CPT code 76814: Nuchal translucency, each additional gestation2026 Medicare rate & RVUs in Mississippi

Reports nuchal translucency ultrasound measurement for each gestation beyond the first in a multifetal pregnancy, alongside the primary measurement service.

CMS RVU26DEffective Oct 1, 2026One payment locality12 Medicare services in 2024

In Mississippi, Medicare pays $68.72 for 76814 in the office.

$68.72Office (non-facility)
Not available in this settingHospital or facility
−8.2%vs the national office rate ($74.82)

Check a contract rate as a % of Medicare · 76814 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 76814 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 76814 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 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.

How Mississippi compares for 76814

Across 109 of 109 payment localities, the office rate for 76814 runs from $68.26 in Arkansas to $95.62 in San Benito County, CA. Mississippi pays $68.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

76814 in Mississippi vs other payment areas
  1. Mississippi · this page$68.72
  2. Los Angeles, CA · California$83.04+$14.32
  3. Washington, DC area · District of Columbia$84.01+$15.29
  4. Miami, FL · Florida$79.04+$10.32
  5. Chicago, IL · Illinois$77.41+$8.69
  6. Manhattan, NY · New York$84.47+$15.75
  7. Alaska · Alaska$92.92+$24.20

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

Every other payment area

76814 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$69.00—
ArkansasArkansas$68.26—
ArizonaArizona$73.31—
Bakersfield, CACalifornia$78.69—
Chico, CACalifornia$78.51—
El Centro, CACalifornia$78.51—
Fresno, CACalifornia$78.51—
Hanford, CACalifornia$78.51—

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
76814 office rate range by state
State / territoryOffice rate rangeLocalities
AK$92.921
AL$69.001
AR$68.261
AZ$73.311
CA$78.51–$95.6229
CO$77.451
CT$78.951
DC$84.011
DE$74.321
FL$73.87–$79.043
GA$70.74–$75.902
GU$79.701
HI$79.701
IA$70.351
ID$70.681
IL$72.21–$77.434
IN$70.981
KS$70.081
KY$70.151
LA$70.06–$72.642
MA$77.16–$83.872
MD$75.49–$84.013
ME$70.93–$73.842
MI$71.49–$74.542
MN$74.821
MO$69.15–$72.873
MS$68.721
MT$74.811
NC$71.481
ND$73.831
NE$70.641
NH$76.281
NJ$80.02–$83.492
NM$71.771
NV$74.581
NY$72.28–$86.025
OH$71.291
OK$70.091
OR$74.16–$79.432
PA$71.38–$77.392
PR$75.241
RI$76.601
SC$71.471
SD$73.711
TN$70.341
TX$71.03–$77.068
UT$72.201
VA$73.63–$84.012
VI$75.241
VT$73.591
WA$77.00–$85.382
WI$71.951
WV$70.201
WY$74.381

See 76814 in every payment locality

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

Office or facility?

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.

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,784

Code
76814
Physician work
0.97
Practice expense
1.22
Malpractice
0.05

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 76814 in Mississippi
ComponentRVULocality factorAdjusted
Physician work0.97× 1.0000.9700
Practice expense1.22× 0.8611.0504
Malpractice0.05× 0.7390.0370
Total RVUs2.0574
Conversion factor× 33.4009

Office rate, Mississippi$68.72

Office: (0.97 × 1 + 1.22 × 0.861 + 0.05 × 0.739) × $33.4009 = $68.72

Open 76814 in the RVU calculator

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

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

76814 without 26 · national office

$74.82

Nuchal translucency, each additional gestation

76814-26 · Professional component

$47.43

Pays only the interpretation and report.

When to use modifier 26

How 76814 has changed in Mississippi

76814 · Office / nonfacility

$68.72

Effective 2026-10-01

The base rate is $3.43 higher than on 2025-10-01, moving from $65.29 to $68.72 (5.3%).

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

    $65.29changed to$68.72

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.99 changed to 0.97
    • Practice expense RVU 1.18 changed to 1.22
    • Malpractice RVU 0.03 changed to 0.05
    • Practice expense GPCI 0.852 changed to 0.861
    • Malpractice GPCI 0.768 changed to 0.739

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $68.04changed to$65.29

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.21 changed to 1.18

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $66.93changed to$68.04

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $69.30changed to$66.93

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.22 changed to 1.21
    • Practice expense GPCI 0.847 changed to 0.852
    • Malpractice GPCI 0.720 changed to 0.768
  5. January 1, 2023

    RVU23A

    $70.97changed to$69.30

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.05 changed to 0.03
    • Practice expense GPCI 0.842 changed to 0.847
    • Malpractice GPCI 0.671 changed to 0.720

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $72.44changed to$70.97

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.25 changed to 1.22

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $73.24changed to$72.44

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.19 changed to 1.25
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 0.856 changed to 0.842
    • Malpractice GPCI 0.521 changed to 0.671

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $74.01changed to$73.24

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.18 changed to 1.19
    • Malpractice RVU 0.10 changed to 0.04
    • Practice expense GPCI 0.870 changed to 0.856
    • Malpractice GPCI 0.370 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $75.18changed to$74.01

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.22 changed to 1.18

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $75.57changed to$75.18

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.23 changed to 1.22
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.492 changed to 0.370

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $75.38changed to$75.57

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.22 changed to 1.23
    • Practice expense GPCI 0.864 changed to 0.867
    • Malpractice GPCI 0.613 changed to 0.492

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $75.96changed to$75.38

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.23 changed to 1.22

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $75.59changed to$75.96

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $74.25changed to$75.59

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.22 changed to 1.23
    • Malpractice RVU 0.04 changed to 0.10
    • Practice expense GPCI 0.865 changed to 0.864
    • Malpractice GPCI 0.687 changed to 0.613

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $74.20changed to$74.25

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.34 changed to 1.22
    • Practice expense GPCI 0.866 changed to 0.865
    • Malpractice GPCI 0.761 changed to 0.687

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $74.20

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$68.72Not available in this settingRVU26D
2026-07-01$68.72Not available in this settingRVU26C
2026-04-01$68.72Not available in this settingRVU26B
2026-01-01$68.72Not available in this settingRVU26A
2025-10-01$65.29Not available in this settingRVU25D
2025-07-01$65.29Not available in this settingRVU25C
2025-04-01$65.29Not available in this settingRVU25B
2025-01-01$65.29Not available in this settingRVU25A
2024-10-01$68.04Not available in this settingRVU24D
2024-07-01$68.04Not available in this settingRVU24C
2024-04-01$68.04Not available in this settingRVU24B
2024-03-09$68.04Not available in this settingRVU24AR
2024-01-01$66.93Not available in this settingRVU24A
2023-10-01$69.30Not available in this settingRVU23D
2023-07-01$69.30Not available in this settingRVU23C
2023-04-01$69.30Not available in this settingRVU23B
2023-01-01$69.30Not available in this settingRVU23A
2022-10-01$70.97Not available in this settingRVU22D
2022-07-01$70.97Not available in this settingRVU22C
2022-04-01$70.97Not available in this settingRVU22B
2022-01-01$70.97Not available in this settingRVU22A
2021-10-01$72.44Not available in this settingRVU21D
2021-07-01$72.44Not available in this settingRVU21C
2021-04-01$72.44Not available in this settingRVU21B
2021-01-01$72.44Not available in this settingRVU21A
2020-10-01$73.24Not available in this settingRVU20D
2020-07-01$73.24Not available in this settingRVU20C
2020-04-01$73.24Not available in this settingRVU20B
2020-01-01$73.24Not available in this settingRVU20A
2019-10-01$74.01Not available in this settingRVU19D
2019-07-01$74.01Not available in this settingRVU19C
2019-04-01$74.01Not available in this settingRVU19B
2019-01-01$74.01Not available in this settingRVU19A
2018-10-01$75.18Not available in this settingRVU18D
2018-07-01$75.18Not available in this settingRVU18C
2018-04-01$75.18Not available in this settingRVU18B
2018-01-01$75.18Not available in this settingRVU18AR1
2017-10-01$75.57Not available in this settingRVU17D
2017-07-01$75.57Not available in this settingRVU17C
2017-04-01$75.57Not available in this settingRVU17B
2017-01-01$75.57Not available in this settingRVU17A
2016-10-01$75.38Not available in this settingRVU16D
2016-07-01$75.38Not available in this settingRVU16C
2016-04-01$75.38Not available in this settingRVU16B
2016-01-01$75.38Not available in this settingRVU16A
2015-10-01$75.96Not available in this settingRVU15D
2015-07-01$75.96Not available in this settingRVU15C
2015-04-01$75.59Not available in this settingRVU15B
2015-01-01$75.59Not available in this settingRVU15A
2014-10-01$74.25Not available in this settingRVU14D
2014-07-01$74.25Not available in this settingRVU14C
2014-04-01$74.25Not available in this settingRVU14B
2014-01-01$74.25Not available in this settingRVU14A
2013-10-01$74.20Not available in this settingRVU13D
2013-07-01$74.20Not available in this settingRVU13C
2013-04-01$74.20Not available in this settingRVU13B
2013-01-01$74.20Not available in this settingRVU13AR

Price 76814 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

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
RVUs for 76814PPRRVU2026_Oct_nonQPP.csv, line 8,784 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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