CPT code 76805: Obstetric ultrasound, single fetus, 14 weeks or later2026 Medicare rate & RVUs in Utah
Reports a standard transabdominal obstetric ultrasound for one fetus at 14 weeks or later, including fetal and maternal evaluation with image documentation.
In Utah, Medicare pays $129.63 for 76805 in the office.
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.
On this page 11 sections
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 Utah 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. Utah pays $129.63. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$129.63
- Los Angeles, CA · California$155.00+$25.37
- Washington, DC area · District of Columbia$155.97+$26.34
- Miami, FL · Florida$143.67+$14.04
- Chicago, IL · Illinois$139.70+$10.07
- Manhattan, NY · New York$155.78+$26.15
- Alaska · Alaska$157.67+$28.04
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Madera, CACalifornia | $145.12 | — |
| Merced, CACalifornia | $145.12 | — |
| Modesto, CACalifornia | $145.12 | — |
| Napa, CACalifornia | $169.02 | — |
| Oxnard, CACalifornia | $154.39 | — |
| Redding, CACalifornia | $145.12 | — |
| Rest of CaliforniaCalifornia | $145.12 | — |
| Riverside, CACalifornia | $145.90 | — |
| Sacramento, CACalifornia | $152.52 | — |
| Salinas, CACalifornia | $151.95 | — |
| San Diego, CACalifornia | $155.68 | — |
| Marin County, CACalifornia | $179.25 | — |
| San Francisco, CACalifornia | $179.17 | — |
| San Benito County, CACalifornia | $183.15 | — |
| Santa Clara County, CACalifornia | $182.83 | — |
| San Luis Obispo, CACalifornia | $149.48 | — |
| Santa Cruz, CACalifornia | $157.30 | — |
| Santa Maria, CACalifornia | $152.56 | — |
| Santa Rosa, CACalifornia | $158.90 | — |
| Stockton, CACalifornia | $145.12 | — |
| Vallejo, CACalifornia | $168.90 | — |
| Visalia, CACalifornia | $145.12 | — |
| Yuba City, CACalifornia | $145.12 | — |
| ColoradoColorado | $142.30 | — |
| ConnecticutConnecticut | $144.87 | — |
| DelawareDelaware | $134.65 | — |
| Fort Lauderdale, FLFlorida | $139.15 | — |
| Rest of FloridaFlorida | $132.66 | — |
| Atlanta, GAGeorgia | $138.13 | — |
| Rest of GeorgiaGeorgia | $125.46 | — |
| Hawaii, Guam, HIHawaii | $148.82 | — |
| IowaIowa | $125.93 | — |
| IdahoIdaho | $126.61 | — |
| East St. Louis, ILIllinois | $130.22 | — |
| Rest of IllinoisIllinois | $128.45 | — |
| Suburban Chicago, ILIllinois | $140.71 | — |
| IndianaIndiana | $127.35 | — |
| KansasKansas | $125.07 | — |
| KentuckyKentucky | $124.51 | — |
| New Orleans, LALouisiana | $130.29 | — |
| Rest of LouisianaLouisiana | $124.20 | — |
| Metropolitan Boston, MAMassachusetts | $156.65 | — |
| Rest of MassachusettsMassachusetts | $141.35 | — |
| Baltimore area, MDMaryland | $144.40 | — |
| Rest of MarylandMaryland | $137.29 | — |
| Rest of MaineMaine | $126.96 | — |
| Southern Maine, MEMaine | $134.17 | — |
| Detroit, MIMichigan | $134.00 | — |
| Rest of MichiganMichigan | $127.44 | — |
| MinnesotaMinnesota | $137.23 | — |
| Metropolitan Kansas City, MOMissouri | $129.71 | — |
| Metropolitan St. Louis, MOMissouri | $131.09 | — |
| Rest of MissouriMissouri | $121.91 | — |
| MississippiMississippi | $121.26 | — |
| MontanaMontana | $135.94 | — |
| North CarolinaNorth Carolina | $128.32 | — |
| North DakotaNorth Dakota | $134.55 | — |
| NebraskaNebraska | $126.69 | — |
| New HampshireNew Hampshire | $139.80 | — |
| Northern New JerseyNew Jersey | $154.33 | — |
| Rest of New JerseyNew Jersey | $146.78 | — |
| New MexicoNew Mexico | $128.01 | — |
| NevadaNevada | $135.65 | — |
| NYC suburbs and Long Island, NYNew York | $159.15 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $147.51 | — |
| Queens, NYNew York | $157.47 | — |
| Rest of New YorkNew York | $130.19 | — |
| OhioOhio | $127.16 | — |
| OklahomaOklahoma | $124.59 | — |
| Portland, OROregon | $147.10 | — |
| Rest of OregonOregon | $134.84 | — |
| Metropolitan Philadelphia, PAPennsylvania | $141.13 | — |
| Rest of PennsylvaniaPennsylvania | $127.51 | — |
| Puerto RicoPuerto Rico | $137.02 | — |
| Rhode IslandRhode Island | $139.64 | — |
| South CarolinaSouth Carolina | $127.90 | — |
| South DakotaSouth Dakota | $134.39 | — |
| TennesseeTennessee | $125.65 | — |
| Austin, TXTexas | $141.61 | — |
| Beaumont, TXTexas | $126.67 | — |
| Brazoria, TXTexas | $134.78 | — |
| Dallas, TXTexas | $135.50 | — |
| Fort Worth, TXTexas | $134.51 | — |
| Galveston, TXTexas | $135.09 | — |
| Houston, TXTexas | $136.37 | — |
| Rest of TexasTexas | $130.55 | — |
| VirginiaVirginia | $133.53 | — |
| Virgin Islands, VIUnited States Virgin Islands | $137.02 | — |
| VermontVermont | $133.77 | — |
| Rest of WashingtonWashington | $141.17 | — |
| King County, WAWashington | $160.11 | — |
| WisconsinWisconsin | $130.07 | — |
| West VirginiaWest Virginia | $123.69 | — |
| WyomingWyoming | $135.33 | — |
76805 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.
$120.54
$164.14
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 | $157.67 | 1 |
| AL | $122.28 | 1 |
| AR | $120.54 | 1 |
| AZ | $132.47 | 1 |
| CA | $145.12–$183.15 | 29 |
| CO | $142.30 | 1 |
| CT | $144.87 | 1 |
| DC | $155.97 | 1 |
| DE | $134.65 | 1 |
| FL | $132.66–$143.67 | 3 |
| GA | $125.46–$138.13 | 2 |
| GU | $148.82 | 1 |
| HI | $148.82 | 1 |
| IA | $125.93 | 1 |
| ID | $126.61 | 1 |
| IL | $128.45–$140.71 | 4 |
| IN | $127.35 | 1 |
| KS | $125.07 | 1 |
| KY | $124.51 | 1 |
| LA | $124.20–$130.29 | 2 |
| MA | $141.35–$156.65 | 2 |
| MD | $137.29–$155.97 | 3 |
| ME | $126.96–$134.17 | 2 |
| MI | $127.44–$134.00 | 2 |
| MN | $137.23 | 1 |
| MO | $121.91–$131.09 | 3 |
| MS | $121.26 | 1 |
| MT | $135.94 | 1 |
| NC | $128.32 | 1 |
| ND | $134.55 | 1 |
| NE | $126.69 | 1 |
| NH | $139.80 | 1 |
| NJ | $146.78–$154.33 | 2 |
| NM | $128.01 | 1 |
| NV | $135.65 | 1 |
| NY | $130.19–$159.15 | 5 |
| OH | $127.16 | 1 |
| OK | $124.59 | 1 |
| OR | $134.84–$147.10 | 2 |
| PA | $127.51–$141.13 | 2 |
| PR | $137.02 | 1 |
| RI | $139.64 | 1 |
| SC | $127.90 | 1 |
| SD | $134.39 | 1 |
| TN | $125.65 | 1 |
| TX | $126.67–$141.61 | 8 |
| UT | $129.63 | 1 |
| VA | $133.53–$155.97 | 2 |
| VI | $137.02 | 1 |
| VT | $133.77 | 1 |
| WA | $141.17–$160.11 | 2 |
| WI | $130.07 | 1 |
| WV | $123.69 | 1 |
| WY | $135.33 | 1 |
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
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 Utah 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
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.97 | × 1.000 | 0.9700 |
| Practice expense | 3.03 | × 0.940 | 2.8482 |
| Malpractice | 0.07 | × 0.898 | 0.0629 |
| Total RVUs | 3.8811 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Utah$129.63
Office: (0.97 × 1 + 3.03 × 0.94 + 0.07 × 0.898) × $33.4009 = $129.63
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| 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
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.
How 76805 has changed in Utah
76805 · Office / nonfacility
$129.63
Effective 2026-10-01
The base rate is $6.17 higher than on 2025-10-01, moving from $123.46 to $129.63 (5.0%).
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
$123.46changed to$129.63
- 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
- Practice expense GPCI 0.933 changed to 0.940
- Malpractice GPCI 0.930 changed to 0.898
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$128.60changed to$123.46
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 3.02 changed to 2.97
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$126.51changed to$128.60
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$130.39changed to$126.51
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 3.03 changed to 3.02
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.865 changed to 0.930
January 1, 2023
RVU23A
$131.37changed to$130.39
- 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
- Practice expense GPCI 0.919 changed to 0.926
- Malpractice GPCI 0.799 changed to 0.865
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$134.06changed to$131.37
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 3.06 changed to 3.01
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$134.46changed to$134.06
- 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
- Practice expense GPCI 0.923 changed to 0.919
- Malpractice GPCI 0.982 changed to 0.799
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$135.92changed to$134.46
- Conversion factor 36.0391 changed to 36.0896
- Malpractice RVU 0.08 changed to 0.06
- Practice expense GPCI 0.927 changed to 0.923
- Malpractice GPCI 1.165 changed to 0.982
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$138.78changed to$135.92
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.99 changed to 2.90
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$138.14changed to$138.78
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.925 changed to 0.927
- Malpractice GPCI 1.167 changed to 1.165
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$136.51changed to$138.14
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 2.96 changed to 2.99
- Practice expense GPCI 0.922 changed to 0.925
- Malpractice GPCI 1.169 changed to 1.167
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$137.51changed to$136.51
- 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.
July 1, 2015
RVU15C
$136.83changed to$137.51
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$139.15changed to$136.83
- 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 0.919 changed to 0.922
- Malpractice GPCI 1.136 changed to 1.169
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$139.15
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $129.63 | Not available in this setting | RVU26D |
| 2026-07-01 | $129.63 | Not available in this setting | RVU26C |
| 2026-04-01 | $129.63 | Not available in this setting | RVU26B |
| 2026-01-01 | $129.63 | Not available in this setting | RVU26A |
| 2025-10-01 | $123.46 | Not available in this setting | RVU25D |
| 2025-07-01 | $123.46 | Not available in this setting | RVU25C |
| 2025-04-01 | $123.46 | Not available in this setting | RVU25B |
| 2025-01-01 | $123.46 | Not available in this setting | RVU25A |
| 2024-10-01 | $128.60 | Not available in this setting | RVU24D |
| 2024-07-01 | $128.60 | Not available in this setting | RVU24C |
| 2024-04-01 | $128.60 | Not available in this setting | RVU24B |
| 2024-03-09 | $128.60 | Not available in this setting | RVU24AR |
| 2024-01-01 | $126.51 | Not available in this setting | RVU24A |
| 2023-10-01 | $130.39 | Not available in this setting | RVU23D |
| 2023-07-01 | $130.39 | Not available in this setting | RVU23C |
| 2023-04-01 | $130.39 | Not available in this setting | RVU23B |
| 2023-01-01 | $130.39 | Not available in this setting | RVU23A |
| 2022-10-01 | $131.37 | Not available in this setting | RVU22D |
| 2022-07-01 | $131.37 | Not available in this setting | RVU22C |
| 2022-04-01 | $131.37 | Not available in this setting | RVU22B |
| 2022-01-01 | $131.37 | Not available in this setting | RVU22A |
| 2021-10-01 | $134.06 | Not available in this setting | RVU21D |
| 2021-07-01 | $134.06 | Not available in this setting | RVU21C |
| 2021-04-01 | $134.06 | Not available in this setting | RVU21B |
| 2021-01-01 | $134.06 | Not available in this setting | RVU21A |
| 2020-10-01 | $134.46 | Not available in this setting | RVU20D |
| 2020-07-01 | $134.46 | Not available in this setting | RVU20C |
| 2020-04-01 | $134.46 | Not available in this setting | RVU20B |
| 2020-01-01 | $134.46 | Not available in this setting | RVU20A |
| 2019-10-01 | $135.92 | Not available in this setting | RVU19D |
| 2019-07-01 | $135.92 | Not available in this setting | RVU19C |
| 2019-04-01 | $135.92 | Not available in this setting | RVU19B |
| 2019-01-01 | $135.92 | Not available in this setting | RVU19A |
| 2018-10-01 | $138.78 | Not available in this setting | RVU18D |
| 2018-07-01 | $138.78 | Not available in this setting | RVU18C |
| 2018-04-01 | $138.78 | Not available in this setting | RVU18B |
| 2018-01-01 | $138.78 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $138.14 | Not available in this setting | RVU17D |
| 2017-07-01 | $138.14 | Not available in this setting | RVU17C |
| 2017-04-01 | $138.14 | Not available in this setting | RVU17B |
| 2017-01-01 | $138.14 | Not available in this setting | RVU17A |
| 2016-10-01 | $136.51 | Not available in this setting | RVU16D |
| 2016-07-01 | $136.51 | Not available in this setting | RVU16C |
| 2016-04-01 | $136.51 | Not available in this setting | RVU16B |
| 2016-01-01 | $136.51 | Not available in this setting | RVU16A |
| 2015-10-01 | $137.51 | Not available in this setting | RVU15D |
| 2015-07-01 | $137.51 | Not available in this setting | RVU15C |
| 2015-04-01 | $136.83 | Not available in this setting | RVU15B |
| 2015-01-01 | $136.83 | Not available in this setting | RVU15A |
| 2014-10-01 | $139.15 | Not available in this setting | RVU14D |
| 2014-07-01 | $139.15 | Not available in this setting | RVU14C |
| 2014-04-01 | $139.15 | Not available in this setting | RVU14B |
| 2014-01-01 | $139.15 | Not available in this setting | RVU14A |
| 2013-10-01 | Additional calculation required | Not available in this setting | RVU13D |
| 2013-07-01 | Additional calculation required | Not available in this setting | RVU13C |
| 2013-04-01 | Additional calculation required | Not available in this setting | RVU13B |
| 2013-01-01 | Additional calculation required | Not available in this setting | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
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
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