsylvania | $41.33 | — |
| Puerto RicoPuerto Rico | $44.43 | — |
| Rhode IslandRhode Island | $45.22 | — |
| South CarolinaSouth Carolina | $41.40 | — |
| South DakotaSouth Dakota | $43.20 | — |
| TennesseeTennessee | $40.49 | — |
| Austin, TXTexas | $45.86 | — |
| Beaumont, TXTexas | $41.05 | — |
| Brazoria, TXTexas | $43.58 | — |
| Dallas, TXTexas | $43.86 | — |
| Fort Worth, TXTexas | $43.55 | — |
| Galveston, TXTexas | $43.71 | — |
| Houston, TXTexas | $44.44 | — |
| Rest of TexasTexas | $42.29 | — |
| UtahUtah | $41.99 | — |
| VirginiaVirginia | $43.14 | — |
| Virgin Islands, VIUnited States Virgin Islands | $44.43 | — |
| VermontVermont | $43.10 | — |
| Rest of WashingtonWashington | $45.63 | — |
| King County, WAWashington | $51.78 | — |
| WisconsinWisconsin | $41.79 | — |
| West VirginiaWest Virginia | $40.38 | — |
| WyomingWyoming | $43.74 | — |
76000 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$38.83
$52.91
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $50.63 | 1 |
| AL | $39.42 | 1 |
| AR | $38.83 | 1 |
| AZ | $42.88 | 1 |
| CA | $46.78–$59.04 | 29 |
| CO | $46.01 | 1 |
| CT | $47.09 | 1 |
| DC | $50.61 | 1 |
| DE | $43.61 | 1 |
| FL | $43.32–$47.47 | 3 |
| GA | $40.81–$44.91 | 2 |
| GU | $48.01 | 1 |
| HI | $48.01 | 1 |
| IA | $40.50 | 1 |
| ID | $40.77 | 1 |
| IL | $41.99–$46.07 | 4 |
| IN | $41.01 | 1 |
| KS | $40.28 | 1 |
| KY | $40.34 | 1 |
| LA | $40.27–$42.34 | 2 |
| MA | $45.71–$50.70 | 2 |
| MD | $44.47–$50.61 | 3 |
| ME | $40.97–$43.30 | 2 |
| MI | $41.41–$43.86 | 2 |
| MN | $44.10 | 1 |
| MO | $39.54–$42.52 | 3 |
| MS | $39.19 | 1 |
| MT | $44.09 | 1 |
| NC | $41.41 | 1 |
| ND | $43.30 | 1 |
| NE | $40.74 | 1 |
| NH | $45.26 | 1 |
| NJ | $47.63–$50.05 | 2 |
| NM | $41.64 | 1 |
| NV | $43.90 | 1 |
| NY | $42.06–$52.06 | 5 |
| OH | $41.25 | 1 |
| OK | $40.29 | 1 |
| OR | $43.56–$47.54 | 2 |
| PA | $41.33–$45.87 | 2 |
| PR | $44.43 | 1 |
| RI | $45.22 | 1 |
| SC | $41.40 | 1 |
| SD | $43.20 | 1 |
| TN | $40.49 | 1 |
| TX | $41.05–$45.86 | 8 |
| UT | $41.99 | 1 |
| VA | $43.14–$50.61 | 2 |
| VI | $44.43 | 1 |
| VT | $43.10 | 1 |
| WA | $45.63–$51.78 | 2 |
| WI | $41.79 | 1 |
| WV | $40.38 | 1 |
| WY | $43.74 | 1 |
How the 76000 rate is calculated
Each of 76000’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 76000
RVUs × geographic indexes × conversion factor
Work0.30
0.30 RVUs× 1.000 GPCI
Practice expense0.98
0.98 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
1.3200
Conversion factor
$33.4009
Medicare rate
$44.09
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Hawaii, Guam, HI inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,639
- Code
- 76000
- Physician work
- 0.30
- Practice expense
- 0.98
- Malpractice
- 0.04
GPCI2026.csv
46
- Locality
- Hawaii, Guam, HI
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.30 | × 1.000 | 0.3000 |
| Practice expense | 0.98 | × 1.137 | 1.1143 |
| Malpractice | 0.04 | × 0.579 | 0.0232 |
| Total RVUs | 1.4374 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Hawaii, Guam, HI$48.01
Office: (0.3 × 1 + 0.98 × 1.137 + 0.04 × 0.579) × $33.4009 = $48.01
Payment rules and modifiers for 76000
The CMS indicators that decide how 76000 is paid alongside other services.
CMS payment indicators · 76000
Fluoroscopy, under one hour
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
76000 without 26 · national office
$44.09
Fluoroscopy, under one hour
76000-26 · Professional component
$15.36
Pays only the interpretation and report.
How 76000 has changed in Hawaii, Guam, HI
76000 · Office / nonfacility
$48.01
Effective 2026-10-01
The base rate is $2.27 higher than on 2025-10-01, moving from $45.74 to $48.01 (5.0%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$45.74changed to$48.01
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.95 changed to 0.98
- Practice expense GPCI 1.149 changed to 1.137
- Malpractice GPCI 0.561 changed to 0.579
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$46.69changed to$45.74
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.94 changed to 0.95
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$45.92changed to$46.69
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$48.14changed to$45.92
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.95 changed to 0.94
- Malpractice RVU 0.05 changed to 0.04
- Work GPCI 1.003 changed to 1.000
- Practice expense GPCI 1.146 changed to 1.149
- Malpractice GPCI 0.618 changed to 0.561
January 1, 2023
RVU23A
$48.44changed to$48.14
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.93 changed to 0.95
- Work GPCI 1.010 changed to 1.003
- Practice expense GPCI 1.143 changed to 1.146
- Malpractice GPCI 0.675 changed to 0.618
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$47.64changed to$48.44
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.90 changed to 0.93
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$46.50changed to$47.64
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.84 changed to 0.90
- Malpractice RVU 0.04 changed to 0.05
- Work GPCI 1.006 changed to 1.010
- Practice expense GPCI 1.144 changed to 1.143
- Malpractice GPCI 0.644 changed to 0.675
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$52.60changed to$46.50
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.99 changed to 0.84
- Work GPCI 1.001 changed to 1.006
- Practice expense GPCI 1.146 changed to 1.144
- Malpractice GPCI 0.614 changed to 0.644
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$54.23changed to$52.60
- Conversion factor 35.9996 changed to 36.0391
- Work RVU 0.17 changed to 0.30
- Practice expense RVU 1.15 changed to 0.99
- Malpractice RVU 0.03 changed to 0.04
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$53.99changed to$54.23
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.14 changed to 1.15
- Work GPCI 1.002 changed to 1.001
- Practice expense GPCI 1.154 changed to 1.146
- Malpractice GPCI 0.616 changed to 0.614
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$53.78changed to$53.99
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.13 changed to 1.14
- Work GPCI 1.003 changed to 1.002
- Practice expense GPCI 1.162 changed to 1.154
- Malpractice GPCI 0.618 changed to 0.616
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$53.56changed to$53.78
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.12 changed to 1.13
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$53.29changed to$53.56
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$58.01changed to$53.29
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.24 changed to 1.12
- Malpractice RVU 0.02 changed to 0.03
- Work GPCI 1.002 changed to 1.003
- Practice expense GPCI 1.158 changed to 1.162
- Malpractice GPCI 0.659 changed to 0.618
Held through RVU15B.
January 1, 2014
RVU14A
$60.05changed to$58.01
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.37 changed to 1.24
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 1.154 changed to 1.158
- Malpractice GPCI 0.700 changed to 0.659
Held through RVU14B, RVU14C, RVU14D.
October 1, 2013
RVU13D
No ratechanged to$60.05
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $48.01 | Not available in this setting | RVU26D |
| 2026-07-01 | $48.01 | Not available in this setting | RVU26C |
| 2026-04-01 | $48.01 | Not available in this setting | RVU26B |
| 2026-01-01 | $48.01 | Not available in this setting | RVU26A |
| 2025-10-01 | $45.74 | Not available in this setting | RVU25D |
| 2025-07-01 | $45.74 | Not available in this setting | RVU25C |
| 2025-04-01 | $45.74 | Not available in this setting | RVU25B |
| 2025-01-01 | $45.74 | Not available in this setting | RVU25A |
| 2024-10-01 | $46.69 | Not available in this setting | RVU24D |
| 2024-07-01 | $46.69 | Not available in this setting | RVU24C |
| 2024-04-01 | $46.69 | Not available in this setting | RVU24B |
| 2024-03-09 | $46.69 | Not available in this setting | RVU24AR |
| 2024-01-01 | $45.92 | Not available in this setting | RVU24A |
| 2023-10-01 | $48.14 | Not available in this setting | RVU23D |
| 2023-07-01 | $48.14 | Not available in this setting | RVU23C |
| 2023-04-01 | $48.14 | Not available in this setting | RVU23B |
| 2023-01-01 | $48.14 | Not available in this setting | RVU23A |
| 2022-10-01 | $48.44 | Not available in this setting | RVU22D |
| 2022-07-01 | $48.44 | Not available in this setting | RVU22C |
| 2022-04-01 | $48.44 | Not available in this setting | RVU22B |
| 2022-01-01 | $48.44 | Not available in this setting | RVU22A |
| 2021-10-01 | $47.64 | Not available in this setting | RVU21D |
| 2021-07-01 | $47.64 | Not available in this setting | RVU21C |
| 2021-04-01 | $47.64 | Not available in this setting | RVU21B |
| 2021-01-01 | $47.64 | Not available in this setting | RVU21A |
| 2020-10-01 | $46.50 | Not available in this setting | RVU20D |
| 2020-07-01 | $46.50 | Not available in this setting | RVU20C |
| 2020-04-01 | $46.50 | Not available in this setting | RVU20B |
| 2020-01-01 | $46.50 | Not available in this setting | RVU20A |
| 2019-10-01 | $52.60 | Not available in this setting | RVU19D |
| 2019-07-01 | $52.60 | Not available in this setting | RVU19C |
| 2019-04-01 | $52.60 | Not available in this setting | RVU19B |
| 2019-01-01 | $52.60 | Not available in this setting | RVU19A |
| 2018-10-01 | $54.23 | Not available in this setting | RVU18D |
| 2018-07-01 | $54.23 | Not available in this setting | RVU18C |
| 2018-04-01 | $54.23 | Not available in this setting | RVU18B |
| 2018-01-01 | $54.23 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $53.99 | Not available in this setting | RVU17D |
| 2017-07-01 | $53.99 | Not available in this setting | RVU17C |
| 2017-04-01 | $53.99 | Not available in this setting | RVU17B |
| 2017-01-01 | $53.99 | Not available in this setting | RVU17A |
| 2016-10-01 | $53.78 | Not available in this setting | RVU16D |
| 2016-07-01 | $53.78 | Not available in this setting | RVU16C |
| 2016-04-01 | $53.78 | Not available in this setting | RVU16B |
| 2016-01-01 | $53.78 | Not available in this setting | RVU16A |
| 2015-10-01 | $53.56 | Not available in this setting | RVU15D |
| 2015-07-01 | $53.56 | Not available in this setting | RVU15C |
| 2015-04-01 | $53.29 | Not available in this setting | RVU15B |
| 2015-01-01 | $53.29 | Not available in this setting | RVU15A |
| 2014-10-01 | $58.01 | Not available in this setting | RVU14D |
| 2014-07-01 | $58.01 | Not available in this setting | RVU14C |
| 2014-04-01 | $58.01 | Not available in this setting | RVU14B |
| 2014-01-01 | $58.01 | Not available in this setting | RVU14A |
| 2013-10-01 | $60.05 | Not available in this setting | RVU13D |
| 2013-07-01 | Rate data unavailable | Not available in this setting | RVU13C |
| 2013-04-01 | Rate data unavailable | Not available in this setting | RVU13B |
| 2013-01-01 | Rate data unavailable | Not available in this setting | RVU13AR |
Where the Hawaii, Guam, HI rate applies
Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.
- Ahuimanu
- Aiea
- Ainaloa
- Anahola
- Black Sands
- Captain Cook
- Discovery Harbour
- East Honolulu
76000 billing questions
When should 76000 be used instead of a procedure-specific fluoroscopy guidance code?
Use 76000 for the general fluoroscopic service when it is separately reportable. If the imaging is guidance for a specific service, compare it with the code for that guidance, such as needle placement or spinal injection guidance.
What do modifiers 26 and TC represent for 76000?
Modifier 26 reports the professional interpretation, while modifier TC reports the technical service, including equipment and staff. Reporting without either modifier represents the global service.
What documentation supports reporting 76000?
Document the clinical reason for fluoroscopy, the physician or qualified health care professional’s findings and interpretation, and the time supporting the under-one-hour service.
Can 76000 be reported when fluoroscopy is used during another procedure?
The presence of fluoroscopy during another procedure alone does not establish a separate reportable service. Determine whether the imaging is integral to that procedure or is separately reportable under the applicable coding rules.
Does 76000 include both the interpretation and the equipment service?
Without a component modifier, the claim represents the global service. Modifier 26 identifies the professional component, and modifier TC identifies the technical component.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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