CPT code 76770: Retroperitoneal ultrasound, complete exam2026 Medicare rate & RVUs in Minnesota

Complete retroperitoneal ultrasound surveys specified vessels and kidneys, or both kidneys and bladder for urinary indications, when required structures are evaluated and documented.

CMS RVU26DEffective Oct 1, 2026One payment locality1.3M Medicare services in 2024

In Minnesota, Medicare pays $107.37 for 76770 in the office.

$107.37Office (non-facility)
Not available in this settingHospital or facility
+1.1%vs the national office rate ($106.21)

Check a contract rate as a % of Medicare · 76770 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 76770 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 76770 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 76770 covers

Real-time ultrasound with saved images surveys the kidneys, abdominal aorta, origins of the common iliac arteries, and inferior vena cava. For suspected urinary tract disease, examination of both kidneys and the urinary bladder can also constitute a complete study. Common indications include hematuria, flank pain, hydronephrosis, acute kidney injury, and chronic kidney disease. A sonographer typically acquires images in a hospital imaging department, freestanding center, or physician office; a radiologist or other qualified physician interprets them.

Choose 76770 when the report addresses every structure required for the applicable complete examination. If bowel gas or body habitus prevents visualization, document the attempt and reason; an intentionally focused exam is reported with 76775. Retain images and record findings, including abnormalities. CMS recognizes modifier TC for equipment and staff and modifier 26 for interpretation; a provider furnishing both components reports the global service without either modifier. When multiple eligible diagnostic imaging services are furnished to the same patient on the same day, CMS's diagnostic imaging multiple procedure reduction can affect both professional and technical components.

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 Minnesota compares for 76770

Across 109 of 109 payment localities, the office rate for 76770 runs from $94.05 in Arkansas to $143.66 in San Benito County, CA. Minnesota pays $107.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

76770 in Minnesota vs other payment areas
  1. Minnesota · this page$107.37
  2. Los Angeles, CA · California$121.37+$14.00
  3. Washington, DC area · District of Columbia$122.03+$14.66
  4. Miami, FL · Florida$112.07+$4.70
  5. Chicago, IL · Illinois$108.95+$1.58
  6. Manhattan, NY · New York$121.77+$14.40
  7. Alaska · Alaska$122.72+$15.35

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

Every other payment area

76770 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$95.43—
ArkansasArkansas$94.05—
ArizonaArizona$103.48—
Bakersfield, CACalifornia$113.75—
Chico, CACalifornia$113.58—
El Centro, CACalifornia$113.58—
Fresno, CACalifornia$113.58—
Hanford, CACalifornia$113.58—

76770 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.

$94.05

$128.62

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

View every state and territory as a table
76770 office rate range by state
State / territoryOffice rate rangeLocalities
AK$122.721
AL$95.431
AR$94.051
AZ$103.481
CA$113.58–$143.6629
CO$111.291
CT$113.241
DC$122.031
DE$105.201
FL$103.51–$112.073
GA$97.84–$107.912
GU$116.541
HI$116.541
IA$98.371
ID$98.901
IL$100.15–$109.854
IN$99.481
KS$97.661
KY$97.141
LA$96.89–$101.692
MA$110.53–$122.632
MD$107.28–$122.033
ME$99.14–$104.872
MI$99.43–$104.542
MN$107.371
MO$95.06–$102.353
MS$94.591
MT$106.211
NC$100.221
ND$105.221
NE$98.981
NH$109.311
NJ$114.74–$120.722
NM$99.871
NV$106.021
NY$101.69–$124.405
OH$99.231
OK$97.231
OR$105.40–$115.112
PA$99.52–$110.272
PR$107.081
RI$109.151
SC$99.851
SD$105.111
TN$98.121
TX$98.85–$110.748
UT$101.211
VA$104.36–$122.032
VI$107.081
VT$104.581
WA$110.39–$125.382
WI$101.681
WV$96.391
WY$105.781

See 76770 in every payment locality

How the 76770 rate is calculated

Each of 76770’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 · 76770

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.72

0.72 RVUs× 1.000 GPCI

Practice expense2.41

2.41 RVUs× 1.000 GPCI

Malpractice0.05

0.05 RVUs× 1.000 GPCI

Adjusted RVUs

3.1800

Conversion factor

$33.4009

Medicare rate

$106.21

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

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,751

Code
76770
Physician work
0.72
Practice expense
2.41
Malpractice
0.05

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Office calculation for 76770 in Minnesota
ComponentRVULocality factorAdjusted
Physician work0.72× 1.0000.7200
Practice expense2.41× 1.0292.4799
Malpractice0.05× 0.2960.0148
Total RVUs3.2147
Conversion factor× 33.4009

Office rate, Minnesota$107.37

Office: (0.72 × 1 + 2.41 × 1.029 + 0.05 × 0.296) × $33.4009 = $107.37

Open 76770 in the RVU calculator

Payment rules and modifiers for 76770

The CMS indicators that decide how 76770 is paid alongside other services.

CMS payment indicators · 76770

Retroperitoneal ultrasound, complete exam

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures4Diagnostic imaging reduction applies to the technical component (and professional component) of additional services.
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

76770 without 26 · national office

$106.21

Retroperitoneal ultrasound, complete exam

76770-26 · Professional component

$34.07

Pays only the interpretation and report.

When to use modifier 26

How 76770 has changed in Minnesota

76770 · Office / nonfacility

$107.37

Effective 2026-10-01

The base rate is $2.28 higher than on 2025-10-01, moving from $105.09 to $107.37 (2.2%).

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

    $105.09changed to$107.37

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.74 changed to 0.72
    • Practice expense RVU 2.43 changed to 2.41
    • Malpractice RVU 0.06 changed to 0.05
    • Practice expense GPCI 1.025 changed to 1.029
    • Malpractice GPCI 0.300 changed to 0.296

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $109.07changed to$105.09

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.46 changed to 2.43
    • Malpractice RVU 0.05 changed to 0.06

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $107.29changed to$109.07

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $111.27changed to$107.29

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.48 changed to 2.46
    • Practice expense GPCI 1.019 changed to 1.025
    • Malpractice GPCI 0.326 changed to 0.300
  5. January 1, 2023

    RVU23A

    $113.16changed to$111.27

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 1.013 changed to 1.019
    • Malpractice GPCI 0.353 changed to 0.326

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $115.16changed to$113.16

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.51 changed to 2.48

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $115.24changed to$115.16

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.41 changed to 2.51
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 1.012 changed to 1.013
    • Malpractice GPCI 0.357 changed to 0.353

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $114.40changed to$115.24

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.39 changed to 2.41
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 1.011 changed to 1.012
    • Malpractice GPCI 0.362 changed to 0.357

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $116.10changed to$114.40

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.44 changed to 2.39

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $115.77changed to$116.10

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.43 changed to 2.44
    • Practice expense GPCI 1.016 changed to 1.011
    • Malpractice GPCI 0.341 changed to 0.362

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $115.45changed to$115.77

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.42 changed to 2.43
    • Practice expense GPCI 1.020 changed to 1.016
    • Malpractice GPCI 0.319 changed to 0.341

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $115.38changed to$115.45

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.41 changed to 2.42
    • Malpractice RVU 0.04 changed to 0.05

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $114.81changed to$115.38

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $135.14changed to$114.81

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.97 changed to 2.41
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 1.016 changed to 1.020
    • Malpractice GPCI 0.301 changed to 0.319

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$135.14

    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$107.37Not available in this settingRVU26D
2026-07-01$107.37Not available in this settingRVU26C
2026-04-01$107.37Not available in this settingRVU26B
2026-01-01$107.37Not available in this settingRVU26A
2025-10-01$105.09Not available in this settingRVU25D
2025-07-01$105.09Not available in this settingRVU25C
2025-04-01$105.09Not available in this settingRVU25B
2025-01-01$105.09Not available in this settingRVU25A
2024-10-01$109.07Not available in this settingRVU24D
2024-07-01$109.07Not available in this settingRVU24C
2024-04-01$109.07Not available in this settingRVU24B
2024-03-09$109.07Not available in this settingRVU24AR
2024-01-01$107.29Not available in this settingRVU24A
2023-10-01$111.27Not available in this settingRVU23D
2023-07-01$111.27Not available in this settingRVU23C
2023-04-01$111.27Not available in this settingRVU23B
2023-01-01$111.27Not available in this settingRVU23A
2022-10-01$113.16Not available in this settingRVU22D
2022-07-01$113.16Not available in this settingRVU22C
2022-04-01$113.16Not available in this settingRVU22B
2022-01-01$113.16Not available in this settingRVU22A
2021-10-01$115.16Not available in this settingRVU21D
2021-07-01$115.16Not available in this settingRVU21C
2021-04-01$115.16Not available in this settingRVU21B
2021-01-01$115.16Not available in this settingRVU21A
2020-10-01$115.24Not available in this settingRVU20D
2020-07-01$115.24Not available in this settingRVU20C
2020-04-01$115.24Not available in this settingRVU20B
2020-01-01$115.24Not available in this settingRVU20A
2019-10-01$114.40Not available in this settingRVU19D
2019-07-01$114.40Not available in this settingRVU19C
2019-04-01$114.40Not available in this settingRVU19B
2019-01-01$114.40Not available in this settingRVU19A
2018-10-01$116.10Not available in this settingRVU18D
2018-07-01$116.10Not available in this settingRVU18C
2018-04-01$116.10Not available in this settingRVU18B
2018-01-01$116.10Not available in this settingRVU18AR1
2017-10-01$115.77Not available in this settingRVU17D
2017-07-01$115.77Not available in this settingRVU17C
2017-04-01$115.77Not available in this settingRVU17B
2017-01-01$115.77Not available in this settingRVU17A
2016-10-01$115.45Not available in this settingRVU16D
2016-07-01$115.45Not available in this settingRVU16C
2016-04-01$115.45Not available in this settingRVU16B
2016-01-01$115.45Not available in this settingRVU16A
2015-10-01$115.38Not available in this settingRVU15D
2015-07-01$115.38Not available in this settingRVU15C
2015-04-01$114.81Not available in this settingRVU15B
2015-01-01$114.81Not available in this settingRVU15A
2014-10-01$135.14Not available in this settingRVU14D
2014-07-01$135.14Not available in this settingRVU14C
2014-04-01$135.14Not available in this settingRVU14B
2014-01-01$135.14Not 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 76770 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

76770 billing questions

When does a renal ultrasound qualify as complete instead of limited?

For suspected urinary tract disease, evaluation of both kidneys and the urinary bladder supports the complete study. A study intentionally limited to one kidney or a targeted recheck is reported with 76775.

Which modifier does a radiologist reading hospital studies use?

The radiologist reports modifier 26 for the interpretation; the hospital reports its technical service under facility billing rules. A practice furnishing both components reports the global service without either component modifier.

Can 76770 be billed with a complete abdominal ultrasound on the same day?

Code 76700 already includes the kidneys. Report both only when separate, medically necessary complete abdominal and retroperitoneal examinations are performed and documented with distinct images and findings; do not bill the same overlapping exam twice.

Is a bladder scan for post-void residual the same as including the bladder here?

No. A nonimaging bladder volume measurement is reported with 51798. The bladder portion of a complete renal exam consists of diagnostic images with documented findings.

What if a structure cannot be visualized because of bowel gas or body habitus?

Document the attempt and why the structure was not seen. An exam can still support the complete code when all required structures were addressed, rather than intentionally omitted.

How is a transplant kidney ultrasound reported?

Use 76776 for ultrasound examination of a transplanted kidney; that code includes duplex Doppler when performed.

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 76770PPRRVU2026_Oct_nonQPP.csv, line 8,751 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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