CPT code 76098: Specimen X-ray, surgical specimen2026 Medicare rate & RVUs in Idaho
Radiographic imaging of an excised surgical specimen, commonly used during breast lesion removal to confirm the target or localization marker is present.
In Idaho, Medicare pays $39.99 for 76098 in the office.
Check a contract rate as a % of Medicare · 76098 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 76098 covers
Code 76098 covers radiographic imaging of tissue or another specimen removed during surgery. A common example is breast specimen radiography after excision of a mammographic or ultrasound target: the image helps the surgeon confirm that the lesion, calcifications, or localization marker is in the removed tissue. Radiology staff typically obtain the image in or near the operating room, and a radiologist interprets it.
Report the service for imaging and interpretation of the excised specimen, not for imaging the patient’s breast or microscopic examination of the tissue. Documentation should identify the specimen and link the image and interpretation to the operative target. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and billing without either modifier represents the global service.
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 Idaho compares for 76098
Across 109 of 109 payment localities, the office rate for 76098 runs from $38.08 in Arkansas to $57.90 in San Benito County, CA. Idaho pays $39.99. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Idaho · this page$39.99
- Los Angeles, CA · California$49.03+$9.04
- Washington, DC area · District of Columbia$49.45+$9.46
- Miami, FL · Florida$45.93+$5.94
- Chicago, IL · Illinois$44.62+$4.63
- Manhattan, NY · New York$49.51+$9.52
- Alaska · Alaska$49.73+$9.74
Other areas in Idaho first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $38.64 | — |
| ArkansasArkansas | $38.08 | — |
| ArizonaArizona | $41.95 | — |
| Bakersfield, CACalifornia | $45.96 | — |
| Chico, CACalifornia | $45.87 | — |
| El Centro, CACalifornia | $45.88 | — |
| Fresno, CACalifornia | $45.87 | — |
| Hanford, CACalifornia | $45.87 | — |
| Madera, CACalifornia | $45.87 | — |
| Merced, CACalifornia | $45.87 | — |
| Modesto, CACalifornia | $45.87 | — |
| Napa, CACalifornia | $53.42 | — |
| Oxnard, CACalifornia | $48.83 | — |
| Redding, CACalifornia | $45.87 | — |
| Rest of CaliforniaCalifornia | $45.87 | — |
| Riverside, CACalifornia | $46.20 | — |
| Sacramento, CACalifornia | $48.21 | — |
| Salinas, CACalifornia | $48.03 | — |
| San Diego, CACalifornia | $49.21 | — |
| Marin County, CACalifornia | $56.64 | — |
| San Francisco, CACalifornia | $56.61 | — |
| San Benito County, CACalifornia | $57.90 | — |
| Santa Clara County, CACalifornia | $57.76 | — |
| San Luis Obispo, CACalifornia | $47.25 | — |
| Santa Cruz, CACalifornia | $49.73 | — |
| Santa Maria, CACalifornia | $48.23 | — |
| Santa Rosa, CACalifornia | $50.23 | — |
| Stockton, CACalifornia | $45.87 | — |
| Vallejo, CACalifornia | $53.37 | — |
| Visalia, CACalifornia | $45.87 | — |
| Yuba City, CACalifornia | $45.87 | — |
| ColoradoColorado | $45.04 | — |
| ConnecticutConnecticut | $45.97 | — |
| DelawareDelaware | $42.65 | — |
| Fort Lauderdale, FLFlorida | $44.31 | — |
| Rest of FloridaFlorida | $42.18 | — |
| Atlanta, GAGeorgia | $43.83 | — |
| Rest of GeorgiaGeorgia | $39.82 | — |
| Hawaii, Guam, HIHawaii | $47.06 | — |
| IowaIowa | $39.76 | — |
| East St. Louis, ILIllinois | $41.54 | — |
| Rest of IllinoisIllinois | $40.86 | — |
| Suburban Chicago, ILIllinois | $44.80 | — |
| IndianaIndiana | $40.23 | — |
| KansasKansas | $39.51 | — |
| KentuckyKentucky | $39.44 | — |
| New Orleans, LALouisiana | $41.33 | — |
| Rest of LouisianaLouisiana | $39.36 | — |
| Metropolitan Boston, MAMassachusetts | $49.61 | — |
| Rest of MassachusettsMassachusetts | $44.74 | — |
| Baltimore area, MDMaryland | $45.83 | — |
| Rest of MarylandMaryland | $43.49 | — |
| Rest of MaineMaine | $40.14 | — |
| Southern Maine, MEMaine | $42.43 | — |
| Detroit, MIMichigan | $42.65 | — |
| Rest of MichiganMichigan | $40.43 | — |
| MinnesotaMinnesota | $43.31 | — |
| Metropolitan Kansas City, MOMissouri | $41.11 | — |
| Metropolitan St. Louis, MOMissouri | $41.55 | — |
| Rest of MissouriMissouri | $38.64 | — |
| MississippiMississippi | $38.37 | — |
| MontanaMontana | $43.09 | — |
| North CarolinaNorth Carolina | $40.58 | — |
| North DakotaNorth Dakota | $42.49 | — |
| NebraskaNebraska | $39.99 | — |
| New HampshireNew Hampshire | $44.28 | — |
| Northern New JerseyNew Jersey | $48.92 | — |
| Rest of New JerseyNew Jersey | $46.54 | — |
| New MexicoNew Mexico | $40.63 | — |
| NevadaNevada | $42.95 | — |
| NYC suburbs and Long Island, NYNew York | $50.65 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $46.79 | — |
| Queens, NYNew York | $50.01 | — |
| Rest of New YorkNew York | $41.19 | — |
| OhioOhio | $40.31 | — |
| OklahomaOklahoma | $39.43 | — |
| Portland, OROregon | $46.55 | — |
| Rest of OregonOregon | $42.66 | — |
| Metropolitan Philadelphia, PAPennsylvania | $44.78 | — |
| Rest of PennsylvaniaPennsylvania | $40.40 | — |
| Puerto RicoPuerto Rico | $43.42 | — |
| Rhode IslandRhode Island | $44.23 | — |
| South CarolinaSouth Carolina | $40.50 | — |
| South DakotaSouth Dakota | $42.42 | — |
| TennesseeTennessee | $39.71 | — |
| Austin, TXTexas | $44.85 | — |
| Beaumont, TXTexas | $40.13 | — |
| Brazoria, TXTexas | $42.66 | — |
| Dallas, TXTexas | $42.91 | — |
| Fort Worth, TXTexas | $42.60 | — |
| Galveston, TXTexas | $42.77 | — |
| Houston, TXTexas | $43.32 | — |
| Rest of TexasTexas | $41.35 | — |
| UtahUtah | $41.06 | — |
| VirginiaVirginia | $42.25 | — |
| Virgin Islands, VIUnited States Virgin Islands | $43.42 | — |
| VermontVermont | $42.27 | — |
| Rest of WashingtonWashington | $44.68 | — |
| King County, WAWashington | $50.68 | — |
| WisconsinWisconsin | $41.05 | — |
| West VirginiaWest Virginia | $39.32 | — |
| WyomingWyoming | $42.83 | — |
76098 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.
$38.08
$51.89
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 | $49.73 | 1 |
| AL | $38.64 | 1 |
| AR | $38.08 | 1 |
| AZ | $41.95 | 1 |
| CA | $45.87–$57.90 | 29 |
| CO | $45.04 | 1 |
| CT | $45.97 | 1 |
| DC | $49.45 | 1 |
| DE | $42.65 | 1 |
| FL | $42.18–$45.93 | 3 |
| GA | $39.82–$43.83 | 2 |
| GU | $47.06 | 1 |
| HI | $47.06 | 1 |
| IA | $39.76 | 1 |
| ID | $39.99 | 1 |
| IL | $40.86–$44.80 | 4 |
| IN | $40.23 | 1 |
| KS | $39.51 | 1 |
| KY | $39.44 | 1 |
| LA | $39.36–$41.33 | 2 |
| MA | $44.74–$49.61 | 2 |
| MD | $43.49–$49.45 | 3 |
| ME | $40.14–$42.43 | 2 |
| MI | $40.43–$42.65 | 2 |
| MN | $43.31 | 1 |
| MO | $38.64–$41.55 | 3 |
| MS | $38.37 | 1 |
| MT | $43.09 | 1 |
| NC | $40.58 | 1 |
| ND | $42.49 | 1 |
| NE | $39.99 | 1 |
| NH | $44.28 | 1 |
| NJ | $46.54–$48.92 | 2 |
| NM | $40.63 | 1 |
| NV | $42.95 | 1 |
| NY | $41.19–$50.65 | 5 |
| OH | $40.31 | 1 |
| OK | $39.43 | 1 |
| OR | $42.66–$46.55 | 2 |
| PA | $40.40–$44.78 | 2 |
| PR | $43.42 | 1 |
| RI | $44.23 | 1 |
| SC | $40.50 | 1 |
| SD | $42.42 | 1 |
| TN | $39.71 | 1 |
| TX | $40.13–$44.85 | 8 |
| UT | $41.06 | 1 |
| VA | $42.25–$49.45 | 2 |
| VI | $43.42 | 1 |
| VT | $42.27 | 1 |
| WA | $44.68–$50.68 | 2 |
| WI | $41.05 | 1 |
| WV | $39.32 | 1 |
| WY | $42.83 | 1 |
How the 76098 rate is calculated
Each of 76098’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 · 76098
RVUs × geographic indexes × conversion factor
Work0.30
0.30 RVUs× 1.000 GPCI
Practice expense0.96
0.96 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
1.2900
Conversion factor
$33.4009
Medicare rate
$43.09
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Idaho inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,662
- Code
- 76098
- Physician work
- 0.30
- Practice expense
- 0.96
- Malpractice
- 0.03
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.30 | × 1.000 | 0.3000 |
| Practice expense | 0.96 | × 0.920 | 0.8832 |
| Malpractice | 0.03 | × 0.473 | 0.0142 |
| Total RVUs | 1.1974 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Idaho$39.99
Office: (0.3 × 1 + 0.96 × 0.92 + 0.03 × 0.473) × $33.4009 = $39.99
Payment rules and modifiers for 76098
The CMS indicators that decide how 76098 is paid alongside other services.
CMS payment indicators · 76098
Specimen X-ray, surgical specimen
| 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
76098 without 26 · national office
$43.09
Specimen X-ray, surgical specimen
76098-26 · Professional component
$14.70
Pays only the interpretation and report.
How 76098 has changed in Idaho
76098 · Office / nonfacility
$39.99
Effective 2026-10-01
The base rate is $1.61 higher than on 2025-10-01, moving from $38.38 to $39.99 (4.2%).
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
$38.38changed to$39.99
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.31 changed to 0.30
- Practice expense RVU 0.95 changed to 0.96
- Practice expense GPCI 0.908 changed to 0.920
- Malpractice GPCI 0.461 changed to 0.473
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$39.19changed to$38.38
- 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
$38.55changed to$39.19
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$38.79changed to$38.55
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.92 changed to 0.94
- Practice expense GPCI 0.893 changed to 0.908
- Malpractice GPCI 0.439 changed to 0.461
January 1, 2023
RVU23A
$37.56changed to$38.79
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.87 changed to 0.92
- Practice expense GPCI 0.877 changed to 0.893
- Malpractice GPCI 0.416 changed to 0.439
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$38.49changed to$37.56
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.89 changed to 0.87
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$39.63changed to$38.49
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.87 changed to 0.89
- Practice expense GPCI 0.890 changed to 0.877
- Malpractice GPCI 0.464 changed to 0.416
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$15.56changed to$39.63
- Conversion factor 36.0391 changed to 36.0896
- Work RVU 0.16 changed to 0.31
- Practice expense RVU 0.29 changed to 0.87
- Malpractice RVU 0.02 changed to 0.03
- Practice expense GPCI 0.902 changed to 0.890
- Malpractice GPCI 0.512 changed to 0.464
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$15.87changed to$15.56
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.30 changed to 0.29
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$15.48changed to$15.87
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.29 changed to 0.30
- Practice expense GPCI 0.900 changed to 0.902
- Malpractice GPCI 0.510 changed to 0.512
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$15.42changed to$15.48
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.898 changed to 0.900
- Malpractice GPCI 0.508 changed to 0.510
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$15.15changed to$15.42
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.28 changed to 0.29
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$15.07changed to$15.15
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$17.68changed to$15.07
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.36 changed to 0.28
- Practice expense GPCI 0.896 changed to 0.898
- Malpractice GPCI 0.556 changed to 0.508
Held through RVU15B.
January 1, 2014
RVU14A
$17.41changed to$17.68
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.38 changed to 0.36
- Practice expense GPCI 0.894 changed to 0.896
- Malpractice GPCI 0.603 changed to 0.556
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $17.41
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $39.99 | Not available in this setting | RVU26D |
| 2026-07-01 | $39.99 | Not available in this setting | RVU26C |
| 2026-04-01 | $39.99 | Not available in this setting | RVU26B |
| 2026-01-01 | $39.99 | Not available in this setting | RVU26A |
| 2025-10-01 | $38.38 | Not available in this setting | RVU25D |
| 2025-07-01 | $38.38 | Not available in this setting | RVU25C |
| 2025-04-01 | $38.38 | Not available in this setting | RVU25B |
| 2025-01-01 | $38.38 | Not available in this setting | RVU25A |
| 2024-10-01 | $39.19 | Not available in this setting | RVU24D |
| 2024-07-01 | $39.19 | Not available in this setting | RVU24C |
| 2024-04-01 | $39.19 | Not available in this setting | RVU24B |
| 2024-03-09 | $39.19 | Not available in this setting | RVU24AR |
| 2024-01-01 | $38.55 | Not available in this setting | RVU24A |
| 2023-10-01 | $38.79 | Not available in this setting | RVU23D |
| 2023-07-01 | $38.79 | Not available in this setting | RVU23C |
| 2023-04-01 | $38.79 | Not available in this setting | RVU23B |
| 2023-01-01 | $38.79 | Not available in this setting | RVU23A |
| 2022-10-01 | $37.56 | Not available in this setting | RVU22D |
| 2022-07-01 | $37.56 | Not available in this setting | RVU22C |
| 2022-04-01 | $37.56 | Not available in this setting | RVU22B |
| 2022-01-01 | $37.56 | Not available in this setting | RVU22A |
| 2021-10-01 | $38.49 | Not available in this setting | RVU21D |
| 2021-07-01 | $38.49 | Not available in this setting | RVU21C |
| 2021-04-01 | $38.49 | Not available in this setting | RVU21B |
| 2021-01-01 | $38.49 | Not available in this setting | RVU21A |
| 2020-10-01 | $39.63 | Not available in this setting | RVU20D |
| 2020-07-01 | $39.63 | Not available in this setting | RVU20C |
| 2020-04-01 | $39.63 | Not available in this setting | RVU20B |
| 2020-01-01 | $39.63 | Not available in this setting | RVU20A |
| 2019-10-01 | $15.56 | Not available in this setting | RVU19D |
| 2019-07-01 | $15.56 | Not available in this setting | RVU19C |
| 2019-04-01 | $15.56 | Not available in this setting | RVU19B |
| 2019-01-01 | $15.56 | Not available in this setting | RVU19A |
| 2018-10-01 | $15.87 | Not available in this setting | RVU18D |
| 2018-07-01 | $15.87 | Not available in this setting | RVU18C |
| 2018-04-01 | $15.87 | Not available in this setting | RVU18B |
| 2018-01-01 | $15.87 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $15.48 | Not available in this setting | RVU17D |
| 2017-07-01 | $15.48 | Not available in this setting | RVU17C |
| 2017-04-01 | $15.48 | Not available in this setting | RVU17B |
| 2017-01-01 | $15.48 | Not available in this setting | RVU17A |
| 2016-10-01 | $15.42 | Not available in this setting | RVU16D |
| 2016-07-01 | $15.42 | Not available in this setting | RVU16C |
| 2016-04-01 | $15.42 | Not available in this setting | RVU16B |
| 2016-01-01 | $15.42 | Not available in this setting | RVU16A |
| 2015-10-01 | $15.15 | Not available in this setting | RVU15D |
| 2015-07-01 | $15.15 | Not available in this setting | RVU15C |
| 2015-04-01 | $15.07 | Not available in this setting | RVU15B |
| 2015-01-01 | $15.07 | Not available in this setting | RVU15A |
| 2014-10-01 | $17.68 | Not available in this setting | RVU14D |
| 2014-07-01 | $17.68 | Not available in this setting | RVU14C |
| 2014-04-01 | $17.68 | Not available in this setting | RVU14B |
| 2014-01-01 | $17.68 | Not available in this setting | RVU14A |
| 2013-10-01 | $17.41 | Not available in this setting | RVU13D |
| 2013-07-01 | $17.41 | Not available in this setting | RVU13C |
| 2013-04-01 | $17.41 | Not available in this setting | RVU13B |
| 2013-01-01 | $17.41 | Not available in this setting | RVU13AR |
Where the Idaho rate applies
Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Acequia
- Albion
- American Falls
- Ammon
- Arbon Valley
- Arco
- Arimo
76098 billing questions
How is 76098 different from diagnostic breast imaging?
76098 images tissue after it has been removed during surgery. Diagnostic breast imaging, such as 77065, images the patient’s breast.
Can the radiograph and pathology examination both be reported?
Yes. The radiograph documents the specimen’s imaging findings, while pathology evaluates the tissue microscopically; they are distinct services.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Billing without either modifier represents the global service.
What documentation supports reporting 76098?
The record should identify the removed specimen and include the specimen image and its interpretation, connecting the imaging findings to the surgical target.
Is 76098 the same as an X-ray taken during surgery?
No. 76098 is for imaging a removed surgical specimen. Fluoroscopy, such as 76000, images the patient during a procedure.
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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