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CPT code 76805: Obstetric ultrasound, single fetus, 14 weeks or later2026 Medicare rate & RVUs in Connecticut

Reports a standard transabdominal obstetric ultrasound for one fetus at 14 weeks or later, including fetal and maternal evaluation with image documentation.

CMS RVU26DEffective Oct 1, 2026One payment locality2.5K Medicare services in 2024

In Connecticut, Medicare pays $144.87 for 76805 in the office.

$144.87Office (non-facility)
Not available in this settingHospital or facility
+6.6%vs the national office rate ($135.94)

Check a contract rate as a % of Medicare · 76805 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 76805 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 76805 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 76805 covers

This service is a standard transabdominal ultrasound for evaluating a pregnancy with one fetus at 14 weeks or later. A sonographer acquires and documents the images; an obstetrician, radiologist, or other qualified practitioner interprets them. It is commonly used for a second-trimester fetal survey and may assess fetal number and presentation, placental location, amniotic fluid, fetal measurements, and anatomy appropriate to the examination. A targeted, detailed fetal anomaly evaluation is a different service.

Report 76805 for the standard examination when the pregnancy is at least 14 weeks and one fetus is evaluated. The report and retained images should support the gestational age, the single-fetus examination, the clinical reason, and the findings assessed. For a multiple gestation, this code represents the first fetus; 76810 is the add-on for each additional fetus. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment-and-staff service, and no 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 76805

Across 109 of 109 payment localities, the office rate for 76805 runs from $120.54 in Arkansas to $183.15 in San Benito County, CA. Connecticut pays $144.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

76805 in Connecticut vs other payment areas
  1. Connecticut · this page$144.87
  2. Los Angeles, CA · California$155.00+$10.13
  3. Washington, DC area · District of Columbia$155.97+$11.10
  4. Miami, FL · Florida$143.67−$1.20
  5. Chicago, IL · Illinois$139.70−$5.17
  6. Manhattan, NY · New York$155.78+$10.91
  7. Alaska · Alaska$157.67+$12.80

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

Every other payment area

76805 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$122.28—
ArkansasArkansas$120.54—
ArizonaArizona$132.47—
Bakersfield, CACalifornia$145.36—
Chico, CACalifornia$145.12—
El Centro, CACalifornia$145.13—
Fresno, CACalifornia$145.12—
Hanford, CACalifornia$145.12—

76805 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.

$120.54

$164.14

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

View every state and territory as a table
76805 office rate range by state
State / territoryOffice rate rangeLocalities
AK$157.671
AL$122.281
AR$120.541
AZ$132.471
CA$145.12–$183.1529
CO$142.301
CT$144.871
DC$155.971
DE$134.651
FL$132.66–$143.673
GA$125.46–$138.132
GU$148.821
HI$148.821
IA$125.931
ID$126.611
IL$128.45–$140.714
IN$127.351
KS$125.071
KY$124.511
LA$124.20–$130.292
MA$141.35–$156.652
MD$137.29–$155.973
ME$126.96–$134.172
MI$127.44–$134.002
MN$137.231
MO$121.91–$131.093
MS$121.261
MT$135.941
NC$128.321
ND$134.551
NE$126.691
NH$139.801
NJ$146.78–$154.332
NM$128.011
NV$135.651
NY$130.19–$159.155
OH$127.161
OK$124.591
OR$134.84–$147.102
PA$127.51–$141.132
PR$137.021
RI$139.641
SC$127.901
SD$134.391
TN$125.651
TX$126.67–$141.618
UT$129.631
VA$133.53–$155.972
VI$137.021
VT$133.771
WA$141.17–$160.112
WI$130.071
WV$123.691
WY$135.331

See 76805 in every payment locality

How the 76805 rate is calculated

Each of 76805’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 · 76805

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.97

0.97 RVUs× 1.000 GPCI

Practice expense3.03

3.03 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

4.0700

Conversion factor

$33.4009

Medicare rate

$135.94

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

8,769

Code
76805
Physician work
0.97
Practice expense
3.03
Malpractice
0.07

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 76805 in Connecticut
ComponentRVULocality factorAdjusted
Physician work0.97× 1.0200.9894
Practice expense3.03× 1.0773.2633
Malpractice0.07× 1.2100.0847
Total RVUs4.3374
Conversion factor× 33.4009

Office rate, Connecticut$144.87

Office: (0.97 × 1.02 + 3.03 × 1.077 + 0.07 × 1.21) × $33.4009 = $144.87

Open 76805 in the RVU calculator

Payment rules and modifiers for 76805

The CMS indicators that decide how 76805 is paid alongside other services.

CMS payment indicators · 76805

Obstetric ultrasound, single fetus, 14 weeks or later

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

76805 without 26 · national office

$135.94

Obstetric ultrasound, single fetus, 14 weeks or later

76805-26 · Professional component

$47.10

Pays only the interpretation and report.

When to use modifier 26

Codes related to 76805

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

Codes related to 76805
CodeHow it relatesOffice range, Connecticut
Used instead
76801Obstetric ultrasound, under 14 weeks, single fetusStandard obstetric ultrasound before 14 weeks rather than at or beyond 14 weeks.$124.32
76811Obstetric ultrasound, detailed single gestationUsed for a detailed fetal anatomic examination rather than a standard evaluation.$193.02
76815Obstetric ultrasound, limited assessmentFor a limited obstetric ultrasound rather than the standard complete evaluation.$86.80
76816Obstetric ultrasound, follow-up, each fetusFor a follow-up obstetric ultrasound per fetus rather than a standard examination.$118.43
Add-on codes
76810Obstetric ultrasound, 14 weeks or laterAdd-on for each additional fetus evaluated with the primary examination.$93.77

How 76805 has changed in Connecticut

76805 · Office / nonfacility

$144.87

Effective 2026-10-01

The base rate is $4.99 higher than on 2025-10-01, moving from $139.88 to $144.87 (3.6%).

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

    $139.88changed to$144.87

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.99 changed to 0.97
    • Practice expense RVU 2.97 changed to 3.03
    • Malpractice RVU 0.06 changed to 0.07
    • 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

    $145.77changed to$139.88

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.02 changed to 2.97

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $143.39changed to$145.77

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $149.88changed to$143.39

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.03 changed to 3.02
    • 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

    $153.18changed to$149.88

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.01 changed to 3.03
    • Malpractice RVU 0.05 changed to 0.06
    • 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

    $156.40changed to$153.18

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.06 changed to 3.01

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $155.62changed to$156.40

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.90 changed to 3.06
    • 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

    $156.27changed to$155.62

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.08 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

    $159.70changed to$156.27

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.99 changed to 2.90

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $159.78changed to$159.70

    • 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

    $158.63changed to$159.78

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.96 changed to 2.99
    • 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

    $159.69changed to$158.63

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.95 changed to 2.96
    • Malpractice RVU 0.10 changed to 0.08

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $158.89changed to$159.69

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $162.02changed to$158.89

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.10 changed to 2.95
    • 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

    No ratechanged to$162.02

    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$144.87Not available in this settingRVU26D
2026-07-01$144.87Not available in this settingRVU26C
2026-04-01$144.87Not available in this settingRVU26B
2026-01-01$144.87Not available in this settingRVU26A
2025-10-01$139.88Not available in this settingRVU25D
2025-07-01$139.88Not available in this settingRVU25C
2025-04-01$139.88Not available in this settingRVU25B
2025-01-01$139.88Not available in this settingRVU25A
2024-10-01$145.77Not available in this settingRVU24D
2024-07-01$145.77Not available in this settingRVU24C
2024-04-01$145.77Not available in this settingRVU24B
2024-03-09$145.77Not available in this settingRVU24AR
2024-01-01$143.39Not available in this settingRVU24A
2023-10-01$149.88Not available in this settingRVU23D
2023-07-01$149.88Not available in this settingRVU23C
2023-04-01$149.88Not available in this settingRVU23B
2023-01-01$149.88Not available in this settingRVU23A
2022-10-01$153.18Not available in this settingRVU22D
2022-07-01$153.18Not available in this settingRVU22C
2022-04-01$153.18Not available in this settingRVU22B
2022-01-01$153.18Not available in this settingRVU22A
2021-10-01$156.40Not available in this settingRVU21D
2021-07-01$156.40Not available in this settingRVU21C
2021-04-01$156.40Not available in this settingRVU21B
2021-01-01$156.40Not available in this settingRVU21A
2020-10-01$155.62Not available in this settingRVU20D
2020-07-01$155.62Not available in this settingRVU20C
2020-04-01$155.62Not available in this settingRVU20B
2020-01-01$155.62Not available in this settingRVU20A
2019-10-01$156.27Not available in this settingRVU19D
2019-07-01$156.27Not available in this settingRVU19C
2019-04-01$156.27Not available in this settingRVU19B
2019-01-01$156.27Not available in this settingRVU19A
2018-10-01$159.70Not available in this settingRVU18D
2018-07-01$159.70Not available in this settingRVU18C
2018-04-01$159.70Not available in this settingRVU18B
2018-01-01$159.70Not available in this settingRVU18AR1
2017-10-01$159.78Not available in this settingRVU17D
2017-07-01$159.78Not available in this settingRVU17C
2017-04-01$159.78Not available in this settingRVU17B
2017-01-01$159.78Not available in this settingRVU17A
2016-10-01$158.63Not available in this settingRVU16D
2016-07-01$158.63Not available in this settingRVU16C
2016-04-01$158.63Not available in this settingRVU16B
2016-01-01$158.63Not available in this settingRVU16A
2015-10-01$159.69Not available in this settingRVU15D
2015-07-01$159.69Not available in this settingRVU15C
2015-04-01$158.89Not available in this settingRVU15B
2015-01-01$158.89Not available in this settingRVU15A
2014-10-01$162.02Not available in this settingRVU14D
2014-07-01$162.02Not available in this settingRVU14C
2014-04-01$162.02Not available in this settingRVU14B
2014-01-01$162.02Not available in this settingRVU14A
2013-10-01Additional calculation requiredNot available in this settingRVU13D
2013-07-01Additional calculation requiredNot available in this settingRVU13C
2013-04-01Additional calculation requiredNot available in this settingRVU13B
2013-01-01Additional calculation requiredNot available in this settingRVU13AR

Price 76805 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

76805 billing questions

When should 76805 be used instead of 76801?

Use 76805 for a standard obstetric ultrasound at 14 weeks or later. Code 76801 is for the corresponding standard examination before 14 weeks.

How is an additional fetus reported?

Report 76805 for the first fetus and 76810 for each additional fetus evaluated. Documentation should identify the gestation and findings for each fetus.

When is 76811 more appropriate?

Use 76811 when a detailed fetal anatomic examination is performed, rather than the standard evaluation represented by 76805. The examination performed and documented determines the code.

How should the professional and technical work be billed?

Use modifier 26 for the professional interpretation and modifier TC for the technical service. Billing without either modifier represents the global service.

What documentation supports 76805?

The record should support gestational age, the single-fetus evaluation, the reason for the study, and the findings and images from the examination, such as fetal measurements and relevant maternal and fetal observations.

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 76805PPRRVU2026_Oct_nonQPP.csv, line 8,769 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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