CPT code 76642: Breast ultrasound, limited, unilateral2026 Medicare rate & RVUs in Nevada

In Nevada, Medicare pays $83.28 for 76642 in the office.

Check a contract rate as a % of Medicare · 76642 nationwide

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

What 76642 covers

A limited breast ultrasound evaluates one breast with real-time scanning focused on a defined region rather than the entire breast. Typical indications include a palpable lump, focal pain, nipple discharge, a mass or asymmetry seen on diagnostic mammography, or short-interval follow-up of a known probably benign lesion. The axilla is included when it is scanned. A sonographer or radiologist performs the exam in an imaging center, hospital outpatient department, or breast surgeon's office, and a radiologist or breast surgeon interprets it with permanent images and a written report.

Choose this code when the exam does not cover all four quadrants plus the retroareolar region; full surveys go to the complete code. The report should state the side, the targeted area or clock-face location, findings, and an impression. The code is unilateral, so scanning both breasts is reported with modifier 50, which CMS pays at 150%. It splits into a professional component (modifier 26) for the interpretation and a technical component (modifier TC) for equipment and staff; reporting without either modifier bills the global service, used when one entity both performs and reads the study.

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 Nevada compares for 76642

Across 109 of 109 payment localities, the office rate for 76642 runs from $74.26 in Arkansas to $111.58 in San Benito County, CA. Nevada pays $83.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

76642 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 76642 in every payment locality

How the 76642 rate is calculated

Each of 76642’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.

Payment rules and modifiers for 76642

The CMS indicators that decide how 76642 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 76642

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 76642 has changed in Nevada

Price 76642 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

• Alamo
• Amargosa Valley
• Austin
• Baker
• Battle Mountain
• Beatty
• Beaverdam
• Bennett Springs

Browse all communities in Nevada

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

Open CMS sourceHow we calculate rates