CPT code 76814: Nuchal translucency, each additional gestation2026 Medicare rate & RVUs
Reports nuchal translucency ultrasound measurement for each gestation beyond the first in a multifetal pregnancy, alongside the primary measurement service.
Medicare pays $74.82 for 76814 nationally in the office. Local office rates run $68.26–$95.62.
Medicare rate · 76814
Nuchal translucency, each additional gestation
- Work RVUs
- 0.97
- Total RVUs
- 2.24
- Global days
- ZZZ
National rate · 2026
$74.82
Office setting, before claim adjustments.
See every locality for 76814 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 76814 covers
This add-on represents nuchal translucency ultrasound measurement for an additional gestation in a multifetal pregnancy. The examination uses obstetric ultrasound to assess the fluid space at the back of the fetal neck as part of first-trimester screening. It may be performed by an obstetrician, maternal-fetal medicine specialist, or radiologist with appropriate ultrasound expertise in an office or imaging setting.
Report 76814 for each additional gestation measured beyond the first, with 76813 for the initial gestation. Documentation should identify the multifetal pregnancy and support the additional gestation examined, with image documentation and the measurement and interpretation recorded. CMS classifies 76814 as an add-on code, so it is reported with its primary procedure and paid within that procedure’s global period. The service has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, 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.
Where 76814 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$68.26 to $95.62
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $69.00 | Unavailable |
| Alaska | $92.92 | Unavailable |
| Arizona | $73.31 | Unavailable |
| Arkansas | $68.26 | Unavailable |
| Atlanta, GA | $75.90 | Unavailable |
| Austin, TX | $77.06 | Unavailable |
| Bakersfield, CA | $78.69 | Unavailable |
| Baltimore area, MD | $78.71 | Unavailable |
| Beaumont, TX | $71.03 | Unavailable |
| Brazoria, TX | $74.34 | Unavailable |
| Chicago, IL | $77.41 | Unavailable |
| Chico, CA | $78.51 | Unavailable |
| Colorado | $77.45 | Unavailable |
| Connecticut | $78.95 | Unavailable |
| Dallas, TX | $74.71 | Unavailable |
| Delaware | $74.32 | Unavailable |
| Detroit, MI | $74.54 | Unavailable |
| East St. Louis, IL | $73.25 | Unavailable |
| El Centro, CA | $78.51 | Unavailable |
| Fort Lauderdale, FL | $76.70 | Unavailable |
| Fort Worth, TX | $74.32 | Unavailable |
| Fresno, CA | $78.51 | Unavailable |
| Galveston, TX | $74.50 | Unavailable |
| Hanford, CA | $78.51 | Unavailable |
| Hawaii, Guam, HI | $79.70 | Unavailable |
| Houston, TX | $75.42 | Unavailable |
| Idaho | $70.68 | Unavailable |
| Indiana | $70.98 | Unavailable |
| Iowa | $70.35 | Unavailable |
| Kansas | $70.08 | Unavailable |
| Kentucky | $70.15 | Unavailable |
| King County, WA | $85.38 | Unavailable |
| Los Angeles, CA | $83.04 | Unavailable |
| Madera, CA | $78.51 | Unavailable |
| Manhattan, NY | $84.47 | Unavailable |
| Marin County, CA | $93.70 | Unavailable |
| Merced, CA | $78.51 | Unavailable |
| Metropolitan Boston, MA | $83.87 | Unavailable |
| Metropolitan Kansas City, MO | $72.29 | Unavailable |
| Metropolitan Philadelphia, PA | $77.39 | Unavailable |
| Metropolitan St. Louis, MO | $72.87 | Unavailable |
| Miami, FL | $79.04 | Unavailable |
| Minnesota | $74.82 | Unavailable |
| Mississippi | $68.72 | Unavailable |
| Modesto, CA | $78.51 | Unavailable |
| Montana | $74.81 | Unavailable |
| Napa, CA | $89.00 | Unavailable |
| Nebraska | $70.64 | Unavailable |
| Nevada | $74.58 | Unavailable |
| New Hampshire | $76.28 | Unavailable |
| New Mexico | $71.77 | Unavailable |
| New Orleans, LA | $72.64 | Unavailable |
| North Carolina | $71.48 | Unavailable |
| North Dakota | $73.83 | Unavailable |
| Northern New Jersey | $83.49 | Unavailable |
| NYC suburbs and Long Island, NY | $86.02 | Unavailable |
| Ohio | $71.29 | Unavailable |
| Oklahoma | $70.09 | Unavailable |
| Oxnard, CA | $82.51 | Unavailable |
| Portland, OR | $79.43 | Unavailable |
| Poughkeepsie and northern NYC suburbs, NY | $80.50 | Unavailable |
| Puerto Rico | $75.24 | Unavailable |
| Queens, NY | $85.05 | Unavailable |
| Redding, CA | $78.51 | Unavailable |
| Rest of California | $78.51 | Unavailable |
| Rest of Florida | $73.87 | Unavailable |
| Rest of Georgia | $70.74 | Unavailable |
| Rest of Illinois | $72.21 | Unavailable |
| Rest of Louisiana | $70.06 | Unavailable |
| Rest of Maine | $70.93 | Unavailable |
| Rest of Maryland | $75.49 | Unavailable |
| Rest of Massachusetts | $77.16 | Unavailable |
| Rest of Michigan | $71.49 | Unavailable |
| Rest of Missouri | $69.15 | Unavailable |
| Rest of New Jersey | $80.02 | Unavailable |
| Rest of New York | $72.28 | Unavailable |
| Rest of Oregon | $74.16 | Unavailable |
| Rest of Pennsylvania | $71.38 | Unavailable |
| Rest of Texas | $72.58 | Unavailable |
| Rest of Washington | $77.00 | Unavailable |
| Rhode Island | $76.60 | Unavailable |
| Riverside, CA | $79.07 | Unavailable |
| Sacramento, CA | $81.85 | Unavailable |
| Salinas, CA | $81.53 | Unavailable |
| San Benito County, CA | $95.62 | Unavailable |
| San Diego, CA | $83.01 | Unavailable |
| San Francisco, CA | $93.64 | Unavailable |
| San Luis Obispo, CA | $80.26 | Unavailable |
| Santa Clara County, CA | $95.39 | Unavailable |
| Santa Cruz, CA | $83.48 | Unavailable |
| Santa Maria, CA | $81.71 | Unavailable |
| Santa Rosa, CA | $84.31 | Unavailable |
| South Carolina | $71.47 | Unavailable |
| South Dakota | $73.71 | Unavailable |
| Southern Maine, ME | $73.84 | Unavailable |
| Stockton, CA | $78.51 | Unavailable |
| Suburban Chicago, IL | $77.43 | Unavailable |
| Tennessee | $70.34 | Unavailable |
| Utah | $72.20 | Unavailable |
| Vallejo, CA | $88.91 | Unavailable |
| Vermont | $73.59 | Unavailable |
| Virgin Islands, VI | $75.24 | Unavailable |
| Virginia | $73.63 | Unavailable |
| Visalia, CA | $78.51 | Unavailable |
| Washington, DC area | $84.01 | Unavailable |
| West Virginia | $70.20 | Unavailable |
| Wisconsin | $71.95 | Unavailable |
| Wyoming | $74.38 | Unavailable |
| Yuba City, CA | $78.51 | Unavailable |
76814 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.
$68.26
$92.92
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 | $92.92 | 1 |
| AL | $69.00 | 1 |
| AR | $68.26 | 1 |
| AZ | $73.31 | 1 |
| CA | $78.51–$95.62 | 29 |
| CO | $77.45 | 1 |
| CT | $78.95 | 1 |
| DC | $84.01 | 1 |
| DE | $74.32 | 1 |
| FL | $73.87–$79.04 | 3 |
| GA | $70.74–$75.90 | 2 |
| GU | $79.70 | 1 |
| HI | $79.70 | 1 |
| IA | $70.35 | 1 |
| ID | $70.68 | 1 |
| IL | $72.21–$77.43 | 4 |
| IN | $70.98 | 1 |
| KS | $70.08 | 1 |
| KY | $70.15 | 1 |
| LA | $70.06–$72.64 | 2 |
| MA | $77.16–$83.87 | 2 |
| MD | $75.49–$84.01 | 3 |
| ME | $70.93–$73.84 | 2 |
| MI | $71.49–$74.54 | 2 |
| MN | $74.82 | 1 |
| MO | $69.15–$72.87 | 3 |
| MS | $68.72 | 1 |
| MT | $74.81 | 1 |
| NC | $71.48 | 1 |
| ND | $73.83 | 1 |
| NE | $70.64 | 1 |
| NH | $76.28 | 1 |
| NJ | $80.02–$83.49 | 2 |
| NM | $71.77 | 1 |
| NV | $74.58 | 1 |
| NY | $72.28–$86.02 | 5 |
| OH | $71.29 | 1 |
| OK | $70.09 | 1 |
| OR | $74.16–$79.43 | 2 |
| PA | $71.38–$77.39 | 2 |
| PR | $75.24 | 1 |
| RI | $76.60 | 1 |
| SC | $71.47 | 1 |
| SD | $73.71 | 1 |
| TN | $70.34 | 1 |
| TX | $71.03–$77.06 | 8 |
| UT | $72.20 | 1 |
| VA | $73.63–$84.01 | 2 |
| VI | $75.24 | 1 |
| VT | $73.59 | 1 |
| WA | $77.00–$85.38 | 2 |
| WI | $71.95 | 1 |
| WV | $70.20 | 1 |
| WY | $74.38 | 1 |
How the 76814 rate is calculated
Each of 76814’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 · 76814
RVUs × geographic indexes × conversion factor
Work0.97
0.97 RVUs× 1.000 GPCI
Practice expense1.22
1.22 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
2.2400
Conversion factor
$33.4009
Medicare rate
$74.82
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 76814
The CMS indicators that decide how 76814 is paid alongside other services.
CMS payment indicators · 76814
Nuchal translucency, each additional gestation
| 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
76814 without 26 · national office
$74.82
Nuchal translucency, each additional gestation
76814-26 · Professional component
$47.43
Pays only the interpretation and report.
76814 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 76813Nuchal translucencySingle or first gestation
- 76813 covers the nuchal translucency measurement for the first gestation. Use 76814 only for each additional gestation in the same multifetal pregnancy.
- 76802Obstetric ultrasoundAdditional fetus under 14 weeks
- 76802 describes an additional-fetus early obstetric ultrasound, not the additional-gestation nuchal translucency service represented by 76814.
- 76812Detailed OB ultrasoundEach additional fetus
- 76812 is for an additional gestation in a detailed obstetric ultrasound. Choose 76814 when the additional service is nuchal translucency measurement.
76814 billing questions
Which primary code must accompany 76814?
Report 76814 with 76813, which represents the nuchal translucency measurement for the first gestation. This add-on is not reported by itself.
How many units should be reported?
Report one unit for each additional gestation measured beyond the first. Documentation should support the number of additional gestations examined.
Can the professional and technical services be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.
Is 76814 used for a routine additional-fetus ultrasound?
No. It applies to nuchal translucency measurement for an additional gestation. Other obstetric ultrasound codes describe additional-fetus examinations for different study types.
What documentation supports the additional unit?
The record should support a multifetal pregnancy and show that nuchal translucency was measured for each additional gestation billed, with the relevant image documentation and interpretation.
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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