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

In Virginia, Medicare pays $114.91 for 76801 in the office.

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.

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 Virginia 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. Virginia pays $114.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

76801 rates by state

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

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.

Payment rules and modifiers for 76801

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

What modifiers do to the payment

When to use modifier 26

Codes related to 76801

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

How 76801 has changed in Virginia

Price 76801 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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