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CPT code 76810: Obstetric ultrasound, 14 weeks or later2026 Medicare rate & RVUs in Washington, DC area

Reports the standard obstetric ultrasound evaluation for each additional fetus in a pregnancy at 14 weeks or later, alongside the primary study.

CMS RVU26DEffective Oct 1, 2026One payment locality47 Medicare services in 2024

In Washington, DC area, Medicare pays $100.16 for 76810 in the office.

$100.16Office (non-facility)
Not available in this settingHospital or facility
+13.2%vs the national office rate ($88.51)

Check a contract rate as a % of Medicare · 76810 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 76810 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 76810 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 76810 covers

This add-on covers the standard obstetric ultrasound evaluation of an additional fetus at 14 weeks or later. It is used in multiple gestations when the primary study evaluates one fetus and the examination also requires evaluation of another. A sonographer typically acquires the images in an office or hospital imaging department; a physician interprets the study and documents the findings. The additional-fetus evaluation is distinct from a detailed fetal anatomic examination.

Report 76810 with the qualifying primary obstetric ultrasound, not as a stand-alone service. Documentation should identify the gestational age and number of fetuses and support the evaluation of each additional fetus. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and no component modifier represents the global service. CMS treats this add-on payment 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 Washington, DC area compares for 76810

Across 109 of 109 payment localities, the office rate for 76810 runs from $79.86 in Arkansas to $115.17 in San Benito County, CA. Washington, DC area pays $100.16. The RVUs are the same everywhere; the geographic indexes change the dollars.

76810 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$100.16
  2. Los Angeles, CA · California$99.12−$1.04
  3. Miami, FL · Florida$93.81−$6.35
  4. Chicago, IL · Illinois$91.60−$8.56
  5. Manhattan, NY · New York$100.56+$0.40
  6. Alaska · Alaska$107.18+$7.02
  7. Alabama · Alabama$80.84−$19.32

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

76810 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$79.86—
ArizonaArizona$86.54—
Bakersfield, CACalifornia$93.56—
Chico, CACalifornia$93.35—
El Centro, CACalifornia$93.36—
Fresno, CACalifornia$93.35—
Hanford, CACalifornia$93.35—
Madera, CACalifornia$93.35—

76810 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.

$79.86

$107.18

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

View every state and territory as a table
76810 office rate range by state
State / territoryOffice rate rangeLocalities
AK$107.181
AL$80.841
AR$79.861
AZ$86.541
CA$93.35–$115.1729
CO$91.941
CT$93.771
DC$100.161
DE$87.821
FL$87.12–$93.813
GA$83.02–$89.882
GU$95.131
HI$95.131
IA$82.681
ID$83.101
IL$84.90–$91.754
IN$83.511
KS$82.291
KY$82.301
LA$82.17–$85.572
MA$91.50–$100.172
MD$89.32–$100.163
ME$83.40–$87.282
MI$84.03–$87.982
MN$88.681
MO$80.95–$85.903
MS$80.421
MT$88.511
NC$84.141
ND$87.321
NE$83.071
NH$90.491
NJ$95.00–$99.382
NM$84.401
NV$88.231
NY$85.20–$102.575
OH$83.791
OK$82.241
OR$87.70–$94.562
PA$83.94–$91.712
PR$89.081
RI$90.701
SC$84.071
SD$87.181
TN$82.631
TX$83.47–$91.518
UT$85.041
VA$87.00–$100.162
VI$89.081
VT$86.981
WA$91.34–$102.112
WI$84.841
WV$82.241
WY$87.991

See 76810 in every payment locality

How the 76810 rate is calculated

Each of 76810’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 · 76810

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.96

0.96 RVUs× 1.000 GPCI

Practice expense1.63

1.63 RVUs× 1.000 GPCI

Malpractice0.06

0.06 RVUs× 1.000 GPCI

Adjusted RVUs

2.6500

Conversion factor

$33.4009

Medicare rate

$88.51

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,772

Code
76810
Physician work
0.96
Practice expense
1.63
Malpractice
0.06

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 76810 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work0.96× 1.0541.0118
Practice expense1.63× 1.1781.9201
Malpractice0.06× 1.1130.0668
Total RVUs2.9988
Conversion factor× 33.4009

Office rate, Washington, DC area$100.16

Office: (0.96 × 1.054 + 1.63 × 1.178 + 0.06 × 1.113) × $33.4009 = $100.16

Open 76810 in the RVU calculator

Payment rules and modifiers for 76810

The CMS indicators that decide how 76810 is paid alongside other services.

CMS payment indicators · 76810

Obstetric ultrasound, 14 weeks or later

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

76810 without 26 · national office

$88.51

Obstetric ultrasound, 14 weeks or later

76810-26 · Professional component

$47.10

Pays only the interpretation and report.

When to use modifier 26

Codes related to 76810

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

Codes related to 76810
CodeHow it relatesOffice range, Washington, DC area
Add-on codes
76805Obstetric ultrasound, single fetus, 14 weeks or laterPrimary standard obstetric ultrasound code paired with 76810 for additional-fetus evaluation.$155.97
Used instead
76802Obstetric ultrasound, additional fetus under 14 weeksAdditional-fetus standard obstetric ultrasound code for a pregnancy before 14 weeks.$67.78
76812Detailed OB ultrasound, each additional fetusUsed for an additional fetus when the obstetric examination is detailed.$221.57

How 76810 has changed in Washington, DC area

76810 · Office / nonfacility

$100.16

Effective 2026-10-01

The base rate is $4.60 higher than on 2025-10-01, moving from $95.56 to $100.16 (4.8%).

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

    $95.56changed to$100.16

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.98 changed to 0.96
    • Practice expense RVU 1.58 changed to 1.63
    • Malpractice RVU 0.03 changed to 0.06
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $99.53changed to$95.56

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.61 changed to 1.58

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $97.91changed to$99.53

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $103.80changed to$97.91

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.62 changed to 1.61
    • Malpractice RVU 0.05 changed to 0.03
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $106.42changed to$103.80

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.60 changed to 1.62
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $109.03changed to$106.42

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.64 changed to 1.60

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $108.17changed to$109.03

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.55 changed to 1.64
    • Malpractice RVU 0.06 changed to 0.05
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $108.72changed to$108.17

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.57 changed to 1.55
    • Malpractice RVU 0.08 changed to 0.06
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $109.89changed to$108.72

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.61 changed to 1.57
    • Malpractice RVU 0.07 changed to 0.08

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $109.68changed to$109.89

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $109.12changed to$109.68

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.60 changed to 1.61
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $111.32changed to$109.12

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.61 changed to 1.60
    • Malpractice RVU 0.10 changed to 0.07

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $110.77changed to$111.32

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $112.65changed to$110.77

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.72 changed to 1.61
    • Malpractice RVU 0.04 changed to 0.10
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $112.73changed to$112.65

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.87 changed to 1.72
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $112.73

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$100.16Not available in this settingRVU26D
2026-07-01$100.16Not available in this settingRVU26C
2026-04-01$100.16Not available in this settingRVU26B
2026-01-01$100.16Not available in this settingRVU26A
2025-10-01$95.56Not available in this settingRVU25D
2025-07-01$95.56Not available in this settingRVU25C
2025-04-01$95.56Not available in this settingRVU25B
2025-01-01$95.56Not available in this settingRVU25A
2024-10-01$99.53Not available in this settingRVU24D
2024-07-01$99.53Not available in this settingRVU24C
2024-04-01$99.53Not available in this settingRVU24B
2024-03-09$99.53Not available in this settingRVU24AR
2024-01-01$97.91Not available in this settingRVU24A
2023-10-01$103.80Not available in this settingRVU23D
2023-07-01$103.80Not available in this settingRVU23C
2023-04-01$103.80Not available in this settingRVU23B
2023-01-01$103.80Not available in this settingRVU23A
2022-10-01$106.42Not available in this settingRVU22D
2022-07-01$106.42Not available in this settingRVU22C
2022-04-01$106.42Not available in this settingRVU22B
2022-01-01$106.42Not available in this settingRVU22A
2021-10-01$109.03Not available in this settingRVU21D
2021-07-01$109.03Not available in this settingRVU21C
2021-04-01$109.03Not available in this settingRVU21B
2021-01-01$109.03Not available in this settingRVU21A
2020-10-01$108.17Not available in this settingRVU20D
2020-07-01$108.17Not available in this settingRVU20C
2020-04-01$108.17Not available in this settingRVU20B
2020-01-01$108.17Not available in this settingRVU20A
2019-10-01$108.72Not available in this settingRVU19D
2019-07-01$108.72Not available in this settingRVU19C
2019-04-01$108.72Not available in this settingRVU19B
2019-01-01$108.72Not available in this settingRVU19A
2018-10-01$109.89Not available in this settingRVU18D
2018-07-01$109.89Not available in this settingRVU18C
2018-04-01$109.89Not available in this settingRVU18B
2018-01-01$109.89Not available in this settingRVU18AR1
2017-10-01$109.68Not available in this settingRVU17D
2017-07-01$109.68Not available in this settingRVU17C
2017-04-01$109.68Not available in this settingRVU17B
2017-01-01$109.68Not available in this settingRVU17A
2016-10-01$109.12Not available in this settingRVU16D
2016-07-01$109.12Not available in this settingRVU16C
2016-04-01$109.12Not available in this settingRVU16B
2016-01-01$109.12Not available in this settingRVU16A
2015-10-01$111.32Not available in this settingRVU15D
2015-07-01$111.32Not available in this settingRVU15C
2015-04-01$110.77Not available in this settingRVU15B
2015-01-01$110.77Not available in this settingRVU15A
2014-10-01$112.65Not available in this settingRVU14D
2014-07-01$112.65Not available in this settingRVU14C
2014-04-01$112.65Not available in this settingRVU14B
2014-01-01$112.65Not available in this settingRVU14A
2013-10-01$112.73Not available in this settingRVU13D
2013-07-01$112.73Not available in this settingRVU13C
2013-04-01$112.73Not available in this settingRVU13B
2013-01-01$112.73Not available in this settingRVU13AR

Price 76810 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

76810 billing questions

Which primary code is paired with 76810?

Pair it with 76805 when the standard obstetric ultrasound is performed at 14 weeks or later and evaluates an additional fetus.

How is 76810 different from 76812?

Use 76810 for the standard additional-fetus evaluation. Code 76812 is for an additional fetus in a detailed obstetric ultrasound.

How many units should be reported?

Report one unit for each additional fetus evaluated beyond the fetus represented by the primary study. Documentation should make the number of fetuses and the additional evaluation clear.

Can 76810 be billed by itself?

No. It is an add-on code and must be reported with its qualifying primary obstetric ultrasound.

How are the professional and technical services reported?

Use modifier 26 for the physician’s interpretation or TC for the technical service. Without either modifier, the claim represents the global service.

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 76810PPRRVU2026_Oct_nonQPP.csv, line 8,772 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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