CPT code 76802: Obstetric ultrasound, additional fetus under 14 weeks2026 Medicare rate & RVUs in Montana
Reports the additional-fetus portion of an obstetric ultrasound performed before 14 weeks when more than one fetus is evaluated.
In Montana, Medicare pays $60.45 for 76802 in the office.
Check a contract rate as a % of Medicare · 76802 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 76802 covers
This add-on represents evaluation of an additional fetus during an obstetric ultrasound performed before 14 weeks of gestation. It is used when the examination covers a multiple gestation, such as twins, beyond the first fetus. Ultrasound staff acquire the images in an obstetric practice or imaging department; a physician or other qualified practitioner interprets the study and reports its findings.
Report 76802 with the primary early-pregnancy ultrasound code 76801, not by itself. The record should support the gestational age, the number of fetuses evaluated, and findings attributable to each fetus. When billing the global service, submit without a component modifier; modifier 26 identifies the interpretation, while modifier TC identifies the equipment and staff portion. CMS treats this add-on as paid within the primary procedure's global period.
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 Montana compares for 76802
Across 109 of 109 payment localities, the office rate for 76802 runs from $55.29 in Arkansas to $76.98 in San Benito County, CA. Montana pays $60.45. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$60.45
- Los Angeles, CA · California$66.98+$6.53
- Washington, DC area · District of Columbia$67.78+$7.33
- Miami, FL · Florida$63.81+$3.36
- Chicago, IL · Illinois$62.54+$2.09
- Manhattan, NY · New York$68.16+$7.71
- Alaska · Alaska$75.47+$15.02
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $55.87 | — |
| ArkansasArkansas | $55.29 | — |
| ArizonaArizona | $59.27 | — |
| Bakersfield, CACalifornia | $63.53 | — |
| Chico, CACalifornia | $63.37 | — |
| El Centro, CACalifornia | $63.38 | — |
| Fresno, CACalifornia | $63.37 | — |
| Hanford, CACalifornia | $63.37 | — |
| Madera, CACalifornia | $63.37 | — |
| Merced, CACalifornia | $63.37 | — |
| Modesto, CACalifornia | $63.37 | — |
| Napa, CACalifornia | $71.70 | — |
| Oxnard, CACalifornia | $66.55 | — |
| Redding, CACalifornia | $63.37 | — |
| Rest of CaliforniaCalifornia | $63.37 | — |
| Riverside, CACalifornia | $63.82 | — |
| Sacramento, CACalifornia | $66.04 | — |
| Salinas, CACalifornia | $65.77 | — |
| San Diego, CACalifornia | $66.94 | — |
| Marin County, CACalifornia | $75.45 | — |
| San Francisco, CACalifornia | $75.40 | — |
| San Benito County, CACalifornia | $76.98 | — |
| Santa Clara County, CACalifornia | $76.80 | — |
| San Luis Obispo, CACalifornia | $64.75 | — |
| Santa Cruz, CACalifornia | $67.30 | — |
| Santa Maria, CACalifornia | $65.92 | — |
| Santa Rosa, CACalifornia | $67.96 | — |
| Stockton, CACalifornia | $63.37 | — |
| Vallejo, CACalifornia | $71.63 | — |
| Visalia, CACalifornia | $63.37 | — |
| Yuba City, CACalifornia | $63.37 | — |
| ColoradoColorado | $62.54 | — |
| ConnecticutConnecticut | $63.75 | — |
| DelawareDelaware | $60.07 | — |
| Fort Lauderdale, FLFlorida | $61.95 | — |
| Rest of FloridaFlorida | $59.72 | — |
| Atlanta, GAGeorgia | $61.32 | — |
| Rest of GeorgiaGeorgia | $57.25 | — |
| Hawaii, Guam, HIHawaii | $64.29 | — |
| IowaIowa | $56.92 | — |
| IdahoIdaho | $57.19 | — |
| East St. Louis, ILIllinois | $59.25 | — |
| Rest of IllinoisIllinois | $58.42 | — |
| Suburban Chicago, ILIllinois | $62.54 | — |
| IndianaIndiana | $57.43 | — |
| KansasKansas | $56.71 | — |
| KentuckyKentucky | $56.78 | — |
| New Orleans, LALouisiana | $58.75 | — |
| Rest of LouisianaLouisiana | $56.71 | — |
| Metropolitan Boston, MAMassachusetts | $67.64 | — |
| Rest of MassachusettsMassachusetts | $62.32 | — |
| Baltimore area, MDMaryland | $63.55 | — |
| Rest of MarylandMaryland | $61.00 | — |
| Rest of MaineMaine | $57.39 | — |
| Southern Maine, MEMaine | $59.67 | — |
| Detroit, MIMichigan | $60.25 | — |
| Rest of MichiganMichigan | $57.84 | — |
| MinnesotaMinnesota | $60.44 | — |
| Metropolitan Kansas City, MOMissouri | $58.47 | — |
| Metropolitan St. Louis, MOMissouri | $58.92 | — |
| Rest of MissouriMissouri | $56.00 | — |
| MississippiMississippi | $55.65 | — |
| North CarolinaNorth Carolina | $57.82 | — |
| North DakotaNorth Dakota | $59.66 | — |
| NebraskaNebraska | $57.16 | — |
| New HampshireNew Hampshire | $61.60 | — |
| Northern New JerseyNew Jersey | $67.38 | — |
| Rest of New JerseyNew Jersey | $64.62 | — |
| New MexicoNew Mexico | $58.06 | — |
| NevadaNevada | $60.26 | — |
| NYC suburbs and Long Island, NYNew York | $69.39 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $65.00 | — |
| Queens, NYNew York | $68.61 | — |
| Rest of New YorkNew York | $58.46 | — |
| OhioOhio | $57.68 | — |
| OklahomaOklahoma | $56.73 | — |
| Portland, OROregon | $64.11 | — |
| Rest of OregonOregon | $59.93 | — |
| Metropolitan Philadelphia, PAPennsylvania | $62.52 | — |
| Rest of PennsylvaniaPennsylvania | $57.75 | — |
| Puerto RicoPuerto Rico | $60.79 | — |
| Rhode IslandRhode Island | $61.88 | — |
| South CarolinaSouth Carolina | $57.82 | — |
| South DakotaSouth Dakota | $59.57 | — |
| TennesseeTennessee | $56.92 | — |
| Austin, TXTexas | $62.22 | — |
| Beaumont, TXTexas | $57.47 | — |
| Brazoria, TXTexas | $60.09 | — |
| Dallas, TXTexas | $60.38 | — |
| Fort Worth, TXTexas | $60.08 | — |
| Galveston, TXTexas | $60.22 | — |
| Houston, TXTexas | $60.95 | — |
| Rest of TexasTexas | $58.69 | — |
| UtahUtah | $58.40 | — |
| VirginiaVirginia | $59.52 | — |
| Virgin Islands, VIUnited States Virgin Islands | $60.79 | — |
| VermontVermont | $59.47 | — |
| Rest of WashingtonWashington | $62.19 | — |
| King County, WAWashington | $68.84 | — |
| WisconsinWisconsin | $58.18 | — |
| West VirginiaWest Virginia | $56.83 | — |
| WyomingWyoming | $60.11 | — |
76802 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.
$55.29
$75.47
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 | $75.47 | 1 |
| AL | $55.87 | 1 |
| AR | $55.29 | 1 |
| AZ | $59.27 | 1 |
| CA | $63.37–$76.98 | 29 |
| CO | $62.54 | 1 |
| CT | $63.75 | 1 |
| DC | $67.78 | 1 |
| DE | $60.07 | 1 |
| FL | $59.72–$63.81 | 3 |
| GA | $57.25–$61.32 | 2 |
| GU | $64.29 | 1 |
| HI | $64.29 | 1 |
| IA | $56.92 | 1 |
| ID | $57.19 | 1 |
| IL | $58.42–$62.54 | 4 |
| IN | $57.43 | 1 |
| KS | $56.71 | 1 |
| KY | $56.78 | 1 |
| LA | $56.71–$58.75 | 2 |
| MA | $62.32–$67.64 | 2 |
| MD | $61.00–$67.78 | 3 |
| ME | $57.39–$59.67 | 2 |
| MI | $57.84–$60.25 | 2 |
| MN | $60.44 | 1 |
| MO | $56.00–$58.92 | 3 |
| MS | $55.65 | 1 |
| MT | $60.45 | 1 |
| NC | $57.82 | 1 |
| ND | $59.66 | 1 |
| NE | $57.16 | 1 |
| NH | $61.60 | 1 |
| NJ | $64.62–$67.38 | 2 |
| NM | $58.06 | 1 |
| NV | $60.26 | 1 |
| NY | $58.46–$69.39 | 5 |
| OH | $57.68 | 1 |
| OK | $56.73 | 1 |
| OR | $59.93–$64.11 | 2 |
| PA | $57.75–$62.52 | 2 |
| PR | $60.79 | 1 |
| RI | $61.88 | 1 |
| SC | $57.82 | 1 |
| SD | $59.57 | 1 |
| TN | $56.92 | 1 |
| TX | $57.47–$62.22 | 8 |
| UT | $58.40 | 1 |
| VA | $59.52–$67.78 | 2 |
| VI | $60.79 | 1 |
| VT | $59.47 | 1 |
| WA | $62.19–$68.84 | 2 |
| WI | $58.18 | 1 |
| WV | $56.83 | 1 |
| WY | $60.11 | 1 |
How the 76802 rate is calculated
Each of 76802’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 · 76802
RVUs × geographic indexes × conversion factor
Work0.81
0.81 RVUs× 1.000 GPCI
Practice expense0.96
0.96 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
1.8100
Conversion factor
$33.4009
Medicare rate
$60.46
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,766
- Code
- 76802
- Physician work
- 0.81
- Practice expense
- 0.96
- Malpractice
- 0.04
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.81 | × 1.000 | 0.8100 |
| Practice expense | 0.96 | × 1.000 | 0.9600 |
| Malpractice | 0.04 | × 0.998 | 0.0399 |
| Total RVUs | 1.8099 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$60.45
Office: (0.81 × 1 + 0.96 × 1 + 0.04 × 0.998) × $33.4009 = $60.45
Payment rules and modifiers for 76802
The CMS indicators that decide how 76802 is paid alongside other services.
CMS payment indicators · 76802
Obstetric ultrasound, additional fetus under 14 weeks
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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
76802 without 26 · national office
$60.46
Obstetric ultrasound, additional fetus under 14 weeks
76802-26 · Professional component
$39.41
Pays only the interpretation and report.
How 76802 has changed in Montana
76802 · Office / nonfacility
$60.45
Effective 2026-10-01
The base rate is $2.57 higher than on 2025-10-01, moving from $57.88 to $60.45 (4.4%).
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
$57.88changed to$60.45
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.83 changed to 0.81
- Practice expense RVU 0.93 changed to 0.96
- Malpractice RVU 0.03 changed to 0.04
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$59.90changed to$57.88
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.94 changed to 0.93
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$58.92changed to$59.90
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$61.98changed to$58.92
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.96 changed to 0.94
- Malpractice RVU 0.04 changed to 0.03
January 1, 2023
RVU23A
$62.95changed to$61.98
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.95 changed to 0.96
- Malpractice GPCI 0.977 changed to 0.978
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$63.82changed to$62.95
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.96 changed to 0.95
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$64.57changed to$63.82
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.92 changed to 0.96
- Malpractice RVU 0.03 changed to 0.04
- Malpractice GPCI 1.304 changed to 0.977
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$66.60changed to$64.57
- Conversion factor 36.0391 changed to 36.0896
- Malpractice RVU 0.06 changed to 0.03
- Malpractice GPCI 1.631 changed to 1.304
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$67.96changed to$66.60
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.96 changed to 0.92
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$66.96changed to$67.96
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.95 changed to 0.96
- Malpractice GPCI 1.429 changed to 1.631
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$66.37changed to$66.96
- Conversion factor 35.8043 changed to 35.8887
- Malpractice GPCI 1.226 changed to 1.429
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$67.49changed to$66.37
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.08 changed to 0.06
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$67.15changed to$67.49
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$68.30changed to$67.15
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.03 changed to 0.95
- Malpractice RVU 0.04 changed to 0.08
- Malpractice GPCI 1.165 changed to 1.226
Held through RVU15B.
January 1, 2014
RVU14A
$67.17changed to$68.30
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.10 changed to 1.03
- Malpractice GPCI 1.103 changed to 1.165
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $67.17
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $60.45 | Not available in this setting | RVU26D |
| 2026-07-01 | $60.45 | Not available in this setting | RVU26C |
| 2026-04-01 | $60.45 | Not available in this setting | RVU26B |
| 2026-01-01 | $60.45 | Not available in this setting | RVU26A |
| 2025-10-01 | $57.88 | Not available in this setting | RVU25D |
| 2025-07-01 | $57.88 | Not available in this setting | RVU25C |
| 2025-04-01 | $57.88 | Not available in this setting | RVU25B |
| 2025-01-01 | $57.88 | Not available in this setting | RVU25A |
| 2024-10-01 | $59.90 | Not available in this setting | RVU24D |
| 2024-07-01 | $59.90 | Not available in this setting | RVU24C |
| 2024-04-01 | $59.90 | Not available in this setting | RVU24B |
| 2024-03-09 | $59.90 | Not available in this setting | RVU24AR |
| 2024-01-01 | $58.92 | Not available in this setting | RVU24A |
| 2023-10-01 | $61.98 | Not available in this setting | RVU23D |
| 2023-07-01 | $61.98 | Not available in this setting | RVU23C |
| 2023-04-01 | $61.98 | Not available in this setting | RVU23B |
| 2023-01-01 | $61.98 | Not available in this setting | RVU23A |
| 2022-10-01 | $62.95 | Not available in this setting | RVU22D |
| 2022-07-01 | $62.95 | Not available in this setting | RVU22C |
| 2022-04-01 | $62.95 | Not available in this setting | RVU22B |
| 2022-01-01 | $62.95 | Not available in this setting | RVU22A |
| 2021-10-01 | $63.82 | Not available in this setting | RVU21D |
| 2021-07-01 | $63.82 | Not available in this setting | RVU21C |
| 2021-04-01 | $63.82 | Not available in this setting | RVU21B |
| 2021-01-01 | $63.82 | Not available in this setting | RVU21A |
| 2020-10-01 | $64.57 | Not available in this setting | RVU20D |
| 2020-07-01 | $64.57 | Not available in this setting | RVU20C |
| 2020-04-01 | $64.57 | Not available in this setting | RVU20B |
| 2020-01-01 | $64.57 | Not available in this setting | RVU20A |
| 2019-10-01 | $66.60 | Not available in this setting | RVU19D |
| 2019-07-01 | $66.60 | Not available in this setting | RVU19C |
| 2019-04-01 | $66.60 | Not available in this setting | RVU19B |
| 2019-01-01 | $66.60 | Not available in this setting | RVU19A |
| 2018-10-01 | $67.96 | Not available in this setting | RVU18D |
| 2018-07-01 | $67.96 | Not available in this setting | RVU18C |
| 2018-04-01 | $67.96 | Not available in this setting | RVU18B |
| 2018-01-01 | $67.96 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $66.96 | Not available in this setting | RVU17D |
| 2017-07-01 | $66.96 | Not available in this setting | RVU17C |
| 2017-04-01 | $66.96 | Not available in this setting | RVU17B |
| 2017-01-01 | $66.96 | Not available in this setting | RVU17A |
| 2016-10-01 | $66.37 | Not available in this setting | RVU16D |
| 2016-07-01 | $66.37 | Not available in this setting | RVU16C |
| 2016-04-01 | $66.37 | Not available in this setting | RVU16B |
| 2016-01-01 | $66.37 | Not available in this setting | RVU16A |
| 2015-10-01 | $67.49 | Not available in this setting | RVU15D |
| 2015-07-01 | $67.49 | Not available in this setting | RVU15C |
| 2015-04-01 | $67.15 | Not available in this setting | RVU15B |
| 2015-01-01 | $67.15 | Not available in this setting | RVU15A |
| 2014-10-01 | $68.30 | Not available in this setting | RVU14D |
| 2014-07-01 | $68.30 | Not available in this setting | RVU14C |
| 2014-04-01 | $68.30 | Not available in this setting | RVU14B |
| 2014-01-01 | $68.30 | Not available in this setting | RVU14A |
| 2013-10-01 | $67.17 | Not available in this setting | RVU13D |
| 2013-07-01 | $67.17 | Not available in this setting | RVU13C |
| 2013-04-01 | $67.17 | Not available in this setting | RVU13B |
| 2013-01-01 | $67.17 | Not available in this setting | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
76802 billing questions
When is 76802 reported instead of 76801?
Use 76801 for the first fetus in an obstetric ultrasound before 14 weeks. Add 76802 for each additional fetus evaluated in that examination.
Can 76802 be billed by itself?
No. It is an add-on to the primary early-pregnancy ultrasound, 76801.
Which modifiers identify the ultrasound components?
Use modifier 26 for the professional interpretation or TC for the technical portion. Billing without either modifier represents the global service.
What documentation supports additional units?
Document gestational age, the number of fetuses evaluated, and findings for each fetus. Report the add-on for each fetus beyond the first.
How does 76802 differ from 76810?
Both represent an additional fetus, but 76802 applies to an obstetric ultrasound before 14 weeks; 76810 is for the corresponding examination at 14 weeks or later.
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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