CPT code 76376: 3D rendering, without independent workstation2026 Medicare rate & RVUs in North Carolina
Report 3D rendering when a clinician reconstructs and interprets existing tomographic images without using an independent postprocessing workstation.
In North Carolina, Medicare pays $23.94 for 76376 in the office.
Check a contract rate as a % of Medicare · 76376 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 76376 covers
This service converts data from an existing CT, MR, ultrasound, or other tomographic examination into three-dimensional views for clinical interpretation. A radiologist or other qualified physician may use the reconstruction to assess anatomy that is difficult to understand on source images alone, such as a complex vascular course, fracture geometry, or organ relationships. The distinguishing feature is that the postprocessing does not require an independent workstation; rendering that does require one belongs to the related workstation code.
Report the service when the 3D reconstruction and its interpretation are documented, rather than for the acquisition of the underlying imaging study alone. The report should support the clinical purpose and findings of the rendered views. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff portion, 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 North Carolina compares for 76376
Across 109 of 109 payment localities, the office rate for 76376 runs from $22.52 in Arkansas to $33.78 in San Benito County, CA. North Carolina pays $23.94. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Carolina · this page$23.94
- Los Angeles, CA · California$28.73+$4.79
- Washington, DC area · District of Columbia$29.03+$5.09
- Miami, FL · Florida$27.15+$3.21
- Chicago, IL · Illinois$26.39+$2.45
- Manhattan, NY · New York$29.13+$5.19
- Alaska · Alaska$29.60+$5.66
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $22.84 | — |
| ArkansasArkansas | $22.52 | — |
| ArizonaArizona | $24.73 | — |
| Bakersfield, CACalifornia | $26.98 | — |
| Chico, CACalifornia | $26.92 | — |
| El Centro, CACalifornia | $26.92 | — |
| Fresno, CACalifornia | $26.92 | — |
| Hanford, CACalifornia | $26.92 | — |
| Madera, CACalifornia | $26.92 | — |
| Merced, CACalifornia | $26.92 | — |
| Modesto, CACalifornia | $26.92 | — |
| Napa, CACalifornia | $31.21 | — |
| Oxnard, CACalifornia | $28.60 | — |
| Redding, CACalifornia | $26.92 | — |
| Rest of CaliforniaCalifornia | $26.92 | — |
| Riverside, CACalifornia | $27.14 | — |
| Sacramento, CACalifornia | $28.26 | — |
| Salinas, CACalifornia | $28.15 | — |
| San Diego, CACalifornia | $28.81 | — |
| Marin County, CACalifornia | $33.05 | — |
| San Francisco, CACalifornia | $33.03 | — |
| San Benito County, CACalifornia | $33.78 | — |
| Santa Clara County, CACalifornia | $33.69 | — |
| San Luis Obispo, CACalifornia | $27.70 | — |
| Santa Cruz, CACalifornia | $29.09 | — |
| Santa Maria, CACalifornia | $28.26 | — |
| Santa Rosa, CACalifornia | $29.39 | — |
| Stockton, CACalifornia | $26.92 | — |
| Vallejo, CACalifornia | $31.18 | — |
| Visalia, CACalifornia | $26.92 | — |
| Yuba City, CACalifornia | $26.92 | — |
| ColoradoColorado | $26.47 | — |
| ConnecticutConnecticut | $27.05 | — |
| DelawareDelaware | $25.13 | — |
| Fort Lauderdale, FLFlorida | $26.16 | — |
| Rest of FloridaFlorida | $24.93 | — |
| Atlanta, GAGeorgia | $25.83 | — |
| Rest of GeorgiaGeorgia | $23.57 | — |
| Hawaii, Guam, HIHawaii | $27.57 | — |
| IowaIowa | $23.45 | — |
| IdahoIdaho | $23.59 | — |
| East St. Louis, ILIllinois | $24.62 | — |
| Rest of IllinoisIllinois | $24.19 | — |
| Suburban Chicago, ILIllinois | $26.43 | — |
| IndianaIndiana | $23.72 | — |
| KansasKansas | $23.32 | — |
| KentuckyKentucky | $23.33 | — |
| New Orleans, LALouisiana | $24.41 | — |
| Rest of LouisianaLouisiana | $23.28 | — |
| Metropolitan Boston, MAMassachusetts | $29.08 | — |
| Rest of MassachusettsMassachusetts | $26.31 | — |
| Baltimore area, MDMaryland | $26.97 | — |
| Rest of MarylandMaryland | $25.61 | — |
| Rest of MaineMaine | $23.69 | — |
| Southern Maine, MEMaine | $24.98 | — |
| Detroit, MIMichigan | $25.21 | — |
| Rest of MichiganMichigan | $23.90 | — |
| MinnesotaMinnesota | $25.44 | — |
| Metropolitan Kansas City, MOMissouri | $24.27 | — |
| Metropolitan St. Louis, MOMissouri | $24.52 | — |
| Rest of MissouriMissouri | $22.88 | — |
| MississippiMississippi | $22.70 | — |
| MontanaMontana | $25.38 | — |
| North DakotaNorth Dakota | $24.99 | — |
| NebraskaNebraska | $23.58 | — |
| New HampshireNew Hampshire | $26.04 | — |
| Northern New JerseyNew Jersey | $28.74 | — |
| Rest of New JerseyNew Jersey | $27.38 | — |
| New MexicoNew Mexico | $24.02 | — |
| NevadaNevada | $25.29 | — |
| NYC suburbs and Long Island, NYNew York | $29.79 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $27.54 | — |
| Queens, NYNew York | $29.39 | — |
| Rest of New YorkNew York | $24.28 | — |
| OhioOhio | $23.82 | — |
| OklahomaOklahoma | $23.31 | — |
| Portland, OROregon | $27.32 | — |
| Rest of OregonOregon | $25.11 | — |
| Metropolitan Philadelphia, PAPennsylvania | $26.37 | — |
| Rest of PennsylvaniaPennsylvania | $23.87 | — |
| Puerto RicoPuerto Rico | $25.57 | — |
| Rhode IslandRhode Island | $26.03 | — |
| South CarolinaSouth Carolina | $23.91 | — |
| South DakotaSouth Dakota | $24.94 | — |
| TennesseeTennessee | $23.43 | — |
| Austin, TXTexas | $26.37 | — |
| Beaumont, TXTexas | $23.71 | — |
| Brazoria, TXTexas | $25.13 | — |
| Dallas, TXTexas | $25.28 | — |
| Fort Worth, TXTexas | $25.11 | — |
| Galveston, TXTexas | $25.20 | — |
| Houston, TXTexas | $25.56 | — |
| Rest of TexasTexas | $24.40 | — |
| UtahUtah | $24.23 | — |
| VirginiaVirginia | $24.88 | — |
| Virgin Islands, VIUnited States Virgin Islands | $25.57 | — |
| VermontVermont | $24.87 | — |
| Rest of WashingtonWashington | $26.27 | — |
| King County, WAWashington | $29.69 | — |
| WisconsinWisconsin | $24.16 | — |
| West VirginiaWest Virginia | $23.31 | — |
| WyomingWyoming | $25.21 | — |
76376 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.
$22.52
$30.35
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 | $29.60 | 1 |
| AL | $22.84 | 1 |
| AR | $22.52 | 1 |
| AZ | $24.73 | 1 |
| CA | $26.92–$33.78 | 29 |
| CO | $26.47 | 1 |
| CT | $27.05 | 1 |
| DC | $29.03 | 1 |
| DE | $25.13 | 1 |
| FL | $24.93–$27.15 | 3 |
| GA | $23.57–$25.83 | 2 |
| GU | $27.57 | 1 |
| HI | $27.57 | 1 |
| IA | $23.45 | 1 |
| ID | $23.59 | 1 |
| IL | $24.19–$26.43 | 4 |
| IN | $23.72 | 1 |
| KS | $23.32 | 1 |
| KY | $23.33 | 1 |
| LA | $23.28–$24.41 | 2 |
| MA | $26.31–$29.08 | 2 |
| MD | $25.61–$29.03 | 3 |
| ME | $23.69–$24.98 | 2 |
| MI | $23.90–$25.21 | 2 |
| MN | $25.44 | 1 |
| MO | $22.88–$24.52 | 3 |
| MS | $22.70 | 1 |
| MT | $25.38 | 1 |
| NC | $23.94 | 1 |
| ND | $24.99 | 1 |
| NE | $23.58 | 1 |
| NH | $26.04 | 1 |
| NJ | $27.38–$28.74 | 2 |
| NM | $24.02 | 1 |
| NV | $25.29 | 1 |
| NY | $24.28–$29.79 | 5 |
| OH | $23.82 | 1 |
| OK | $23.31 | 1 |
| OR | $25.11–$27.32 | 2 |
| PA | $23.87–$26.37 | 2 |
| PR | $25.57 | 1 |
| RI | $26.03 | 1 |
| SC | $23.91 | 1 |
| SD | $24.94 | 1 |
| TN | $23.43 | 1 |
| TX | $23.71–$26.37 | 8 |
| UT | $24.23 | 1 |
| VA | $24.88–$29.03 | 2 |
| VI | $25.57 | 1 |
| VT | $24.87 | 1 |
| WA | $26.27–$29.69 | 2 |
| WI | $24.16 | 1 |
| WV | $23.31 | 1 |
| WY | $25.21 | 1 |
How the 76376 rate is calculated
Each of 76376’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 · 76376
RVUs × geographic indexes × conversion factor
Work0.20
0.20 RVUs× 1.000 GPCI
Practice expense0.54
0.54 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
0.7600
Conversion factor
$33.4009
Medicare rate
$25.38
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,676
- Code
- 76376
- Physician work
- 0.20
- Practice expense
- 0.54
- Malpractice
- 0.02
GPCI2026.csv
83
- Locality
- North Carolina
- Physician work
- 1.000
- Practice expense
- 0.933
- Malpractice
- 0.639
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.20 | × 1.000 | 0.2000 |
| Practice expense | 0.54 | × 0.933 | 0.5038 |
| Malpractice | 0.02 | × 0.639 | 0.0128 |
| Total RVUs | 0.7166 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Carolina$23.94
Office: (0.2 × 1 + 0.54 × 0.933 + 0.02 × 0.639) × $33.4009 = $23.94
Payment rules and modifiers for 76376
The CMS indicators that decide how 76376 is paid alongside other services.
CMS payment indicators · 76376
3D rendering, without independent workstation
| 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
76376 without 26 · national office
$25.38
3D rendering, without independent workstation
76376-26 · Professional component
$9.35
Pays only the interpretation and report.
How 76376 has changed in North Carolina
76376 · Office / nonfacility
$23.94
Effective 2026-10-01
The base rate is $0.57 higher than on 2025-10-01, moving from $23.37 to $23.94 (2.4%).
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
$23.37changed to$23.94
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.55 changed to 0.54
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.665 changed to 0.639
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$23.44changed to$23.37
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.53 changed to 0.55
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$23.05changed to$23.44
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$22.99changed to$23.05
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.50 changed to 0.53
- Practice expense GPCI 0.927 changed to 0.926
- Malpractice GPCI 0.742 changed to 0.665
January 1, 2023
RVU23A
$22.26changed to$22.99
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.46 changed to 0.50
- Practice expense GPCI 0.928 changed to 0.927
- Malpractice GPCI 0.819 changed to 0.742
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$21.80changed to$22.26
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.44 changed to 0.46
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$22.20changed to$21.80
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.43 changed to 0.44
- Practice expense GPCI 0.930 changed to 0.928
- Malpractice GPCI 0.757 changed to 0.819
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$22.14changed to$22.20
- Conversion factor 36.0391 changed to 36.0896
- Practice expense GPCI 0.931 changed to 0.930
- Malpractice GPCI 0.695 changed to 0.757
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$22.45changed to$22.14
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.44 changed to 0.43
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$22.40changed to$22.45
- Conversion factor 35.8887 changed to 35.9996
- Malpractice GPCI 0.732 changed to 0.695
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$22.03changed to$22.40
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.43 changed to 0.44
- Practice expense GPCI 0.930 changed to 0.931
- Malpractice GPCI 0.768 changed to 0.732
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$21.77changed to$22.03
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.42 changed to 0.43
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$21.67changed to$21.77
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$27.32changed to$21.67
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.59 changed to 0.42
- Practice expense GPCI 0.929 changed to 0.930
- Malpractice GPCI 0.732 changed to 0.768
Held through RVU15B.
January 1, 2014
RVU14A
$56.16changed to$27.32
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.55 changed to 0.59
- Practice expense GPCI 0.927 changed to 0.929
- Malpractice GPCI 0.695 changed to 0.732
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $56.16
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $23.94 | Not available in this setting | RVU26D |
| 2026-07-01 | $23.94 | Not available in this setting | RVU26C |
| 2026-04-01 | $23.94 | Not available in this setting | RVU26B |
| 2026-01-01 | $23.94 | Not available in this setting | RVU26A |
| 2025-10-01 | $23.37 | Not available in this setting | RVU25D |
| 2025-07-01 | $23.37 | Not available in this setting | RVU25C |
| 2025-04-01 | $23.37 | Not available in this setting | RVU25B |
| 2025-01-01 | $23.37 | Not available in this setting | RVU25A |
| 2024-10-01 | $23.44 | Not available in this setting | RVU24D |
| 2024-07-01 | $23.44 | Not available in this setting | RVU24C |
| 2024-04-01 | $23.44 | Not available in this setting | RVU24B |
| 2024-03-09 | $23.44 | Not available in this setting | RVU24AR |
| 2024-01-01 | $23.05 | Not available in this setting | RVU24A |
| 2023-10-01 | $22.99 | Not available in this setting | RVU23D |
| 2023-07-01 | $22.99 | Not available in this setting | RVU23C |
| 2023-04-01 | $22.99 | Not available in this setting | RVU23B |
| 2023-01-01 | $22.99 | Not available in this setting | RVU23A |
| 2022-10-01 | $22.26 | Not available in this setting | RVU22D |
| 2022-07-01 | $22.26 | Not available in this setting | RVU22C |
| 2022-04-01 | $22.26 | Not available in this setting | RVU22B |
| 2022-01-01 | $22.26 | Not available in this setting | RVU22A |
| 2021-10-01 | $21.80 | Not available in this setting | RVU21D |
| 2021-07-01 | $21.80 | Not available in this setting | RVU21C |
| 2021-04-01 | $21.80 | Not available in this setting | RVU21B |
| 2021-01-01 | $21.80 | Not available in this setting | RVU21A |
| 2020-10-01 | $22.20 | Not available in this setting | RVU20D |
| 2020-07-01 | $22.20 | Not available in this setting | RVU20C |
| 2020-04-01 | $22.20 | Not available in this setting | RVU20B |
| 2020-01-01 | $22.20 | Not available in this setting | RVU20A |
| 2019-10-01 | $22.14 | Not available in this setting | RVU19D |
| 2019-07-01 | $22.14 | Not available in this setting | RVU19C |
| 2019-04-01 | $22.14 | Not available in this setting | RVU19B |
| 2019-01-01 | $22.14 | Not available in this setting | RVU19A |
| 2018-10-01 | $22.45 | Not available in this setting | RVU18D |
| 2018-07-01 | $22.45 | Not available in this setting | RVU18C |
| 2018-04-01 | $22.45 | Not available in this setting | RVU18B |
| 2018-01-01 | $22.45 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $22.40 | Not available in this setting | RVU17D |
| 2017-07-01 | $22.40 | Not available in this setting | RVU17C |
| 2017-04-01 | $22.40 | Not available in this setting | RVU17B |
| 2017-01-01 | $22.40 | Not available in this setting | RVU17A |
| 2016-10-01 | $22.03 | Not available in this setting | RVU16D |
| 2016-07-01 | $22.03 | Not available in this setting | RVU16C |
| 2016-04-01 | $22.03 | Not available in this setting | RVU16B |
| 2016-01-01 | $22.03 | Not available in this setting | RVU16A |
| 2015-10-01 | $21.77 | Not available in this setting | RVU15D |
| 2015-07-01 | $21.77 | Not available in this setting | RVU15C |
| 2015-04-01 | $21.67 | Not available in this setting | RVU15B |
| 2015-01-01 | $21.67 | Not available in this setting | RVU15A |
| 2014-10-01 | $27.32 | Not available in this setting | RVU14D |
| 2014-07-01 | $27.32 | Not available in this setting | RVU14C |
| 2014-04-01 | $27.32 | Not available in this setting | RVU14B |
| 2014-01-01 | $27.32 | Not available in this setting | RVU14A |
| 2013-10-01 | $56.16 | Not available in this setting | RVU13D |
| 2013-07-01 | $56.16 | Not available in this setting | RVU13C |
| 2013-04-01 | $56.16 | Not available in this setting | RVU13B |
| 2013-01-01 | $56.16 | Not available in this setting | RVU13AR |
Where the North Carolina rate applies
North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Advance
- Ahoskie
- Alamance
- Albemarle
- Alexis
- Alliance
- Altamahaw
76376 billing questions
How is this code distinguished from 76377?
The key distinction is whether 3D postprocessing requires an independent workstation. Use 76376 when it does not; use 76377 when it does.
Can the underlying CT or MR examination also be reported?
The imaging examination represents acquisition and interpretation of the source study, while this code represents documented 3D rendering and interpretation. Document the rendering work separately from the source examination.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical equipment and staff portion. Without either modifier, the claim represents the global service.
What documentation supports reporting this service?
Document the source imaging data, the 3D reconstruction performed, its clinical purpose, and the interpretation and findings. The record should make clear that an independent postprocessing workstation was not required.
Is this code selected based on the number of images acquired?
No. The distinguishing selection criterion is the workstation requirement for 3D postprocessing, not the number of source images.
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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