CPT code 76827: Fetal echocardiography, complete Doppler study2026 Medicare rate & RVUs in Virginia
Reports a complete fetal cardiac Doppler assessment using pulsed-wave and/or continuous-wave spectral display to evaluate blood flow and cardiac hemodynamics.
In Virginia, Medicare pays $68.67 for 76827 in the office.
Check a contract rate as a % of Medicare · 76827 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 76827 covers
This service evaluates blood flow through the fetal heart using pulsed-wave and/or continuous-wave Doppler with spectral display. It is commonly performed when fetal cardiac structure or function is a concern, such as suspected congenital heart disease or a suspected fetal rhythm or hemodynamic problem. A sonographer may acquire the images, with a qualified physician interpreting the study, in an imaging office or hospital setting.
Select this code for a complete Doppler echocardiographic assessment, not merely a repeat or follow-up Doppler examination. The report should support the complete study with the clinical indication, Doppler measurements or waveforms obtained, and interpretation of relevant findings. CMS recognizes a professional component for interpretation, reported with modifier 26, and a technical component for equipment and staff, reported with modifier TC; without either modifier, the claim 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 Virginia compares for 76827
Across 109 of 109 payment localities, the office rate for 76827 runs from $62.30 in Arkansas to $93.43 in San Benito County, CA. Virginia pays $68.67. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$68.67
- Los Angeles, CA · California$79.36+$10.69
- Washington, DC area · District of Columbia$79.81+$11.14
- Miami, FL · Florida$73.38+$4.71
- Chicago, IL · Illinois$71.49+$2.82
- Manhattan, NY · New York$79.68+$11.01
- Alaska · Alaska$82.11+$13.44
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $63.15 | — |
| ArkansasArkansas | $62.30 | — |
| ArizonaArizona | $68.12 | — |
| Bakersfield, CACalifornia | $74.56 | — |
| Chico, CACalifornia | $74.44 | — |
| El Centro, CACalifornia | $74.45 | — |
| Fresno, CACalifornia | $74.44 | — |
| Hanford, CACalifornia | $74.44 | — |
| Madera, CACalifornia | $74.44 | — |
| Merced, CACalifornia | $74.44 | — |
| Modesto, CACalifornia | $74.44 | — |
| Napa, CACalifornia | $86.34 | — |
| Oxnard, CACalifornia | $79.02 | — |
| Redding, CACalifornia | $74.44 | — |
| Rest of CaliforniaCalifornia | $74.44 | — |
| Riverside, CACalifornia | $74.78 | — |
| Sacramento, CACalifornia | $78.14 | — |
| Salinas, CACalifornia | $77.85 | — |
| San Diego, CACalifornia | $79.67 | — |
| Marin County, CACalifornia | $91.48 | — |
| San Francisco, CACalifornia | $91.44 | — |
| San Benito County, CACalifornia | $93.43 | — |
| Santa Clara County, CACalifornia | $93.30 | — |
| San Luis Obispo, CACalifornia | $76.58 | — |
| Santa Cruz, CACalifornia | $80.44 | — |
| Santa Maria, CACalifornia | $78.14 | — |
| Santa Rosa, CACalifornia | $81.26 | — |
| Stockton, CACalifornia | $74.44 | — |
| Vallejo, CACalifornia | $86.29 | — |
| Visalia, CACalifornia | $74.44 | — |
| Yuba City, CACalifornia | $74.44 | — |
| ColoradoColorado | $73.00 | — |
| ConnecticutConnecticut | $74.23 | — |
| DelawareDelaware | $69.20 | — |
| Fort Lauderdale, FLFlorida | $71.26 | — |
| Rest of FloridaFlorida | $68.12 | — |
| Atlanta, GAGeorgia | $70.86 | — |
| Rest of GeorgiaGeorgia | $64.63 | — |
| Hawaii, Guam, HIHawaii | $76.20 | — |
| IowaIowa | $64.97 | — |
| IdahoIdaho | $65.30 | — |
| East St. Louis, ILIllinois | $66.84 | — |
| Rest of IllinoisIllinois | $66.04 | — |
| Suburban Chicago, ILIllinois | $72.06 | — |
| IndianaIndiana | $65.66 | — |
| KansasKansas | $64.53 | — |
| KentuckyKentucky | $64.20 | — |
| New Orleans, LALouisiana | $67.01 | — |
| Rest of LouisianaLouisiana | $64.04 | — |
| Metropolitan Boston, MAMassachusetts | $80.13 | — |
| Rest of MassachusettsMassachusetts | $72.55 | — |
| Baltimore area, MDMaryland | $73.98 | — |
| Rest of MarylandMaryland | $70.51 | — |
| Rest of MaineMaine | $65.45 | — |
| Southern Maine, MEMaine | $68.99 | — |
| Detroit, MIMichigan | $68.75 | — |
| Rest of MichiganMichigan | $65.61 | — |
| MinnesotaMinnesota | $70.55 | — |
| Metropolitan Kansas City, MOMissouri | $66.75 | — |
| Metropolitan St. Louis, MOMissouri | $67.42 | — |
| Rest of MissouriMissouri | $62.91 | — |
| MississippiMississippi | $62.63 | — |
| MontanaMontana | $69.81 | — |
| North CarolinaNorth Carolina | $66.11 | — |
| North DakotaNorth Dakota | $69.21 | — |
| NebraskaNebraska | $65.35 | — |
| New HampshireNew Hampshire | $71.72 | — |
| Northern New JerseyNew Jersey | $79.04 | — |
| Rest of New JerseyNew Jersey | $75.25 | — |
| New MexicoNew Mexico | $65.88 | — |
| NevadaNevada | $69.69 | — |
| NYC suburbs and Long Island, NYNew York | $81.29 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $75.60 | — |
| Queens, NYNew York | $80.53 | — |
| Rest of New YorkNew York | $67.02 | — |
| OhioOhio | $65.49 | — |
| OklahomaOklahoma | $64.26 | — |
| Portland, OROregon | $75.38 | — |
| Rest of OregonOregon | $69.31 | — |
| Metropolitan Philadelphia, PAPennsylvania | $72.38 | — |
| Rest of PennsylvaniaPennsylvania | $65.67 | — |
| Puerto RicoPuerto Rico | $70.34 | — |
| Rhode IslandRhode Island | $71.70 | — |
| South CarolinaSouth Carolina | $65.88 | — |
| South DakotaSouth Dakota | $69.14 | — |
| TennesseeTennessee | $64.82 | — |
| Austin, TXTexas | $72.62 | — |
| Beaumont, TXTexas | $65.26 | — |
| Brazoria, TXTexas | $69.29 | — |
| Dallas, TXTexas | $69.64 | — |
| Fort Worth, TXTexas | $69.15 | — |
| Galveston, TXTexas | $69.44 | — |
| Houston, TXTexas | $69.99 | — |
| Rest of TexasTexas | $67.17 | — |
| UtahUtah | $66.72 | — |
| Virgin Islands, VIUnited States Virgin Islands | $70.34 | — |
| VermontVermont | $68.82 | — |
| Rest of WashingtonWashington | $72.45 | — |
| King County, WAWashington | $81.87 | — |
| WisconsinWisconsin | $67.02 | — |
| West VirginiaWest Virginia | $63.72 | — |
| WyomingWyoming | $69.55 | — |
76827 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.
$62.30
$83.94
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 | $82.11 | 1 |
| AL | $63.15 | 1 |
| AR | $62.30 | 1 |
| AZ | $68.12 | 1 |
| CA | $74.44–$93.43 | 29 |
| CO | $73.00 | 1 |
| CT | $74.23 | 1 |
| DC | $79.81 | 1 |
| DE | $69.20 | 1 |
| FL | $68.12–$73.38 | 3 |
| GA | $64.63–$70.86 | 2 |
| GU | $76.20 | 1 |
| HI | $76.20 | 1 |
| IA | $64.97 | 1 |
| ID | $65.30 | 1 |
| IL | $66.04–$72.06 | 4 |
| IN | $65.66 | 1 |
| KS | $64.53 | 1 |
| KY | $64.20 | 1 |
| LA | $64.04–$67.01 | 2 |
| MA | $72.55–$80.13 | 2 |
| MD | $70.51–$79.81 | 3 |
| ME | $65.45–$68.99 | 2 |
| MI | $65.61–$68.75 | 2 |
| MN | $70.55 | 1 |
| MO | $62.91–$67.42 | 3 |
| MS | $62.63 | 1 |
| MT | $69.81 | 1 |
| NC | $66.11 | 1 |
| ND | $69.21 | 1 |
| NE | $65.35 | 1 |
| NH | $71.72 | 1 |
| NJ | $75.25–$79.04 | 2 |
| NM | $65.88 | 1 |
| NV | $69.69 | 1 |
| NY | $67.02–$81.29 | 5 |
| OH | $65.49 | 1 |
| OK | $64.26 | 1 |
| OR | $69.31–$75.38 | 2 |
| PA | $65.67–$72.38 | 2 |
| PR | $70.34 | 1 |
| RI | $71.70 | 1 |
| SC | $65.88 | 1 |
| SD | $69.14 | 1 |
| TN | $64.82 | 1 |
| TX | $65.26–$72.62 | 8 |
| UT | $66.72 | 1 |
| VA | $68.67–$79.81 | 2 |
| VI | $70.34 | 1 |
| VT | $68.82 | 1 |
| WA | $72.45–$81.87 | 2 |
| WI | $67.02 | 1 |
| WV | $63.72 | 1 |
| WY | $69.55 | 1 |
How the 76827 rate is calculated
Each of 76827’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 · 76827
RVUs × geographic indexes × conversion factor
Work0.57
0.57 RVUs× 1.000 GPCI
Practice expense1.49
1.49 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
2.0900
Conversion factor
$33.4009
Medicare rate
$69.81
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,814
- Code
- 76827
- Physician work
- 0.57
- Practice expense
- 1.49
- Malpractice
- 0.03
GPCI2026.csv
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.57 | × 1.000 | 0.5700 |
| Practice expense | 1.49 | × 0.983 | 1.4647 |
| Malpractice | 0.03 | × 0.706 | 0.0212 |
| Total RVUs | 2.0558 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Virginia$68.67
Office: (0.57 × 1 + 1.49 × 0.983 + 0.03 × 0.706) × $33.4009 = $68.67
Payment rules and modifiers for 76827
The CMS indicators that decide how 76827 is paid alongside other services.
CMS payment indicators · 76827
Fetal echocardiography, complete Doppler study
| 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
76827 without 26 · national office
$69.81
Fetal echocardiography, complete Doppler study
76827-26 · Professional component
$27.39
Pays only the interpretation and report.
How 76827 has changed in Virginia
76827 · Office / nonfacility
$68.67
Effective 2026-10-01
The base rate is $2.99 higher than on 2025-10-01, moving from $65.68 to $68.67 (4.6%).
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
$65.68changed to$68.67
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.58 changed to 0.57
- Practice expense RVU 1.45 changed to 1.49
- Work GPCI 1.002 changed to 1.000
- Practice expense GPCI 0.984 changed to 0.983
- Malpractice GPCI 0.755 changed to 0.706
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$68.90changed to$65.68
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.49 changed to 1.45
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$67.78changed to$68.90
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$70.15changed to$67.78
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.48 changed to 1.49
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 0.990 changed to 0.984
- Malpractice GPCI 0.826 changed to 0.755
January 1, 2023
RVU23A
$72.65changed to$70.15
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.50 changed to 1.48
- Practice expense GPCI 0.995 changed to 0.990
- Malpractice GPCI 0.897 changed to 0.826
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$74.64changed to$72.65
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.54 changed to 1.50
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$74.13changed to$74.64
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.46 changed to 1.54
- Practice expense GPCI 0.991 changed to 0.995
- Malpractice GPCI 0.903 changed to 0.897
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$75.16changed to$74.13
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.49 changed to 1.46
- Malpractice RVU 0.04 changed to 0.03
- Practice expense GPCI 0.986 changed to 0.991
- Malpractice GPCI 0.908 changed to 0.903
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$76.50changed to$75.16
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.53 changed to 1.49
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$76.50changed to$76.50
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.54 changed to 1.53
- Practice expense GPCI 0.985 changed to 0.986
- Malpractice GPCI 0.866 changed to 0.908
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$75.80changed to$76.50
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.53 changed to 1.54
- Practice expense GPCI 0.983 changed to 0.985
- Malpractice GPCI 0.824 changed to 0.866
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$76.37changed to$75.80
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.05 changed to 0.04
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$75.99changed to$76.37
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$75.05changed to$75.99
- Conversion factor 35.8228 changed to 35.7547
- Malpractice RVU 0.02 changed to 0.05
- Practice expense GPCI 0.980 changed to 0.983
- Malpractice GPCI 0.778 changed to 0.824
Held through RVU15B.
January 1, 2014
RVU14A
$59.45changed to$75.05
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.18 changed to 1.53
- Practice expense GPCI 0.977 changed to 0.980
- Malpractice GPCI 0.731 changed to 0.778
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $59.45
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $68.67 | Not available in this setting | RVU26D |
| 2026-07-01 | $68.67 | Not available in this setting | RVU26C |
| 2026-04-01 | $68.67 | Not available in this setting | RVU26B |
| 2026-01-01 | $68.67 | Not available in this setting | RVU26A |
| 2025-10-01 | $65.68 | Not available in this setting | RVU25D |
| 2025-07-01 | $65.68 | Not available in this setting | RVU25C |
| 2025-04-01 | $65.68 | Not available in this setting | RVU25B |
| 2025-01-01 | $65.68 | Not available in this setting | RVU25A |
| 2024-10-01 | $68.90 | Not available in this setting | RVU24D |
| 2024-07-01 | $68.90 | Not available in this setting | RVU24C |
| 2024-04-01 | $68.90 | Not available in this setting | RVU24B |
| 2024-03-09 | $68.90 | Not available in this setting | RVU24AR |
| 2024-01-01 | $67.78 | Not available in this setting | RVU24A |
| 2023-10-01 | $70.15 | Not available in this setting | RVU23D |
| 2023-07-01 | $70.15 | Not available in this setting | RVU23C |
| 2023-04-01 | $70.15 | Not available in this setting | RVU23B |
| 2023-01-01 | $70.15 | Not available in this setting | RVU23A |
| 2022-10-01 | $72.65 | Not available in this setting | RVU22D |
| 2022-07-01 | $72.65 | Not available in this setting | RVU22C |
| 2022-04-01 | $72.65 | Not available in this setting | RVU22B |
| 2022-01-01 | $72.65 | Not available in this setting | RVU22A |
| 2021-10-01 | $74.64 | Not available in this setting | RVU21D |
| 2021-07-01 | $74.64 | Not available in this setting | RVU21C |
| 2021-04-01 | $74.64 | Not available in this setting | RVU21B |
| 2021-01-01 | $74.64 | Not available in this setting | RVU21A |
| 2020-10-01 | $74.13 | Not available in this setting | RVU20D |
| 2020-07-01 | $74.13 | Not available in this setting | RVU20C |
| 2020-04-01 | $74.13 | Not available in this setting | RVU20B |
| 2020-01-01 | $74.13 | Not available in this setting | RVU20A |
| 2019-10-01 | $75.16 | Not available in this setting | RVU19D |
| 2019-07-01 | $75.16 | Not available in this setting | RVU19C |
| 2019-04-01 | $75.16 | Not available in this setting | RVU19B |
| 2019-01-01 | $75.16 | Not available in this setting | RVU19A |
| 2018-10-01 | $76.50 | Not available in this setting | RVU18D |
| 2018-07-01 | $76.50 | Not available in this setting | RVU18C |
| 2018-04-01 | $76.50 | Not available in this setting | RVU18B |
| 2018-01-01 | $76.50 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $76.50 | Not available in this setting | RVU17D |
| 2017-07-01 | $76.50 | Not available in this setting | RVU17C |
| 2017-04-01 | $76.50 | Not available in this setting | RVU17B |
| 2017-01-01 | $76.50 | Not available in this setting | RVU17A |
| 2016-10-01 | $75.80 | Not available in this setting | RVU16D |
| 2016-07-01 | $75.80 | Not available in this setting | RVU16C |
| 2016-04-01 | $75.80 | Not available in this setting | RVU16B |
| 2016-01-01 | $75.80 | Not available in this setting | RVU16A |
| 2015-10-01 | $76.37 | Not available in this setting | RVU15D |
| 2015-07-01 | $76.37 | Not available in this setting | RVU15C |
| 2015-04-01 | $75.99 | Not available in this setting | RVU15B |
| 2015-01-01 | $75.99 | Not available in this setting | RVU15A |
| 2014-10-01 | $75.05 | Not available in this setting | RVU14D |
| 2014-07-01 | $75.05 | Not available in this setting | RVU14C |
| 2014-04-01 | $75.05 | Not available in this setting | RVU14B |
| 2014-01-01 | $75.05 | Not available in this setting | RVU14A |
| 2013-10-01 | $59.45 | Not available in this setting | RVU13D |
| 2013-07-01 | $59.45 | Not available in this setting | RVU13C |
| 2013-04-01 | $59.45 | Not available in this setting | RVU13B |
| 2013-01-01 | $59.45 | Not available in this setting | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
76827 billing questions
When should 76828 be used instead?
Use 76828 for a follow-up or repeat fetal Doppler echocardiographic examination. 76827 is for the complete Doppler study rather than a follow-up study.
Can the professional and technical portions be billed separately?
Yes. Report modifier 26 for the physician interpretation or TC for the technical service. Billing without either modifier represents the global service.
What documentation supports 76827?
Document the reason for fetal cardiac Doppler evaluation, the spectral Doppler assessment performed, and the interpretation of the findings. The record should support a complete study rather than a limited follow-up.
Is 76827 the same as a fetal artery Doppler study?
No. 76827 evaluates fetal cardiac blood flow as part of a fetal echocardiographic study. Codes 76820 and 76821 address Doppler assessment of the umbilical artery and middle cerebral artery, respectively.
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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