CPT code 76506: Cranial ultrasound, real-time brain imaging2026 Medicare rate & RVUs in Wyoming

Reports real-time ultrasound imaging of the brain, commonly through an infant's open fontanelle to assess ventricles and detect intracranial abnormalities.

CMS RVU26DEffective Oct 1, 2026One payment locality352 Medicare services in 2024

In Wyoming, Medicare pays $108.45 for 76506 in the office.

$108.45Office (non-facility)
Not available in this settingHospital or facility
−0.4%vs the national office rate ($108.89)

Check a contract rate as a % of Medicare · 76506 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 76506 for the payment locality that covers the ZIP.

On this page 10 sections
  1. Rate in Wyoming
  2. What 76506 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Rate history
  8. Where it applies
  9. Billing questions
  10. Sources

What 76506 covers

This examination uses real-time ultrasound to image intracranial structures, typically through an infant’s open fontanelle. It can help assess ventricular size and evaluate for findings such as hydrocephalus or intracranial hemorrhage. A sonographer may acquire the images, with a physician—often a radiologist—providing the interpretation. The service is commonly performed in hospital settings for newborns and young infants when cranial imaging is clinically indicated.

Report 76506 for the cranial ultrasound examination with image documentation, rather than an ultrasound of the head’s soft tissues or the eyes. The record should support the clinical reason for imaging and include the saved images and interpretation. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for the equipment and staff, or neither modifier for the global service. The code’s listed components are separately priced by CMS.

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 Wyoming compares for 76506

Across 109 of 109 payment localities, the office rate for 76506 runs from $95.83 in Arkansas to $148.74 in San Benito County, CA. Wyoming pays $108.45. The RVUs are the same everywhere; the geographic indexes change the dollars.

76506 in Wyoming vs other payment areas
  1. Wyoming · this page$108.45
  2. Los Angeles, CA · California$125.05+$16.60
  3. Washington, DC area · District of Columbia$125.63+$17.18
  4. Miami, FL · Florida$115.00+$6.55
  5. Chicago, IL · Illinois$111.63+$3.18
  6. Manhattan, NY · New York$125.24+$16.79
  7. Alaska · Alaska$123.97+$15.52

Other areas in Wyoming first, then benchmark localities. Bars start at $0.

Every other payment area

76506 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$97.31—
ArkansasArkansas$95.83—
ArizonaArizona$105.95—
Bakersfield, CACalifornia$116.96—
Chico, CACalifornia$116.80—
El Centro, CACalifornia$116.80—
Fresno, CACalifornia$116.80—
Hanford, CACalifornia$116.80—

76506 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.

$95.83

$132.77

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
76506 office rate range by state
State / territoryOffice rate rangeLocalities
AK$123.971
AL$97.311
AR$95.831
AZ$105.951
CA$116.80–$148.7429
CO$114.321
CT$116.331
DC$125.631
DE$107.781
FL$105.91–$115.003
GA$99.83–$110.672
GU$120.081
HI$120.081
IA$100.501
ID$101.061
IL$102.27–$112.664
IN$101.691
KS$99.721
KY$99.111
LA$98.83–$103.992
MA$113.48–$126.392
MD$110.00–$125.633
ME$101.31–$107.492
MI$101.55–$106.992
MN$110.231
MO$96.86–$104.723
MS$96.381
MT$108.881
NC$102.471
ND$107.891
NE$101.161
NH$112.241
NJ$117.85–$124.182
NM$102.011
NV$108.691
NY$104.05–$128.045
OH$101.351
OK$99.221
OR$108.04–$118.422
PA$101.67–$113.142
PR$109.821
RI$111.961
SC$102.041
SD$107.781
TN$100.211
TX$100.95–$113.778
UT$103.511
VA$106.92–$125.632
VI$109.821
VT$107.191
WA$113.36–$129.312
WI$104.081
WV$98.231
WY$108.451

See 76506 in every payment locality

How the 76506 rate is calculated

Each of 76506’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 · 76506

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.61

0.61 RVUs× 1.000 GPCI

Practice expense2.60

2.60 RVUs× 1.000 GPCI

Malpractice0.05

0.05 RVUs× 1.000 GPCI

Adjusted RVUs

3.2600

Conversion factor

$33.4009

Medicare rate

$108.89

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Wyoming inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,703

Code
76506
Physician work
0.61
Practice expense
2.60
Malpractice
0.05

GPCI2026.csv

112

Locality
Wyoming
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office calculation for 76506 in Wyoming
ComponentRVULocality factorAdjusted
Physician work0.61× 1.0000.6100
Practice expense2.60× 1.0002.6000
Malpractice0.05× 0.7400.0370
Total RVUs3.2470
Conversion factor× 33.4009

Office rate, Wyoming$108.45

Office: (0.61 × 1 + 2.6 × 1 + 0.05 × 0.74) × $33.4009 = $108.45

Open 76506 in the RVU calculator

Payment rules and modifiers for 76506

The CMS indicators that decide how 76506 is paid alongside other services.

CMS payment indicators · 76506

Cranial ultrasound, real-time brain imaging

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

76506 without 26 · national office

$108.89

Cranial ultrasound, real-time brain imaging

76506-26 · Professional component

$29.39

Pays only the interpretation and report.

When to use modifier 26

How 76506 has changed in Wyoming

76506 · Office / nonfacility

$108.45

Effective 2026-10-01

The base rate is $2.78 higher than on 2025-10-01, moving from $105.67 to $108.45 (2.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $105.67changed to$108.45

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.63 changed to 0.61
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $112.24changed to$105.67

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.69 changed to 2.60
    • Malpractice RVU 0.07 changed to 0.05

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $110.40changed to$112.24

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $115.20changed to$110.40

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.73 changed to 2.69
    • Malpractice RVU 0.05 changed to 0.07
    • Malpractice GPCI 0.790 changed to 0.739
  5. January 1, 2023

    RVU23A

    $119.75changed to$115.20

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.78 changed to 2.73
    • Malpractice RVU 0.06 changed to 0.05
    • Malpractice GPCI 0.841 changed to 0.790

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $119.70changed to$119.75

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.75 changed to 2.78

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $116.99changed to$119.70

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.56 changed to 2.75
    • Malpractice GPCI 0.860 changed to 0.841

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $117.23changed to$116.99

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.57 changed to 2.56
    • Malpractice GPCI 0.880 changed to 0.860

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $119.98changed to$117.23

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.65 changed to 2.57

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $120.69changed to$119.98

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.67 changed to 2.65
    • Malpractice GPCI 1.050 changed to 0.880

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $120.77changed to$120.69

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice GPCI 1.219 changed to 1.050

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $120.77changed to$120.77

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.05 changed to 0.06

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $120.17changed to$120.77

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $125.43changed to$120.17

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.81 changed to 2.67
    • Malpractice GPCI 1.226 changed to 1.219

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$125.43

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$108.45Not available in this settingRVU26D
2026-07-01$108.45Not available in this settingRVU26C
2026-04-01$108.45Not available in this settingRVU26B
2026-01-01$108.45Not available in this settingRVU26A
2025-10-01$105.67Not available in this settingRVU25D
2025-07-01$105.67Not available in this settingRVU25C
2025-04-01$105.67Not available in this settingRVU25B
2025-01-01$105.67Not available in this settingRVU25A
2024-10-01$112.24Not available in this settingRVU24D
2024-07-01$112.24Not available in this settingRVU24C
2024-04-01$112.24Not available in this settingRVU24B
2024-03-09$112.24Not available in this settingRVU24AR
2024-01-01$110.40Not available in this settingRVU24A
2023-10-01$115.20Not available in this settingRVU23D
2023-07-01$115.20Not available in this settingRVU23C
2023-04-01$115.20Not available in this settingRVU23B
2023-01-01$115.20Not available in this settingRVU23A
2022-10-01$119.75Not available in this settingRVU22D
2022-07-01$119.75Not available in this settingRVU22C
2022-04-01$119.75Not available in this settingRVU22B
2022-01-01$119.75Not available in this settingRVU22A
2021-10-01$119.70Not available in this settingRVU21D
2021-07-01$119.70Not available in this settingRVU21C
2021-04-01$119.70Not available in this settingRVU21B
2021-01-01$119.70Not available in this settingRVU21A
2020-10-01$116.99Not available in this settingRVU20D
2020-07-01$116.99Not available in this settingRVU20C
2020-04-01$116.99Not available in this settingRVU20B
2020-01-01$116.99Not available in this settingRVU20A
2019-10-01$117.23Not available in this settingRVU19D
2019-07-01$117.23Not available in this settingRVU19C
2019-04-01$117.23Not available in this settingRVU19B
2019-01-01$117.23Not available in this settingRVU19A
2018-10-01$119.98Not available in this settingRVU18D
2018-07-01$119.98Not available in this settingRVU18C
2018-04-01$119.98Not available in this settingRVU18B
2018-01-01$119.98Not available in this settingRVU18AR1
2017-10-01$120.69Not available in this settingRVU17D
2017-07-01$120.69Not available in this settingRVU17C
2017-04-01$120.69Not available in this settingRVU17B
2017-01-01$120.69Not available in this settingRVU17A
2016-10-01$120.77Not available in this settingRVU16D
2016-07-01$120.77Not available in this settingRVU16C
2016-04-01$120.77Not available in this settingRVU16B
2016-01-01$120.77Not available in this settingRVU16A
2015-10-01$120.77Not available in this settingRVU15D
2015-07-01$120.77Not available in this settingRVU15C
2015-04-01$120.17Not available in this settingRVU15B
2015-01-01$120.17Not available in this settingRVU15A
2014-10-01$125.43Not available in this settingRVU14D
2014-07-01$125.43Not available in this settingRVU14C
2014-04-01$125.43Not available in this settingRVU14B
2014-01-01$125.43Not available in this settingRVU14A
2013-10-01Additional calculation requiredNot available in this settingRVU13D
2013-07-01Additional calculation requiredNot available in this settingRVU13C
2013-04-01Additional calculation requiredNot available in this settingRVU13B
2013-01-01Additional calculation requiredNot available in this settingRVU13AR

Price 76506 for an earlier date of service

Where the Wyoming rate applies

Wyoming is a Medicare payment area, not a city. Our Census mapping connects it to 205 cities and communities in Wyoming. Some span more than one payment area; confirm with the service ZIP.

  • Afton
  • Albany
  • Albin
  • Alcova
  • Alpine
  • Alpine Northeast
  • Alpine Northwest
  • Alta

Browse all communities in Wyoming

76506 billing questions

When should 76506 be used instead of 76536?

Use 76506 for real-time imaging of intracranial structures, commonly through an infant’s fontanelle. Code 76536 describes an ultrasound examination of head and neck soft tissues, not a cranial brain study.

What do modifiers 26 and TC represent?

Modifier 26 identifies the professional interpretation, while TC identifies the technical service, including equipment and staff. Report the global service without either modifier when billing both components together.

What documentation supports 76506?

Document the clinical reason for the cranial study, the examination performed, image documentation, and the interpretation. The record should make clear that the ultrasound evaluated intracranial structures.

Does 76506 describe an eye ultrasound?

No. It describes cranial imaging; eye echography codes such as 76516 address ocular structures.

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
RVUs for 76506PPRRVU2026_Oct_nonQPP.csv, line 8,703 (RVU26D)
Geographic factors for WyomingGPCI2026.csv, line 112 (RVU26D)

Open CMS sourceHow we calculate rates

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