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CPT code 76801: Obstetric ultrasound, under 14 weeks, single fetus2026 Medicare rate & RVUs in Connecticut

Reports a complete ultrasound assessment of a single or first pregnancy before 14 weeks, including early fetal and pregnancy evaluation.

CMS RVU26DEffective Oct 1, 2026One payment locality4.7K Medicare services in 2024

In Connecticut, Medicare pays $124.32 for 76801 in the office.

$124.32Office (non-facility)
Not available in this settingHospital or facility
+6.3%vs the national office rate ($116.90)

Check a contract rate as a % of Medicare · 76801 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 76801 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 76801 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 76801 covers

This code describes a complete ultrasound assessment of a pregnancy before 14 weeks for a single fetus or the first fetus in a multiple gestation. It is commonly performed in an obstetric office, radiology department, or maternal-fetal medicine setting to assess early pregnancy, such as dating or viability concerns. The examination may document the gestational sac, embryo, cardiac activity, fetal measurements, and relevant maternal structures. An obstetrician, radiologist, or maternal-fetal medicine specialist may interpret the images.

Select this code for a complete early obstetric study, rather than a limited check or a focused follow-up examination. The report should support the gestational age, number of fetuses, images and findings assessed, and the clinical reason for the study. For additional fetuses, report the applicable additional-fetus code with the primary study. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and reporting without a modifier represents the global service.

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 Connecticut compares for 76801

Across 109 of 109 payment localities, the office rate for 76801 runs from $104.30 in Arkansas to $156.00 in San Benito County, CA. Connecticut pays $124.32. The RVUs are the same everywhere; the geographic indexes change the dollars.

76801 in Connecticut vs other payment areas
  1. Connecticut · this page$124.32
  2. Los Angeles, CA · California$132.66+$8.34
  3. Washington, DC area · District of Columbia$133.56+$9.24
  4. Miami, FL · Florida$123.35−$0.97
  5. Chicago, IL · Illinois$120.14−$4.18
  6. Manhattan, NY · New York$133.52+$9.20
  7. Alaska · Alaska$137.57+$13.25

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

Every other payment area

76801 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$105.72—
ArkansasArkansas$104.30—
ArizonaArizona$114.06—
Bakersfield, CACalifornia$124.66—
Chico, CACalifornia$124.44—
El Centro, CACalifornia$124.45—
Fresno, CACalifornia$124.44—
Hanford, CACalifornia$124.44—

76801 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$104.30

$140.22

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

View every state and territory as a table
76801 office rate range by state
State / territoryOffice rate rangeLocalities
AK$137.571
AL$105.721
AR$104.301
AZ$114.061
CA$124.44–$156.0029
CO$122.131
CT$124.321
DC$133.561
DE$115.871
FL$114.28–$123.353
GA$108.38–$118.722
GU$127.361
HI$127.361
IA$108.681
ID$109.251
IL$110.85–$120.904
IN$109.851
KS$107.991
KY$107.581
LA$107.33–$112.312
MA$121.39–$134.022
MD$118.05–$133.563
ME$109.55–$115.422
MI$109.98–$115.392
MN$117.881
MO$105.47–$112.953
MS$104.911
MT$116.901
NC$110.651
ND$115.711
NE$109.301
NH$120.041
NJ$125.98–$132.282
NM$110.461
NV$116.651
NY$112.18–$136.295
OH$109.741
OK$107.631
OR$115.98–$126.072
PA$110.03–$121.262
PR$117.781
RI$120.021
SC$110.331
SD$115.571
TN$108.471
TX$109.34–$121.528
UT$111.751
VA$114.91–$133.562
VI$117.781
VT$115.091
WA$121.22–$136.882
WI$112.051
WV$106.961
WY$116.381

See 76801 in every payment locality

How the 76801 rate is calculated

Each of 76801’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 · 76801

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.97

0.97 RVUs× 1.000 GPCI

Practice expense2.47

2.47 RVUs× 1.000 GPCI

Malpractice0.06

0.06 RVUs× 1.000 GPCI

Adjusted RVUs

3.5000

Conversion factor

$33.4009

Medicare rate

$116.90

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,763

Code
76801
Physician work
0.97
Practice expense
2.47
Malpractice
0.06

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 76801 in Connecticut
ComponentRVULocality factorAdjusted
Physician work0.97× 1.0200.9894
Practice expense2.47× 1.0772.6602
Malpractice0.06× 1.2100.0726
Total RVUs3.7222
Conversion factor× 33.4009

Office rate, Connecticut$124.32

Office: (0.97 × 1.02 + 2.47 × 1.077 + 0.06 × 1.21) × $33.4009 = $124.32

Open 76801 in the RVU calculator

Payment rules and modifiers for 76801

The CMS indicators that decide how 76801 is paid alongside other services.

CMS payment indicators · 76801

Obstetric ultrasound, under 14 weeks, single fetus

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

76801 without 26 · national office

$116.90

Obstetric ultrasound, under 14 weeks, single fetus

76801-26 · Professional component

$46.43

Pays only the interpretation and report.

When to use modifier 26

Codes related to 76801

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

Codes related to 76801
CodeHow it relatesOffice range, Connecticut
Add-on codes
76802Obstetric ultrasound, additional fetus under 14 weeksAdditional-fetus study reported with 76801 for a multiple gestation.$63.75
Same family
76805Obstetric ultrasound, single fetus, 14 weeks or laterComplete obstetric ultrasound for a single fetus at 14 weeks or later.$144.87
Used instead
76811Obstetric ultrasound, detailed single gestationDetailed fetal anatomic examination for a single fetus when that service is performed.$193.02
76815Obstetric ultrasound, limited assessmentLimited obstetric ultrasound when the examination is not a complete early study.$86.80
Often billed with
76813Nuchal translucency, single or first gestationNuchal measurement may be performed in the same first-trimester encounter.$122.59
76817OB ultrasound, transvaginal approachTransvaginal obstetric ultrasound may accompany an early pregnancy evaluation.$98.84

How 76801 has changed in Connecticut

76801 · Office / nonfacility

$124.32

Effective 2026-10-01

The base rate is $3.18 higher than on 2025-10-01, moving from $121.14 to $124.32 (2.6%).

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

    $121.14changed to$124.32

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.99 changed to 0.97
    • Practice expense RVU 2.45 changed to 2.47
    • Malpractice RVU 0.05 changed to 0.06
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $125.75changed to$121.14

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.48 changed to 2.45

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $123.70changed to$125.75

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $129.73changed to$123.70

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.50 changed to 2.48
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207

  5. January 1, 2023

    RVU23A

    $132.75changed to$129.73

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.48 changed to 2.50
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $135.41changed to$132.75

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.52 changed to 2.48

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $135.54changed to$135.41

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.40 changed to 2.52
    • Malpractice RVU 0.06 changed to 0.05
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $135.78changed to$135.54

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.07 changed to 0.06
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $138.03changed to$135.78

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.46 changed to 2.40

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $138.09changed to$138.03

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $136.92changed to$138.09

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.43 changed to 2.46
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $138.74changed to$136.92

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.10 changed to 0.07

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $138.05changed to$138.74

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $139.63changed to$138.05

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.54 changed to 2.43
    • Malpractice RVU 0.04 changed to 0.10
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $140.40changed to$139.63

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.76 changed to 2.54
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $140.40

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$124.32Not available in this settingRVU26D
2026-07-01$124.32Not available in this settingRVU26C
2026-04-01$124.32Not available in this settingRVU26B
2026-01-01$124.32Not available in this settingRVU26A
2025-10-01$121.14Not available in this settingRVU25D
2025-07-01$121.14Not available in this settingRVU25C
2025-04-01$121.14Not available in this settingRVU25B
2025-01-01$121.14Not available in this settingRVU25A
2024-10-01$125.75Not available in this settingRVU24D
2024-07-01$125.75Not available in this settingRVU24C
2024-04-01$125.75Not available in this settingRVU24B
2024-03-09$125.75Not available in this settingRVU24AR
2024-01-01$123.70Not available in this settingRVU24A
2023-10-01$129.73Not available in this settingRVU23D
2023-07-01$129.73Not available in this settingRVU23C
2023-04-01$129.73Not available in this settingRVU23B
2023-01-01$129.73Not available in this settingRVU23A
2022-10-01$132.75Not available in this settingRVU22D
2022-07-01$132.75Not available in this settingRVU22C
2022-04-01$132.75Not available in this settingRVU22B
2022-01-01$132.75Not available in this settingRVU22A
2021-10-01$135.41Not available in this settingRVU21D
2021-07-01$135.41Not available in this settingRVU21C
2021-04-01$135.41Not available in this settingRVU21B
2021-01-01$135.41Not available in this settingRVU21A
2020-10-01$135.54Not available in this settingRVU20D
2020-07-01$135.54Not available in this settingRVU20C
2020-04-01$135.54Not available in this settingRVU20B
2020-01-01$135.54Not available in this settingRVU20A
2019-10-01$135.78Not available in this settingRVU19D
2019-07-01$135.78Not available in this settingRVU19C
2019-04-01$135.78Not available in this settingRVU19B
2019-01-01$135.78Not available in this settingRVU19A
2018-10-01$138.03Not available in this settingRVU18D
2018-07-01$138.03Not available in this settingRVU18C
2018-04-01$138.03Not available in this settingRVU18B
2018-01-01$138.03Not available in this settingRVU18AR1
2017-10-01$138.09Not available in this settingRVU17D
2017-07-01$138.09Not available in this settingRVU17C
2017-04-01$138.09Not available in this settingRVU17B
2017-01-01$138.09Not available in this settingRVU17A
2016-10-01$136.92Not available in this settingRVU16D
2016-07-01$136.92Not available in this settingRVU16C
2016-04-01$136.92Not available in this settingRVU16B
2016-01-01$136.92Not available in this settingRVU16A
2015-10-01$138.74Not available in this settingRVU15D
2015-07-01$138.74Not available in this settingRVU15C
2015-04-01$138.05Not available in this settingRVU15B
2015-01-01$138.05Not available in this settingRVU15A
2014-10-01$139.63Not available in this settingRVU14D
2014-07-01$139.63Not available in this settingRVU14C
2014-04-01$139.63Not available in this settingRVU14B
2014-01-01$139.63Not available in this settingRVU14A
2013-10-01$140.40Not available in this settingRVU13D
2013-07-01$140.40Not available in this settingRVU13C
2013-04-01$140.40Not available in this settingRVU13B
2013-01-01$140.40Not available in this settingRVU13AR

Price 76801 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

76801 billing questions

When is 76801 reported instead of 76815?

Use 76801 for a complete early obstetric ultrasound before 14 weeks. A limited examination addressing a narrower question is represented by 76815.

How is an additional fetus reported?

For a multiple gestation, report 76801 for the first fetus and 76802 for each additional fetus when the additional-fetus study is performed.

What do modifiers 26 and TC identify?

Modifier 26 reports the professional interpretation, while TC reports the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

What documentation supports 76801?

Document the indication, gestational age, number of fetuses, examination performed, images and findings, and the interpretation. The record should support a complete early pregnancy assessment rather than a limited or focused study.

How does 76801 differ from 76817?

76801 represents a complete early obstetric ultrasound. 76817 is used for an obstetric ultrasound performed by the transvaginal approach; the approach and service performed should be clear in the record.

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 76801PPRRVU2026_Oct_nonQPP.csv, line 8,763 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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