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CPT code 76802: Obstetric ultrasound, additional fetus under 14 weeks2026 Medicare rate & RVUs in Rhode Island

Reports the additional-fetus portion of an obstetric ultrasound performed before 14 weeks when more than one fetus is evaluated.

CMS RVU26DEffective Oct 1, 2026One payment locality79 Medicare services in 2024

In Rhode Island, Medicare pays $61.88 for 76802 in the office.

$61.88Office (non-facility)
Not available in this settingHospital or facility
+2.3%vs the national office rate ($60.46)

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.

We’ll open 76802 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Rhode Island
  2. What 76802 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 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 Rhode Island 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. Rhode Island pays $61.88. The RVUs are the same everywhere; the geographic indexes change the dollars.

76802 in Rhode Island vs other payment areas
  1. Rhode Island · this page$61.88
  2. Los Angeles, CA · California$66.98+$5.10
  3. Washington, DC area · District of Columbia$67.78+$5.90
  4. Miami, FL · Florida$63.81+$1.93
  5. Chicago, IL · Illinois$62.54+$0.66
  6. Manhattan, NY · New York$68.16+$6.28
  7. Alaska · Alaska$75.47+$13.59

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

Every other payment area

76802 in every other Medicare payment locality
Payment localityOfficeFacility
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—

76802 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.

$55.29

$75.47

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

View every state and territory as a table
76802 office rate range by state
State / territoryOffice rate rangeLocalities
AK$75.471
AL$55.871
AR$55.291
AZ$59.271
CA$63.37–$76.9829
CO$62.541
CT$63.751
DC$67.781
DE$60.071
FL$59.72–$63.813
GA$57.25–$61.322
GU$64.291
HI$64.291
IA$56.921
ID$57.191
IL$58.42–$62.544
IN$57.431
KS$56.711
KY$56.781
LA$56.71–$58.752
MA$62.32–$67.642
MD$61.00–$67.783
ME$57.39–$59.672
MI$57.84–$60.252
MN$60.441
MO$56.00–$58.923
MS$55.651
MT$60.451
NC$57.821
ND$59.661
NE$57.161
NH$61.601
NJ$64.62–$67.382
NM$58.061
NV$60.261
NY$58.46–$69.395
OH$57.681
OK$56.731
OR$59.93–$64.112
PA$57.75–$62.522
PR$60.791
RI$61.881
SC$57.821
SD$59.571
TN$56.921
TX$57.47–$62.228
UT$58.401
VA$59.52–$67.782
VI$60.791
VT$59.471
WA$62.19–$68.842
WI$58.181
WV$56.831
WY$60.111

See 76802 in every payment locality

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

Office or facility?

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 Rhode Island 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

92

Locality
Rhode Island
Physician work
1.019
Practice expense
1.033
Malpractice
0.892
Office calculation for 76802 in Rhode Island
ComponentRVULocality factorAdjusted
Physician work0.81× 1.0190.8254
Practice expense0.96× 1.0330.9917
Malpractice0.04× 0.8920.0357
Total RVUs1.8527
Conversion factor× 33.4009

Office rate, Rhode Island$61.88

Office: (0.81 × 1.019 + 0.96 × 1.033 + 0.04 × 0.892) × $33.4009 = $61.88

Open 76802 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
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

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.

When to use modifier 26

Codes related to 76802

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

Codes related to 76802
CodeHow it relatesOffice range, Rhode Island
Primary code
76801Obstetric ultrasound, under 14 weeks, single fetusPrimary early-pregnancy ultrasound code reported for the first fetus.$120.02
Same family
76810Obstetric ultrasound, 14 weeks or laterAdditional-fetus code for the corresponding obstetric ultrasound at 14 weeks or later.$90.70
Used instead
76805Obstetric ultrasound, single fetus, 14 weeks or laterRoutine obstetric ultrasound for a single fetus at 14 weeks or later.$139.64
76812Detailed OB ultrasound, each additional fetusAdditional-fetus code for a detailed obstetric ultrasound examination.$199.52

How 76802 has changed in Rhode Island

76802 · Office / nonfacility

$61.88

Effective 2026-10-01

The base rate is $2.28 higher than on 2025-10-01, moving from $59.60 to $61.88 (3.8%).

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

    $59.60changed to$61.88

    • 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
    • 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.

  2. January 1, 2025

    RVU25A

    $61.68changed to$59.60

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.94 changed to 0.93

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $60.67changed to$61.68

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $63.98changed to$60.67

    • 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
    • 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

  5. January 1, 2023

    RVU23A

    $65.14changed to$63.98

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.95 changed to 0.96
    • 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.

  6. January 1, 2022

    RVU22A

    $66.04changed to$65.14

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.96 changed to 0.95

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $66.57changed to$66.04

    • 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
    • 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.

  8. January 1, 2020

    RVU20A

    $67.69changed to$66.57

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.06 changed to 0.03
    • 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.

  9. January 1, 2019

    RVU19A

    $69.13changed to$67.69

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.96 changed to 0.92

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $68.29changed to$69.13

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.95 changed to 0.96
    • 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.

  11. January 1, 2017

    RVU17A

    $67.82changed to$68.29

    • Conversion factor 35.8043 changed to 35.8887
    • 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.

  12. January 1, 2016

    RVU16A

    $68.61changed to$67.82

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.08 changed to 0.06

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $68.27changed to$68.61

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $70.57changed to$68.27

    • 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
    • Work GPCI 1.020 changed to 1.022
    • Malpractice GPCI 0.973 changed to 0.759

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$70.57

    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$61.88Not available in this settingRVU26D
2026-07-01$61.88Not available in this settingRVU26C
2026-04-01$61.88Not available in this settingRVU26B
2026-01-01$61.88Not available in this settingRVU26A
2025-10-01$59.60Not available in this settingRVU25D
2025-07-01$59.60Not available in this settingRVU25C
2025-04-01$59.60Not available in this settingRVU25B
2025-01-01$59.60Not available in this settingRVU25A
2024-10-01$61.68Not available in this settingRVU24D
2024-07-01$61.68Not available in this settingRVU24C
2024-04-01$61.68Not available in this settingRVU24B
2024-03-09$61.68Not available in this settingRVU24AR
2024-01-01$60.67Not available in this settingRVU24A
2023-10-01$63.98Not available in this settingRVU23D
2023-07-01$63.98Not available in this settingRVU23C
2023-04-01$63.98Not available in this settingRVU23B
2023-01-01$63.98Not available in this settingRVU23A
2022-10-01$65.14Not available in this settingRVU22D
2022-07-01$65.14Not available in this settingRVU22C
2022-04-01$65.14Not available in this settingRVU22B
2022-01-01$65.14Not available in this settingRVU22A
2021-10-01$66.04Not available in this settingRVU21D
2021-07-01$66.04Not available in this settingRVU21C
2021-04-01$66.04Not available in this settingRVU21B
2021-01-01$66.04Not available in this settingRVU21A
2020-10-01$66.57Not available in this settingRVU20D
2020-07-01$66.57Not available in this settingRVU20C
2020-04-01$66.57Not available in this settingRVU20B
2020-01-01$66.57Not available in this settingRVU20A
2019-10-01$67.69Not available in this settingRVU19D
2019-07-01$67.69Not available in this settingRVU19C
2019-04-01$67.69Not available in this settingRVU19B
2019-01-01$67.69Not available in this settingRVU19A
2018-10-01$69.13Not available in this settingRVU18D
2018-07-01$69.13Not available in this settingRVU18C
2018-04-01$69.13Not available in this settingRVU18B
2018-01-01$69.13Not available in this settingRVU18AR1
2017-10-01$68.29Not available in this settingRVU17D
2017-07-01$68.29Not available in this settingRVU17C
2017-04-01$68.29Not available in this settingRVU17B
2017-01-01$68.29Not available in this settingRVU17A
2016-10-01$67.82Not available in this settingRVU16D
2016-07-01$67.82Not available in this settingRVU16C
2016-04-01$67.82Not available in this settingRVU16B
2016-01-01$67.82Not available in this settingRVU16A
2015-10-01$68.61Not available in this settingRVU15D
2015-07-01$68.61Not available in this settingRVU15C
2015-04-01$68.27Not available in this settingRVU15B
2015-01-01$68.27Not available in this settingRVU15A
2014-10-01$70.57Not available in this settingRVU14D
2014-07-01$70.57Not available in this settingRVU14C
2014-04-01$70.57Not available in this settingRVU14B
2014-01-01$70.57Not available in this settingRVU14A
2013-10-01Rate data unavailableNot available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 76802 for an earlier date of service

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

Browse all communities in Rhode Island

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
RVUs for 76802PPRRVU2026_Oct_nonQPP.csv, line 8,766 (RVU26D)
Geographic factors for Rhode IslandGPCI2026.csv, line 92 (RVU26D)

Open CMS sourceHow we calculate rates

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