CPT code 76536: Head and neck ultrasound, thyroid, parathyroid, salivary soft tissues2026 Medicare rate & RVUs in Oklahoma
Report diagnostic head and neck soft tissue ultrasound for thyroid nodules, salivary masses, parathyroid assessment, or cervical lymphadenopathy, with stored images and interpretation.
In Oklahoma, Medicare pays $98.75 for 76536 in the office.
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.
On this page 11 sections
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 Oklahoma 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. Oklahoma pays $98.75. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Oklahoma · this page$98.75
- Los Angeles, CA · California$125.12+$26.37
- Washington, DC area · District of Columbia$125.51+$26.76
- Miami, FL · Florida$114.24+$15.49
- Chicago, IL · Illinois$110.86+$12.11
- Manhattan, NY · New York$124.90+$26.15
- Alaska · Alaska$122.91+$24.16
Other areas in Oklahoma first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Madera, CACalifornia | $116.77 | — |
| Merced, CACalifornia | $116.77 | — |
| Modesto, CACalifornia | $116.77 | — |
| Napa, CACalifornia | $137.31 | — |
| Oxnard, CACalifornia | $124.73 | — |
| Redding, CACalifornia | $116.77 | — |
| Rest of CaliforniaCalifornia | $116.77 | — |
| Riverside, CACalifornia | $117.22 | — |
| Sacramento, CACalifornia | $123.08 | — |
| Salinas, CACalifornia | $122.63 | — |
| San Diego, CACalifornia | $125.91 | — |
| Marin County, CACalifornia | $146.00 | — |
| San Francisco, CACalifornia | $145.96 | — |
| San Benito County, CACalifornia | $149.22 | — |
| Santa Clara County, CACalifornia | $149.04 | — |
| San Luis Obispo, CACalifornia | $120.59 | — |
| Santa Cruz, CACalifornia | $127.42 | — |
| Santa Maria, CACalifornia | $123.20 | — |
| Santa Rosa, CACalifornia | $128.74 | — |
| Stockton, CACalifornia | $116.77 | — |
| Vallejo, CACalifornia | $137.24 | — |
| Visalia, CACalifornia | $116.77 | — |
| Yuba City, CACalifornia | $116.77 | — |
| ColoradoColorado | $114.17 | — |
| ConnecticutConnecticut | $116.04 | — |
| DelawareDelaware | $107.44 | — |
| Fort Lauderdale, FLFlorida | $110.79 | — |
| Rest of FloridaFlorida | $105.32 | — |
| Atlanta, GAGeorgia | $110.30 | — |
| Rest of GeorgiaGeorgia | $99.21 | — |
| Hawaii, Guam, HIHawaii | $120.16 | — |
| IowaIowa | $100.20 | — |
| IdahoIdaho | $100.74 | — |
| East St. Louis, ILIllinois | $102.80 | — |
| Rest of IllinoisIllinois | $101.58 | — |
| Suburban Chicago, ILIllinois | $112.11 | — |
| IndianaIndiana | $101.38 | — |
| KansasKansas | $99.36 | — |
| KentuckyKentucky | $98.58 | — |
| New Orleans, LALouisiana | $103.49 | — |
| Rest of LouisianaLouisiana | $98.28 | — |
| Metropolitan Boston, MAMassachusetts | $126.40 | — |
| Rest of MassachusettsMassachusetts | $113.28 | — |
| Baltimore area, MDMaryland | $115.65 | — |
| Rest of MarylandMaryland | $109.69 | — |
| Rest of MaineMaine | $100.94 | — |
| Southern Maine, MEMaine | $107.26 | — |
| Detroit, MIMichigan | $106.36 | — |
| Rest of MichiganMichigan | $101.00 | — |
| MinnesotaMinnesota | $110.19 | — |
| Metropolitan Kansas City, MOMissouri | $103.10 | — |
| Metropolitan St. Louis, MOMissouri | $104.29 | — |
| Rest of MissouriMissouri | $96.26 | — |
| MississippiMississippi | $95.85 | — |
| MontanaMontana | $108.55 | — |
| North CarolinaNorth Carolina | $102.12 | — |
| North DakotaNorth Dakota | $107.76 | — |
| NebraskaNebraska | $100.88 | — |
| New HampshireNew Hampshire | $112.03 | — |
| Northern New JerseyNew Jersey | $124.02 | — |
| Rest of New JerseyNew Jersey | $117.59 | — |
| New MexicoNew Mexico | $101.45 | — |
| NevadaNevada | $108.42 | — |
| NYC suburbs and Long Island, NYNew York | $127.67 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $118.10 | — |
| Queens, NYNew York | $126.49 | — |
| Rest of New YorkNew York | $103.71 | — |
| OhioOhio | $100.83 | — |
| Portland, OROregon | $118.37 | — |
| Rest of OregonOregon | $107.80 | — |
| Metropolitan Philadelphia, PAPennsylvania | $112.78 | — |
| Rest of PennsylvaniaPennsylvania | $101.19 | — |
| Puerto RicoPuerto Rico | $109.51 | — |
| Rhode IslandRhode Island | $111.69 | — |
| South CarolinaSouth Carolina | $101.60 | — |
| South DakotaSouth Dakota | $107.67 | — |
| TennesseeTennessee | $99.85 | — |
| Austin, TXTexas | $113.59 | — |
| Beaumont, TXTexas | $100.46 | — |
| Brazoria, TXTexas | $107.61 | — |
| Dallas, TXTexas | $108.17 | — |
| Fort Worth, TXTexas | $107.30 | — |
| Galveston, TXTexas | $107.85 | — |
| Houston, TXTexas | $108.58 | — |
| Rest of TexasTexas | $103.89 | — |
| UtahUtah | $103.09 | — |
| VirginiaVirginia | $106.65 | — |
| Virgin Islands, VIUnited States Virgin Islands | $109.51 | — |
| VermontVermont | $107.00 | — |
| Rest of WashingtonWashington | $113.18 | — |
| King County, WAWashington | $129.40 | — |
| WisconsinWisconsin | $103.90 | — |
| West VirginiaWest Virginia | $97.49 | — |
| WyomingWyoming | $108.21 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $122.91 | 1 |
| AL | $96.87 | 1 |
| AR | $95.38 | 1 |
| AZ | $105.61 | 1 |
| CA | $116.77–$149.22 | 29 |
| CO | $114.17 | 1 |
| CT | $116.04 | 1 |
| DC | $125.51 | 1 |
| DE | $107.44 | 1 |
| FL | $105.32–$114.24 | 3 |
| GA | $99.21–$110.30 | 2 |
| GU | $120.16 | 1 |
| HI | $120.16 | 1 |
| IA | $100.20 | 1 |
| ID | $100.74 | 1 |
| IL | $101.58–$112.11 | 4 |
| IN | $101.38 | 1 |
| KS | $99.36 | 1 |
| KY | $98.58 | 1 |
| LA | $98.28–$103.49 | 2 |
| MA | $113.28–$126.40 | 2 |
| MD | $109.69–$125.51 | 3 |
| ME | $100.94–$107.26 | 2 |
| MI | $101.00–$106.36 | 2 |
| MN | $110.19 | 1 |
| MO | $96.26–$104.29 | 3 |
| MS | $95.85 | 1 |
| MT | $108.55 | 1 |
| NC | $102.12 | 1 |
| ND | $107.76 | 1 |
| NE | $100.88 | 1 |
| NH | $112.03 | 1 |
| NJ | $117.59–$124.02 | 2 |
| NM | $101.45 | 1 |
| NV | $108.42 | 1 |
| NY | $103.71–$127.67 | 5 |
| OH | $100.83 | 1 |
| OK | $98.75 | 1 |
| OR | $107.80–$118.37 | 2 |
| PA | $101.19–$112.78 | 2 |
| PR | $109.51 | 1 |
| RI | $111.69 | 1 |
| SC | $101.60 | 1 |
| SD | $107.67 | 1 |
| TN | $99.85 | 1 |
| TX | $100.46–$113.59 | 8 |
| UT | $103.09 | 1 |
| VA | $106.65–$125.51 | 2 |
| VI | $109.51 | 1 |
| VT | $107.00 | 1 |
| WA | $113.18–$129.40 | 2 |
| WI | $103.90 | 1 |
| WV | $97.49 | 1 |
| WY | $108.21 | 1 |
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
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 Oklahoma 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
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.55 | × 1.000 | 0.5500 |
| Practice expense | 2.66 | × 0.893 | 2.3754 |
| Malpractice | 0.04 | × 0.777 | 0.0311 |
| Total RVUs | 2.9565 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Oklahoma$98.75
Office: (0.55 × 1 + 2.66 × 0.893 + 0.04 × 0.777) × $33.4009 = $98.75
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
| 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
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.
How 76536 has changed in Oklahoma
76536 · Office / nonfacility
$98.75
Effective 2026-10-01
The base rate is $2.37 higher than on 2025-10-01, moving from $96.38 to $98.75 (2.5%).
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
$96.38changed to$98.75
- 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 0.891 changed to 0.893
- Malpractice GPCI 0.813 changed to 0.777
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$100.10changed to$96.38
- 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.
March 9, 2024
RVU24AR
$98.47changed to$100.10
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$102.59changed to$98.47
- 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
- Practice expense GPCI 0.886 changed to 0.891
- Malpractice GPCI 0.798 changed to 0.813
January 1, 2023
RVU23A
$104.88changed to$102.59
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.76 changed to 2.74
- Practice expense GPCI 0.881 changed to 0.886
- Malpractice GPCI 0.782 changed to 0.798
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$107.29changed to$104.88
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.81 changed to 2.76
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$106.84changed to$107.29
- 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
- Practice expense GPCI 0.886 changed to 0.881
- Malpractice GPCI 0.868 changed to 0.782
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$106.65changed to$106.84
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.65 changed to 2.67
- Practice expense GPCI 0.891 changed to 0.886
- Malpractice GPCI 0.954 changed to 0.868
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$108.78changed to$106.65
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.72 changed to 2.65
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$107.17changed to$108.78
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.71 changed to 2.72
- Practice expense GPCI 0.882 changed to 0.891
- Malpractice GPCI 0.900 changed to 0.954
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$105.25changed to$107.17
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 2.69 changed to 2.71
- Practice expense GPCI 0.872 changed to 0.882
- Malpractice GPCI 0.845 changed to 0.900
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$105.32changed to$105.25
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.03 changed to 0.04
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$104.80changed to$105.32
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$109.40changed to$104.80
- 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
- Practice expense GPCI 0.864 changed to 0.872
- Malpractice GPCI 0.790 changed to 0.845
Held through RVU15B.
January 1, 2014
RVU14A
$109.46changed to$109.40
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 3.07 changed to 2.85
- Practice expense GPCI 0.856 changed to 0.864
- Malpractice GPCI 0.734 changed to 0.790
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $109.46
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $98.75 | Not available in this setting | RVU26D |
| 2026-07-01 | $98.75 | Not available in this setting | RVU26C |
| 2026-04-01 | $98.75 | Not available in this setting | RVU26B |
| 2026-01-01 | $98.75 | Not available in this setting | RVU26A |
| 2025-10-01 | $96.38 | Not available in this setting | RVU25D |
| 2025-07-01 | $96.38 | Not available in this setting | RVU25C |
| 2025-04-01 | $96.38 | Not available in this setting | RVU25B |
| 2025-01-01 | $96.38 | Not available in this setting | RVU25A |
| 2024-10-01 | $100.10 | Not available in this setting | RVU24D |
| 2024-07-01 | $100.10 | Not available in this setting | RVU24C |
| 2024-04-01 | $100.10 | Not available in this setting | RVU24B |
| 2024-03-09 | $100.10 | Not available in this setting | RVU24AR |
| 2024-01-01 | $98.47 | Not available in this setting | RVU24A |
| 2023-10-01 | $102.59 | Not available in this setting | RVU23D |
| 2023-07-01 | $102.59 | Not available in this setting | RVU23C |
| 2023-04-01 | $102.59 | Not available in this setting | RVU23B |
| 2023-01-01 | $102.59 | Not available in this setting | RVU23A |
| 2022-10-01 | $104.88 | Not available in this setting | RVU22D |
| 2022-07-01 | $104.88 | Not available in this setting | RVU22C |
| 2022-04-01 | $104.88 | Not available in this setting | RVU22B |
| 2022-01-01 | $104.88 | Not available in this setting | RVU22A |
| 2021-10-01 | $107.29 | Not available in this setting | RVU21D |
| 2021-07-01 | $107.29 | Not available in this setting | RVU21C |
| 2021-04-01 | $107.29 | Not available in this setting | RVU21B |
| 2021-01-01 | $107.29 | Not available in this setting | RVU21A |
| 2020-10-01 | $106.84 | Not available in this setting | RVU20D |
| 2020-07-01 | $106.84 | Not available in this setting | RVU20C |
| 2020-04-01 | $106.84 | Not available in this setting | RVU20B |
| 2020-01-01 | $106.84 | Not available in this setting | RVU20A |
| 2019-10-01 | $106.65 | Not available in this setting | RVU19D |
| 2019-07-01 | $106.65 | Not available in this setting | RVU19C |
| 2019-04-01 | $106.65 | Not available in this setting | RVU19B |
| 2019-01-01 | $106.65 | Not available in this setting | RVU19A |
| 2018-10-01 | $108.78 | Not available in this setting | RVU18D |
| 2018-07-01 | $108.78 | Not available in this setting | RVU18C |
| 2018-04-01 | $108.78 | Not available in this setting | RVU18B |
| 2018-01-01 | $108.78 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $107.17 | Not available in this setting | RVU17D |
| 2017-07-01 | $107.17 | Not available in this setting | RVU17C |
| 2017-04-01 | $107.17 | Not available in this setting | RVU17B |
| 2017-01-01 | $107.17 | Not available in this setting | RVU17A |
| 2016-10-01 | $105.25 | Not available in this setting | RVU16D |
| 2016-07-01 | $105.25 | Not available in this setting | RVU16C |
| 2016-04-01 | $105.25 | Not available in this setting | RVU16B |
| 2016-01-01 | $105.25 | Not available in this setting | RVU16A |
| 2015-10-01 | $105.32 | Not available in this setting | RVU15D |
| 2015-07-01 | $105.32 | Not available in this setting | RVU15C |
| 2015-04-01 | $104.80 | Not available in this setting | RVU15B |
| 2015-01-01 | $104.80 | Not available in this setting | RVU15A |
| 2014-10-01 | $109.40 | Not available in this setting | RVU14D |
| 2014-07-01 | $109.40 | Not available in this setting | RVU14C |
| 2014-04-01 | $109.40 | Not available in this setting | RVU14B |
| 2014-01-01 | $109.40 | Not available in this setting | RVU14A |
| 2013-10-01 | $109.46 | Not available in this setting | RVU13D |
| 2013-07-01 | $109.46 | Not available in this setting | RVU13C |
| 2013-04-01 | $109.46 | Not available in this setting | RVU13B |
| 2013-01-01 | $109.46 | Not available in this setting | RVU13AR |
Where the Oklahoma rate applies
Oklahoma is a Medicare payment area, not a city. Our Census mapping connects it to 846 cities and communities in Oklahoma. Some span more than one payment area; confirm with the service ZIP.
- Lahoma
- Achille
- Ada
- Adair
- Adams
- Adamson
- Addington
- Afton
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
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