CPT code 76536: Head and neck ultrasound, thyroid, parathyroid, salivary soft tissues2026 Medicare rate & RVUs in Hawaii, Guam, HI

Report diagnostic head and neck soft tissue ultrasound for thyroid nodules, salivary masses, parathyroid assessment, or cervical lymphadenopathy, with stored images and interpretation.

CMS RVU26DEffective Oct 1, 2026One payment locality991.7K Medicare services in 2024

In Hawaii, Guam, HI, Medicare pays $120.16 for 76536 in the office.

$120.16Office (non-facility)
Not available in this settingHospital or facility
+10.7%vs the national office rate ($108.55)

Check a contract rate as a % of Medicare · 76536 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 76536 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Hawaii, Guam, HI
  2. What 76536 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 76536 covers

This exam evaluates superficial soft tissue structures of the head and neck with real-time ultrasound and permanent image documentation. The most common use is thyroid imaging for palpable nodules, goiter, abnormal thyroid labs, or follow-up of known nodules. It also covers parathyroid localization before surgery, parotid and submandibular gland masses, neck lumps, and cervical lymph node assessment in head and neck or thyroid cancer surveillance. Sonographers in radiology departments and imaging centers usually acquire the images and radiologists interpret them, though endocrinologists and otolaryngologists may perform and read the study in the office.

Report one unit for a head and neck soft tissue examination, regardless of how many glands or nodes are examined. The report should identify the structures evaluated, describe findings such as nodule size, composition, and location, and reference stored images. CMS prices this diagnostic test by component: modifier 26 identifies the interpretation and report, modifier TC identifies the equipment, staff, and supplies, and billing without a modifier claims the global service when one entity provides both. Hospital-based radiologists typically bill with modifier 26 while the facility bills the technical portion.

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 76536

Across 109 of 109 payment localities, the office rate for 76536 runs from $95.38 in Arkansas to $149.22 in San Benito County, CA. Hawaii, Guam, HI pays $120.16. The RVUs are the same everywhere; the geographic indexes change the dollars.

76536 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$120.16
  2. Los Angeles, CA · California$125.12+$4.96
  3. Washington, DC area · District of Columbia$125.51+$5.35
  4. Miami, FL · Florida$114.24−$5.92
  5. Chicago, IL · Illinois$110.86−$9.30
  6. Manhattan, NY · New York$124.90+$4.74
  7. Alaska · Alaska$122.91+$2.75

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

Every other payment area

76536 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$96.87—
ArkansasArkansas$95.38—
ArizonaArizona$105.61—
Bakersfield, CACalifornia$116.91—
Chico, CACalifornia$116.77—
El Centro, CACalifornia$116.78—
Fresno, CACalifornia$116.77—
Hanford, CACalifornia$116.77—

76536 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.

$95.38

$133.00

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

View every state and territory as a table
76536 office rate range by state
State / territoryOffice rate rangeLocalities
AK$122.911
AL$96.871
AR$95.381
AZ$105.611
CA$116.77–$149.2229
CO$114.171
CT$116.041
DC$125.511
DE$107.441
FL$105.32–$114.243
GA$99.21–$110.302
GU$120.161
HI$120.161
IA$100.201
ID$100.741
IL$101.58–$112.114
IN$101.381
KS$99.361
KY$98.581
LA$98.28–$103.492
MA$113.28–$126.402
MD$109.69–$125.513
ME$100.94–$107.262
MI$101.00–$106.362
MN$110.191
MO$96.26–$104.293
MS$95.851
MT$108.551
NC$102.121
ND$107.761
NE$100.881
NH$112.031
NJ$117.59–$124.022
NM$101.451
NV$108.421
NY$103.71–$127.675
OH$100.831
OK$98.751
OR$107.80–$118.372
PA$101.19–$112.782
PR$109.511
RI$111.691
SC$101.601
SD$107.671
TN$99.851
TX$100.46–$113.598
UT$103.091
VA$106.65–$125.512
VI$109.511
VT$107.001
WA$113.18–$129.402
WI$103.901
WV$97.491
WY$108.211

See 76536 in every payment locality

How the 76536 rate is calculated

Each of 76536’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 · 76536

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.55

0.55 RVUs× 1.000 GPCI

Practice expense2.66

2.66 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

3.2500

Conversion factor

$33.4009

Medicare rate

$108.55

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

8,730

Code
76536
Physician work
0.55
Practice expense
2.66
Malpractice
0.04

GPCI2026.csv

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 76536 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work0.55× 1.0000.5500
Practice expense2.66× 1.1373.0244
Malpractice0.04× 0.5790.0232
Total RVUs3.5976
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$120.16

Office: (0.55 × 1 + 2.66 × 1.137 + 0.04 × 0.579) × $33.4009 = $120.16

Open 76536 in the RVU calculator

Payment rules and modifiers for 76536

The CMS indicators that decide how 76536 is paid alongside other services.

CMS payment indicators · 76536

Head and neck ultrasound, thyroid, parathyroid, salivary soft tissues

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

76536 without 26 · national office

$108.55

Head and neck ultrasound, thyroid, parathyroid, salivary soft tissues

76536-26 · Professional component

$26.39

Pays only the interpretation and report.

When to use modifier 26

How 76536 has changed in Hawaii, Guam, HI

76536 · Office / nonfacility

$120.16

Effective 2026-10-01

The base rate is $1.91 higher than on 2025-10-01, moving from $118.25 to $120.16 (1.6%).

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

    $118.25changed to$120.16

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.56 changed to 0.55
    • Practice expense RVU 2.67 changed to 2.66
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 1.149 changed to 1.137
    • Malpractice GPCI 0.561 changed to 0.579

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $123.04changed to$118.25

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.71 changed to 2.67
    • Malpractice RVU 0.04 changed to 0.05

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $121.03changed to$123.04

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $126.49changed to$121.03

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.74 changed to 2.71
    • 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
  5. January 1, 2023

    RVU23A

    $129.91changed to$126.49

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.76 changed to 2.74
    • 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.

  6. January 1, 2022

    RVU22A

    $132.98changed to$129.91

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.81 changed to 2.76

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $131.50changed to$132.98

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.67 changed to 2.81
    • 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.

  8. January 1, 2020

    RVU20A

    $130.53changed to$131.50

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.65 changed to 2.67
    • 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.

  9. January 1, 2019

    RVU19A

    $133.28changed to$130.53

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.72 changed to 2.65

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $133.26changed to$133.28

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.71 changed to 2.72
    • 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.

  11. January 1, 2017

    RVU17A

    $132.91changed to$133.26

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.69 changed to 2.71
    • 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.

  12. January 1, 2016

    RVU16A

    $133.17changed to$132.91

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.03 changed to 0.04

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $132.51changed to$133.17

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $139.27changed to$132.51

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.85 changed to 2.69
    • Malpractice RVU 0.04 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.

  15. January 1, 2014

    RVU14A

    $140.54changed to$139.27

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.07 changed to 2.85
    • 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.

  16. October 1, 2013

    RVU13D

    No ratechanged to$140.54

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$120.16Not available in this settingRVU26D
2026-07-01$120.16Not available in this settingRVU26C
2026-04-01$120.16Not available in this settingRVU26B
2026-01-01$120.16Not available in this settingRVU26A
2025-10-01$118.25Not available in this settingRVU25D
2025-07-01$118.25Not available in this settingRVU25C
2025-04-01$118.25Not available in this settingRVU25B
2025-01-01$118.25Not available in this settingRVU25A
2024-10-01$123.04Not available in this settingRVU24D
2024-07-01$123.04Not available in this settingRVU24C
2024-04-01$123.04Not available in this settingRVU24B
2024-03-09$123.04Not available in this settingRVU24AR
2024-01-01$121.03Not available in this settingRVU24A
2023-10-01$126.49Not available in this settingRVU23D
2023-07-01$126.49Not available in this settingRVU23C
2023-04-01$126.49Not available in this settingRVU23B
2023-01-01$126.49Not available in this settingRVU23A
2022-10-01$129.91Not available in this settingRVU22D
2022-07-01$129.91Not available in this settingRVU22C
2022-04-01$129.91Not available in this settingRVU22B
2022-01-01$129.91Not available in this settingRVU22A
2021-10-01$132.98Not available in this settingRVU21D
2021-07-01$132.98Not available in this settingRVU21C
2021-04-01$132.98Not available in this settingRVU21B
2021-01-01$132.98Not available in this settingRVU21A
2020-10-01$131.50Not available in this settingRVU20D
2020-07-01$131.50Not available in this settingRVU20C
2020-04-01$131.50Not available in this settingRVU20B
2020-01-01$131.50Not available in this settingRVU20A
2019-10-01$130.53Not available in this settingRVU19D
2019-07-01$130.53Not available in this settingRVU19C
2019-04-01$130.53Not available in this settingRVU19B
2019-01-01$130.53Not available in this settingRVU19A
2018-10-01$133.28Not available in this settingRVU18D
2018-07-01$133.28Not available in this settingRVU18C
2018-04-01$133.28Not available in this settingRVU18B
2018-01-01$133.28Not available in this settingRVU18AR1
2017-10-01$133.26Not available in this settingRVU17D
2017-07-01$133.26Not available in this settingRVU17C
2017-04-01$133.26Not available in this settingRVU17B
2017-01-01$133.26Not available in this settingRVU17A
2016-10-01$132.91Not available in this settingRVU16D
2016-07-01$132.91Not available in this settingRVU16C
2016-04-01$132.91Not available in this settingRVU16B
2016-01-01$132.91Not available in this settingRVU16A
2015-10-01$133.17Not available in this settingRVU15D
2015-07-01$133.17Not available in this settingRVU15C
2015-04-01$132.51Not available in this settingRVU15B
2015-01-01$132.51Not available in this settingRVU15A
2014-10-01$139.27Not available in this settingRVU14D
2014-07-01$139.27Not available in this settingRVU14C
2014-04-01$139.27Not available in this settingRVU14B
2014-01-01$139.27Not available in this settingRVU14A
2013-10-01$140.54Not available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 76536 for an earlier date of service

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

Browse all communities in Hawaii

76536 billing questions

Should carotid artery ultrasound be billed with this code?

No. Carotid evaluation is a vascular duplex study reported with 93880 or 93882. This code is for nonvascular soft tissues like the thyroid, parathyroids, salivary glands, and lymph nodes.

Can this be billed with an ultrasound-guided thyroid fine needle aspiration?

Ultrasound guidance is included in 10005 and 10006, so this code should not be reported just for localizing the needle target. A separately documented diagnostic neck ultrasound with its own report may be reportable when medically necessary.

Which modifier does a radiologist reading a hospital outpatient study use?

The radiologist appends modifier 26 for the interpretation and report, and the hospital reports the technical portion on its facility claim. An office that provides both the imaging and interpretation bills the code without a modifier.

Is it reported per gland or per side?

Report one unit for the head and neck soft tissue examination, even when the thyroid, parathyroids, and cervical lymph nodes are all evaluated.

What documentation supports the claim?

A signed interpretation should describe the structures examined and findings, with images retained. Measurements and characterization of any nodules or nodes support follow-up studies.

Is infant head ultrasound through the fontanelle reported here?

No. Brain imaging through the fontanelle is reported with 76506. This code addresses superficial soft tissues of the head and neck, not intracranial contents.

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 76536PPRRVU2026_Oct_nonQPP.csv, line 8,730 (RVU26D)
Geographic factors for Hawaii, Guam, HIGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 76536 pays in Hawaii, Guam, HI?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 76536 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist