CPT code 76816: Obstetric ultrasound, follow-up, each fetus2026 Medicare rate & RVUs in North Dakota
Reports a transabdominal follow-up ultrasound to reassess fetal growth, amniotic fluid, or a previously evaluated pregnancy finding for each fetus.
In North Dakota, Medicare pays $110.23 for 76816 in the office.
Check a contract rate as a % of Medicare · 76816 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 76816 covers
CPT 76816 covers a transabdominal follow-up ultrasound of the pregnant uterus, reported for each fetus evaluated. It is commonly used when a clinician needs interval assessment of fetal growth or amniotic fluid, such as during surveillance for suspected growth concerns or after a prior study identified a finding requiring reassessment. An obstetrician, maternal-fetal medicine specialist, or radiologist may perform and interpret the diagnostic study; a sonographer may acquire the images under the provider’s direction.
Report this code for a follow-up examination, not as a substitute for a complete initial survey or a limited examination addressing a narrower question. The record should support the reason for reassessment and document the fetus-specific measurements and findings, with the interpretation and image documentation. CMS recognizes separately priced professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and billing without either 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 North Dakota compares for 76816
Across 109 of 109 payment localities, the office rate for 76816 runs from $98.88 in Arkansas to $149.67 in San Benito County, CA. North Dakota pays $110.23. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$110.23
- Los Angeles, CA · California$126.78+$16.55
- Washington, DC area · District of Columbia$127.48+$17.25
- Miami, FL · Florida$117.13+$6.90
- Chicago, IL · Illinois$113.99+$3.76
- Manhattan, NY · New York$127.23+$17.00
- Alaska · Alaska$129.66+$19.43
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $100.27 | — |
| ArkansasArkansas | $98.88 | — |
| ArizonaArizona | $108.45 | — |
| Bakersfield, CACalifornia | $118.95 | — |
| Chico, CACalifornia | $118.78 | — |
| El Centro, CACalifornia | $118.79 | — |
| Fresno, CACalifornia | $118.78 | — |
| Hanford, CACalifornia | $118.78 | — |
| Madera, CACalifornia | $118.78 | — |
| Merced, CACalifornia | $118.78 | — |
| Modesto, CACalifornia | $118.78 | — |
| Napa, CACalifornia | $138.17 | — |
| Oxnard, CACalifornia | $126.27 | — |
| Redding, CACalifornia | $118.78 | — |
| Rest of CaliforniaCalifornia | $118.78 | — |
| Riverside, CACalifornia | $119.33 | — |
| Sacramento, CACalifornia | $124.79 | — |
| Salinas, CACalifornia | $124.32 | — |
| San Diego, CACalifornia | $127.33 | — |
| Marin County, CACalifornia | $146.51 | — |
| San Francisco, CACalifornia | $146.45 | — |
| San Benito County, CACalifornia | $149.67 | — |
| Santa Clara County, CACalifornia | $149.44 | — |
| San Luis Obispo, CACalifornia | $122.30 | — |
| Santa Cruz, CACalifornia | $128.63 | — |
| Santa Maria, CACalifornia | $124.81 | — |
| Santa Rosa, CACalifornia | $129.94 | — |
| Stockton, CACalifornia | $118.78 | — |
| Vallejo, CACalifornia | $138.09 | — |
| Visalia, CACalifornia | $118.78 | — |
| Yuba City, CACalifornia | $118.78 | — |
| ColoradoColorado | $116.43 | — |
| ConnecticutConnecticut | $118.43 | — |
| DelawareDelaware | $110.21 | — |
| Fort Lauderdale, FLFlorida | $113.64 | — |
| Rest of FloridaFlorida | $108.46 | — |
| Atlanta, GAGeorgia | $112.95 | — |
| Rest of GeorgiaGeorgia | $102.71 | — |
| Hawaii, Guam, HIHawaii | $121.73 | — |
| IowaIowa | $103.26 | — |
| IdahoIdaho | $103.80 | — |
| East St. Louis, ILIllinois | $106.37 | — |
| Rest of IllinoisIllinois | $105.05 | — |
| Suburban Chicago, ILIllinois | $114.92 | — |
| IndianaIndiana | $104.39 | — |
| KansasKansas | $102.54 | — |
| KentuckyKentucky | $102.00 | — |
| New Orleans, LALouisiana | $106.62 | — |
| Rest of LouisianaLouisiana | $101.74 | — |
| Metropolitan Boston, MAMassachusetts | $128.05 | — |
| Rest of MassachusettsMassachusetts | $115.67 | — |
| Baltimore area, MDMaryland | $118.04 | — |
| Rest of MarylandMaryland | $112.35 | — |
| Rest of MaineMaine | $104.05 | — |
| Southern Maine, MEMaine | $109.87 | — |
| Detroit, MIMichigan | $109.51 | — |
| Rest of MichiganMichigan | $104.32 | — |
| MinnesotaMinnesota | $112.42 | — |
| Metropolitan Kansas City, MOMissouri | $106.19 | — |
| Metropolitan St. Louis, MOMissouri | $107.30 | — |
| Rest of MissouriMissouri | $99.89 | — |
| MississippiMississippi | $99.41 | — |
| MontanaMontana | $111.22 | — |
| North CarolinaNorth Carolina | $105.14 | — |
| NebraskaNebraska | $103.89 | — |
| New HampshireNew Hampshire | $114.37 | — |
| Northern New JerseyNew Jersey | $126.18 | — |
| Rest of New JerseyNew Jersey | $120.02 | — |
| New MexicoNew Mexico | $104.77 | — |
| NevadaNevada | $111.03 | — |
| NYC suburbs and Long Island, NYNew York | $129.90 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $120.60 | — |
| Queens, NYNew York | $128.63 | — |
| Rest of New YorkNew York | $106.64 | — |
| OhioOhio | $104.12 | — |
| OklahomaOklahoma | $102.10 | — |
| Portland, OROregon | $120.32 | — |
| Rest of OregonOregon | $110.40 | — |
| Metropolitan Philadelphia, PAPennsylvania | $115.40 | — |
| Rest of PennsylvaniaPennsylvania | $104.42 | — |
| Puerto RicoPuerto Rico | $112.10 | — |
| Rhode IslandRhode Island | $114.27 | — |
| South CarolinaSouth Carolina | $104.76 | — |
| South DakotaSouth Dakota | $110.12 | — |
| TennesseeTennessee | $103.01 | — |
| Austin, TXTexas | $115.84 | — |
| Beaumont, TXTexas | $103.74 | — |
| Brazoria, TXTexas | $110.34 | — |
| Dallas, TXTexas | $110.91 | — |
| Fort Worth, TXTexas | $110.11 | — |
| Galveston, TXTexas | $110.59 | — |
| Houston, TXTexas | $111.50 | — |
| Rest of TexasTexas | $106.89 | — |
| UtahUtah | $106.14 | — |
| VirginiaVirginia | $109.34 | — |
| Virgin Islands, VIUnited States Virgin Islands | $112.10 | — |
| VermontVermont | $109.58 | — |
| Rest of WashingtonWashington | $115.52 | — |
| King County, WAWashington | $130.88 | — |
| WisconsinWisconsin | $106.63 | — |
| West VirginiaWest Virginia | $101.22 | — |
| WyomingWyoming | $110.79 | — |
76816 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.
$98.88
$134.23
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 | $129.66 | 1 |
| AL | $100.27 | 1 |
| AR | $98.88 | 1 |
| AZ | $108.45 | 1 |
| CA | $118.78–$149.67 | 29 |
| CO | $116.43 | 1 |
| CT | $118.43 | 1 |
| DC | $127.48 | 1 |
| DE | $110.21 | 1 |
| FL | $108.46–$117.13 | 3 |
| GA | $102.71–$112.95 | 2 |
| GU | $121.73 | 1 |
| HI | $121.73 | 1 |
| IA | $103.26 | 1 |
| ID | $103.80 | 1 |
| IL | $105.05–$114.92 | 4 |
| IN | $104.39 | 1 |
| KS | $102.54 | 1 |
| KY | $102.00 | 1 |
| LA | $101.74–$106.62 | 2 |
| MA | $115.67–$128.05 | 2 |
| MD | $112.35–$127.48 | 3 |
| ME | $104.05–$109.87 | 2 |
| MI | $104.32–$109.51 | 2 |
| MN | $112.42 | 1 |
| MO | $99.89–$107.30 | 3 |
| MS | $99.41 | 1 |
| MT | $111.22 | 1 |
| NC | $105.14 | 1 |
| ND | $110.23 | 1 |
| NE | $103.89 | 1 |
| NH | $114.37 | 1 |
| NJ | $120.02–$126.18 | 2 |
| NM | $104.77 | 1 |
| NV | $111.03 | 1 |
| NY | $106.64–$129.90 | 5 |
| OH | $104.12 | 1 |
| OK | $102.10 | 1 |
| OR | $110.40–$120.32 | 2 |
| PA | $104.42–$115.40 | 2 |
| PR | $112.10 | 1 |
| RI | $114.27 | 1 |
| SC | $104.76 | 1 |
| SD | $110.12 | 1 |
| TN | $103.01 | 1 |
| TX | $103.74–$115.84 | 8 |
| UT | $106.14 | 1 |
| VA | $109.34–$127.48 | 2 |
| VI | $112.10 | 1 |
| VT | $109.58 | 1 |
| WA | $115.52–$130.88 | 2 |
| WI | $106.63 | 1 |
| WV | $101.22 | 1 |
| WY | $110.79 | 1 |
How the 76816 rate is calculated
Each of 76816’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 · 76816
RVUs × geographic indexes × conversion factor
Work0.83
0.83 RVUs× 1.000 GPCI
Practice expense2.45
2.45 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
3.3300
Conversion factor
$33.4009
Medicare rate
$111.22
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,790
- Code
- 76816
- Physician work
- 0.83
- Practice expense
- 2.45
- Malpractice
- 0.05
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.83 | × 1.000 | 0.8300 |
| Practice expense | 2.45 | × 1.000 | 2.4500 |
| Malpractice | 0.05 | × 0.406 | 0.0203 |
| Total RVUs | 3.3003 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$110.23
Office: (0.83 × 1 + 2.45 × 1 + 0.05 × 0.406) × $33.4009 = $110.23
Payment rules and modifiers for 76816
The CMS indicators that decide how 76816 is paid alongside other services.
CMS payment indicators · 76816
Obstetric ultrasound, follow-up, each fetus
| 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
76816 without 26 · national office
$111.22
Obstetric ultrasound, follow-up, each fetus
76816-26 · Professional component
$40.75
Pays only the interpretation and report.
How 76816 has changed in North Dakota
76816 · Office / nonfacility
$110.23
Effective 2026-10-01
The base rate is $5.57 higher than on 2025-10-01, moving from $104.66 to $110.23 (5.3%).
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
$104.66changed to$110.23
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.85 changed to 0.83
- Practice expense RVU 2.37 changed to 2.45
- Malpractice RVU 0.03 changed to 0.05
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$109.37changed to$104.66
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.42 changed to 2.37
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$107.58changed to$109.37
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$110.95changed to$107.58
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.41 changed to 2.42
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$112.87changed to$110.95
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.39 changed to 2.41
- Malpractice RVU 0.05 changed to 0.03
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$115.20changed to$112.87
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.43 changed to 2.39
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$114.38changed to$115.20
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.30 changed to 2.43
- Malpractice RVU 0.04 changed to 0.05
- Malpractice GPCI 0.485 changed to 0.431
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$115.08changed to$114.38
- Conversion factor 36.0391 changed to 36.0896
- Malpractice RVU 0.08 changed to 0.04
- Malpractice GPCI 0.540 changed to 0.485
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$117.47changed to$115.08
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.37 changed to 2.30
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$117.49changed to$117.47
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.38 changed to 2.37
- Malpractice GPCI 0.547 changed to 0.540
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$115.80changed to$117.49
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 2.34 changed to 2.38
- Malpractice GPCI 0.554 changed to 0.547
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$115.86changed to$115.80
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 2.33 changed to 2.34
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$115.28changed to$115.86
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$117.19changed to$115.28
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 2.40 changed to 2.33
- Malpractice RVU 0.04 changed to 0.08
- Malpractice GPCI 0.536 changed to 0.554
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$117.19
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 | $110.23 | Not available in this setting | RVU26D |
| 2026-07-01 | $110.23 | Not available in this setting | RVU26C |
| 2026-04-01 | $110.23 | Not available in this setting | RVU26B |
| 2026-01-01 | $110.23 | Not available in this setting | RVU26A |
| 2025-10-01 | $104.66 | Not available in this setting | RVU25D |
| 2025-07-01 | $104.66 | Not available in this setting | RVU25C |
| 2025-04-01 | $104.66 | Not available in this setting | RVU25B |
| 2025-01-01 | $104.66 | Not available in this setting | RVU25A |
| 2024-10-01 | $109.37 | Not available in this setting | RVU24D |
| 2024-07-01 | $109.37 | Not available in this setting | RVU24C |
| 2024-04-01 | $109.37 | Not available in this setting | RVU24B |
| 2024-03-09 | $109.37 | Not available in this setting | RVU24AR |
| 2024-01-01 | $107.58 | Not available in this setting | RVU24A |
| 2023-10-01 | $110.95 | Not available in this setting | RVU23D |
| 2023-07-01 | $110.95 | Not available in this setting | RVU23C |
| 2023-04-01 | $110.95 | Not available in this setting | RVU23B |
| 2023-01-01 | $110.95 | Not available in this setting | RVU23A |
| 2022-10-01 | $112.87 | Not available in this setting | RVU22D |
| 2022-07-01 | $112.87 | Not available in this setting | RVU22C |
| 2022-04-01 | $112.87 | Not available in this setting | RVU22B |
| 2022-01-01 | $112.87 | Not available in this setting | RVU22A |
| 2021-10-01 | $115.20 | Not available in this setting | RVU21D |
| 2021-07-01 | $115.20 | Not available in this setting | RVU21C |
| 2021-04-01 | $115.20 | Not available in this setting | RVU21B |
| 2021-01-01 | $115.20 | Not available in this setting | RVU21A |
| 2020-10-01 | $114.38 | Not available in this setting | RVU20D |
| 2020-07-01 | $114.38 | Not available in this setting | RVU20C |
| 2020-04-01 | $114.38 | Not available in this setting | RVU20B |
| 2020-01-01 | $114.38 | Not available in this setting | RVU20A |
| 2019-10-01 | $115.08 | Not available in this setting | RVU19D |
| 2019-07-01 | $115.08 | Not available in this setting | RVU19C |
| 2019-04-01 | $115.08 | Not available in this setting | RVU19B |
| 2019-01-01 | $115.08 | Not available in this setting | RVU19A |
| 2018-10-01 | $117.47 | Not available in this setting | RVU18D |
| 2018-07-01 | $117.47 | Not available in this setting | RVU18C |
| 2018-04-01 | $117.47 | Not available in this setting | RVU18B |
| 2018-01-01 | $117.47 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $117.49 | Not available in this setting | RVU17D |
| 2017-07-01 | $117.49 | Not available in this setting | RVU17C |
| 2017-04-01 | $117.49 | Not available in this setting | RVU17B |
| 2017-01-01 | $117.49 | Not available in this setting | RVU17A |
| 2016-10-01 | $115.80 | Not available in this setting | RVU16D |
| 2016-07-01 | $115.80 | Not available in this setting | RVU16C |
| 2016-04-01 | $115.80 | Not available in this setting | RVU16B |
| 2016-01-01 | $115.80 | Not available in this setting | RVU16A |
| 2015-10-01 | $115.86 | Not available in this setting | RVU15D |
| 2015-07-01 | $115.86 | Not available in this setting | RVU15C |
| 2015-04-01 | $115.28 | Not available in this setting | RVU15B |
| 2015-01-01 | $115.28 | Not available in this setting | RVU15A |
| 2014-10-01 | $117.19 | Not available in this setting | RVU14D |
| 2014-07-01 | $117.19 | Not available in this setting | RVU14C |
| 2014-04-01 | $117.19 | Not available in this setting | RVU14B |
| 2014-01-01 | $117.19 | 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 North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
76816 billing questions
When should 76816 be chosen over 76815?
Use 76816 for a follow-up assessment such as interval fetal growth or amniotic fluid reassessment. Use 76815 when the service is a limited examination focused on a narrower question.
How is 76816 reported for a multiple gestation?
The service is reported per fetus evaluated. Documentation should make clear which fetus or fetuses received the follow-up assessment.
How do modifiers 26 and TC affect this code?
Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
How does 76816 differ from 76805?
CPT 76805 describes a standard complete obstetric ultrasound, while 76816 is for a follow-up reassessment. Select based on the examination performed and its purpose, not simply because the patient has had an earlier scan.
What documentation supports a follow-up study?
Document the clinical reason for reassessment, the fetus evaluated, relevant measurements and findings, and the interpreting provider’s report. The record should show that the service was a follow-up rather than a limited or complete initial survey.
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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