CPT code 76770: Retroperitoneal ultrasound, complete exam2026 Medicare rate & RVUs in Rhode Island
Complete retroperitoneal ultrasound surveys specified vessels and kidneys, or both kidneys and bladder for urinary indications, when required structures are evaluated and documented.
In Rhode Island, Medicare pays $109.15 for 76770 in the office.
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.
On this page 11 sections
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 Rhode Island 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. Rhode Island pays $109.15. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Rhode Island · this page$109.15
- Los Angeles, CA · California$121.37+$12.22
- Washington, DC area · District of Columbia$122.03+$12.88
- Miami, FL · Florida$112.07+$2.92
- Chicago, IL · Illinois$108.95−$0.20
- Manhattan, NY · New York$121.77+$12.62
- Alaska · Alaska$122.72+$13.57
Other areas in Rhode Island first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Madera, CACalifornia | $113.58 | — |
| Merced, CACalifornia | $113.58 | — |
| Modesto, CACalifornia | $113.58 | — |
| Napa, CACalifornia | $132.51 | — |
| Oxnard, CACalifornia | $120.91 | — |
| Redding, CACalifornia | $113.58 | — |
| Rest of CaliforniaCalifornia | $113.58 | — |
| Riverside, CACalifornia | $114.13 | — |
| Sacramento, CACalifornia | $119.43 | — |
| Salinas, CACalifornia | $118.98 | — |
| San Diego, CACalifornia | $121.95 | — |
| Marin County, CACalifornia | $140.60 | — |
| San Francisco, CACalifornia | $140.54 | — |
| San Benito County, CACalifornia | $143.66 | — |
| Santa Clara County, CACalifornia | $143.43 | — |
| San Luis Obispo, CACalifornia | $117.04 | — |
| Santa Cruz, CACalifornia | $123.25 | — |
| Santa Maria, CACalifornia | $119.48 | — |
| Santa Rosa, CACalifornia | $124.51 | — |
| Stockton, CACalifornia | $113.58 | — |
| Vallejo, CACalifornia | $132.42 | — |
| Visalia, CACalifornia | $113.58 | — |
| Yuba City, CACalifornia | $113.58 | — |
| ColoradoColorado | $111.29 | — |
| ConnecticutConnecticut | $113.24 | — |
| DelawareDelaware | $105.20 | — |
| Fort Lauderdale, FLFlorida | $108.61 | — |
| Rest of FloridaFlorida | $103.51 | — |
| Atlanta, GAGeorgia | $107.91 | — |
| Rest of GeorgiaGeorgia | $97.84 | — |
| Hawaii, Guam, HIHawaii | $116.54 | — |
| IowaIowa | $98.37 | — |
| IdahoIdaho | $98.90 | — |
| East St. Louis, ILIllinois | $101.47 | — |
| Rest of IllinoisIllinois | $100.15 | — |
| Suburban Chicago, ILIllinois | $109.85 | — |
| IndianaIndiana | $99.48 | — |
| KansasKansas | $97.66 | — |
| KentuckyKentucky | $97.14 | — |
| New Orleans, LALouisiana | $101.69 | — |
| Rest of LouisianaLouisiana | $96.89 | — |
| Metropolitan Boston, MAMassachusetts | $122.63 | — |
| Rest of MassachusettsMassachusetts | $110.53 | — |
| Baltimore area, MDMaryland | $112.87 | — |
| Rest of MarylandMaryland | $107.28 | — |
| Rest of MaineMaine | $99.14 | — |
| Southern Maine, MEMaine | $104.87 | — |
| Detroit, MIMichigan | $104.54 | — |
| Rest of MichiganMichigan | $99.43 | — |
| MinnesotaMinnesota | $107.37 | — |
| Metropolitan Kansas City, MOMissouri | $101.27 | — |
| Metropolitan St. Louis, MOMissouri | $102.35 | — |
| Rest of MissouriMissouri | $95.06 | — |
| MississippiMississippi | $94.59 | — |
| MontanaMontana | $106.21 | — |
| North CarolinaNorth Carolina | $100.22 | — |
| North DakotaNorth Dakota | $105.22 | — |
| NebraskaNebraska | $98.98 | — |
| New HampshireNew Hampshire | $109.31 | — |
| Northern New JerseyNew Jersey | $120.72 | — |
| Rest of New JerseyNew Jersey | $114.74 | — |
| New MexicoNew Mexico | $99.87 | — |
| NevadaNevada | $106.02 | — |
| NYC suburbs and Long Island, NYNew York | $124.40 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $115.29 | — |
| Queens, NYNew York | $123.14 | — |
| Rest of New YorkNew York | $101.69 | — |
| OhioOhio | $99.23 | — |
| OklahomaOklahoma | $97.23 | — |
| Portland, OROregon | $115.11 | — |
| Rest of OregonOregon | $105.40 | — |
| Metropolitan Philadelphia, PAPennsylvania | $110.27 | — |
| Rest of PennsylvaniaPennsylvania | $99.52 | — |
| Puerto RicoPuerto Rico | $107.08 | — |
| South CarolinaSouth Carolina | $99.85 | — |
| South DakotaSouth Dakota | $105.11 | — |
| TennesseeTennessee | $98.12 | — |
| Austin, TXTexas | $110.74 | — |
| Beaumont, TXTexas | $98.85 | — |
| Brazoria, TXTexas | $105.32 | — |
| Dallas, TXTexas | $105.87 | — |
| Fort Worth, TXTexas | $105.09 | — |
| Galveston, TXTexas | $105.56 | — |
| Houston, TXTexas | $106.47 | — |
| Rest of TexasTexas | $101.95 | — |
| UtahUtah | $101.21 | — |
| VirginiaVirginia | $104.36 | — |
| Virgin Islands, VIUnited States Virgin Islands | $107.08 | — |
| VermontVermont | $104.58 | — |
| Rest of WashingtonWashington | $110.39 | — |
| King County, WAWashington | $125.38 | — |
| WisconsinWisconsin | $101.68 | — |
| West VirginiaWest Virginia | $96.39 | — |
| WyomingWyoming | $105.78 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $122.72 | 1 |
| AL | $95.43 | 1 |
| AR | $94.05 | 1 |
| AZ | $103.48 | 1 |
| CA | $113.58–$143.66 | 29 |
| CO | $111.29 | 1 |
| CT | $113.24 | 1 |
| DC | $122.03 | 1 |
| DE | $105.20 | 1 |
| FL | $103.51–$112.07 | 3 |
| GA | $97.84–$107.91 | 2 |
| GU | $116.54 | 1 |
| HI | $116.54 | 1 |
| IA | $98.37 | 1 |
| ID | $98.90 | 1 |
| IL | $100.15–$109.85 | 4 |
| IN | $99.48 | 1 |
| KS | $97.66 | 1 |
| KY | $97.14 | 1 |
| LA | $96.89–$101.69 | 2 |
| MA | $110.53–$122.63 | 2 |
| MD | $107.28–$122.03 | 3 |
| ME | $99.14–$104.87 | 2 |
| MI | $99.43–$104.54 | 2 |
| MN | $107.37 | 1 |
| MO | $95.06–$102.35 | 3 |
| MS | $94.59 | 1 |
| MT | $106.21 | 1 |
| NC | $100.22 | 1 |
| ND | $105.22 | 1 |
| NE | $98.98 | 1 |
| NH | $109.31 | 1 |
| NJ | $114.74–$120.72 | 2 |
| NM | $99.87 | 1 |
| NV | $106.02 | 1 |
| NY | $101.69–$124.40 | 5 |
| OH | $99.23 | 1 |
| OK | $97.23 | 1 |
| OR | $105.40–$115.11 | 2 |
| PA | $99.52–$110.27 | 2 |
| PR | $107.08 | 1 |
| RI | $109.15 | 1 |
| SC | $99.85 | 1 |
| SD | $105.11 | 1 |
| TN | $98.12 | 1 |
| TX | $98.85–$110.74 | 8 |
| UT | $101.21 | 1 |
| VA | $104.36–$122.03 | 2 |
| VI | $107.08 | 1 |
| VT | $104.58 | 1 |
| WA | $110.39–$125.38 | 2 |
| WI | $101.68 | 1 |
| WV | $96.39 | 1 |
| WY | $105.78 | 1 |
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
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 Rhode Island 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
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.72 | × 1.019 | 0.7337 |
| Practice expense | 2.41 | × 1.033 | 2.4895 |
| Malpractice | 0.05 | × 0.892 | 0.0446 |
| Total RVUs | 3.2678 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Rhode Island$109.15
Office: (0.72 × 1.019 + 2.41 × 1.033 + 0.05 × 0.892) × $33.4009 = $109.15
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| 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
76770 without 26 · national office
$106.21
Retroperitoneal ultrasound, complete exam
76770-26 · Professional component
$34.07
Pays only the interpretation and report.
How 76770 has changed in Rhode Island
76770 · Office / nonfacility
$109.15
Effective 2026-10-01
The base rate is $1.30 higher than on 2025-10-01, moving from $107.85 to $109.15 (1.2%).
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
$107.85changed to$109.15
- 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
- Work GPCI 1.025 changed to 1.019
- Practice expense GPCI 1.039 changed to 1.033
- Malpractice GPCI 0.849 changed to 0.892
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$111.74changed to$107.85
- 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.
March 9, 2024
RVU24AR
$109.92changed to$111.74
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$114.94changed to$109.92
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.48 changed to 2.46
- Work GPCI 1.023 changed to 1.025
- Practice expense GPCI 1.044 changed to 1.039
- Malpractice GPCI 0.915 changed to 0.849
January 1, 2023
RVU23A
$117.79changed to$114.94
- Conversion factor 34.6062 changed to 33.8872
- Work GPCI 1.021 changed to 1.023
- Practice expense GPCI 1.048 changed to 1.044
- Malpractice GPCI 0.981 changed to 0.915
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$119.86changed to$117.79
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.51 changed to 2.48
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$120.01changed to$119.86
- 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
- Work GPCI 1.024 changed to 1.021
- Practice expense GPCI 1.049 changed to 1.048
- Malpractice GPCI 0.990 changed to 0.981
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$119.63changed to$120.01
- 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
- Work GPCI 1.027 changed to 1.024
- Practice expense GPCI 1.050 changed to 1.049
- Malpractice GPCI 0.999 changed to 0.990
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$121.39changed to$119.63
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.44 changed to 2.39
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$120.54changed to$121.39
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.43 changed to 2.44
- Work GPCI 1.025 changed to 1.027
- Practice expense GPCI 1.052 changed to 1.050
- Malpractice GPCI 0.879 changed to 0.999
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$119.68changed to$120.54
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 2.42 changed to 2.43
- Work GPCI 1.022 changed to 1.025
- Practice expense GPCI 1.053 changed to 1.052
- Malpractice GPCI 0.759 changed to 0.879
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$119.46changed to$119.68
- 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.
July 1, 2015
RVU15C
$118.86changed to$119.46
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$140.81changed to$118.86
- 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
- Work GPCI 1.020 changed to 1.022
- Malpractice GPCI 0.973 changed to 0.759
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$140.81
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $109.15 | Not available in this setting | RVU26D |
| 2026-07-01 | $109.15 | Not available in this setting | RVU26C |
| 2026-04-01 | $109.15 | Not available in this setting | RVU26B |
| 2026-01-01 | $109.15 | Not available in this setting | RVU26A |
| 2025-10-01 | $107.85 | Not available in this setting | RVU25D |
| 2025-07-01 | $107.85 | Not available in this setting | RVU25C |
| 2025-04-01 | $107.85 | Not available in this setting | RVU25B |
| 2025-01-01 | $107.85 | Not available in this setting | RVU25A |
| 2024-10-01 | $111.74 | Not available in this setting | RVU24D |
| 2024-07-01 | $111.74 | Not available in this setting | RVU24C |
| 2024-04-01 | $111.74 | Not available in this setting | RVU24B |
| 2024-03-09 | $111.74 | Not available in this setting | RVU24AR |
| 2024-01-01 | $109.92 | Not available in this setting | RVU24A |
| 2023-10-01 | $114.94 | Not available in this setting | RVU23D |
| 2023-07-01 | $114.94 | Not available in this setting | RVU23C |
| 2023-04-01 | $114.94 | Not available in this setting | RVU23B |
| 2023-01-01 | $114.94 | Not available in this setting | RVU23A |
| 2022-10-01 | $117.79 | Not available in this setting | RVU22D |
| 2022-07-01 | $117.79 | Not available in this setting | RVU22C |
| 2022-04-01 | $117.79 | Not available in this setting | RVU22B |
| 2022-01-01 | $117.79 | Not available in this setting | RVU22A |
| 2021-10-01 | $119.86 | Not available in this setting | RVU21D |
| 2021-07-01 | $119.86 | Not available in this setting | RVU21C |
| 2021-04-01 | $119.86 | Not available in this setting | RVU21B |
| 2021-01-01 | $119.86 | Not available in this setting | RVU21A |
| 2020-10-01 | $120.01 | Not available in this setting | RVU20D |
| 2020-07-01 | $120.01 | Not available in this setting | RVU20C |
| 2020-04-01 | $120.01 | Not available in this setting | RVU20B |
| 2020-01-01 | $120.01 | Not available in this setting | RVU20A |
| 2019-10-01 | $119.63 | Not available in this setting | RVU19D |
| 2019-07-01 | $119.63 | Not available in this setting | RVU19C |
| 2019-04-01 | $119.63 | Not available in this setting | RVU19B |
| 2019-01-01 | $119.63 | Not available in this setting | RVU19A |
| 2018-10-01 | $121.39 | Not available in this setting | RVU18D |
| 2018-07-01 | $121.39 | Not available in this setting | RVU18C |
| 2018-04-01 | $121.39 | Not available in this setting | RVU18B |
| 2018-01-01 | $121.39 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $120.54 | Not available in this setting | RVU17D |
| 2017-07-01 | $120.54 | Not available in this setting | RVU17C |
| 2017-04-01 | $120.54 | Not available in this setting | RVU17B |
| 2017-01-01 | $120.54 | Not available in this setting | RVU17A |
| 2016-10-01 | $119.68 | Not available in this setting | RVU16D |
| 2016-07-01 | $119.68 | Not available in this setting | RVU16C |
| 2016-04-01 | $119.68 | Not available in this setting | RVU16B |
| 2016-01-01 | $119.68 | Not available in this setting | RVU16A |
| 2015-10-01 | $119.46 | Not available in this setting | RVU15D |
| 2015-07-01 | $119.46 | Not available in this setting | RVU15C |
| 2015-04-01 | $118.86 | Not available in this setting | RVU15B |
| 2015-01-01 | $118.86 | Not available in this setting | RVU15A |
| 2014-10-01 | $140.81 | Not available in this setting | RVU14D |
| 2014-07-01 | $140.81 | Not available in this setting | RVU14C |
| 2014-04-01 | $140.81 | Not available in this setting | RVU14B |
| 2014-01-01 | $140.81 | Not available in this setting | RVU14A |
| 2013-10-01 | Additional calculation required | Not available in this setting | RVU13D |
| 2013-07-01 | Additional calculation required | Not available in this setting | RVU13C |
| 2013-04-01 | Additional calculation required | Not available in this setting | RVU13B |
| 2013-01-01 | Additional calculation required | Not available in this setting | RVU13AR |
Where the Rhode Island rate applies
Rhode Island is a Medicare payment area, not a city. Our Census mapping connects it to 36 cities and communities in Rhode Island. Some span more than one payment area; confirm with the service ZIP.
- Ashaway
- Bradford
- Carolina
- Central Falls
- Charlestown
- Chepachet
- Clayville
- Cranston
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
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