CPT code 76828: Fetal echo, follow-up Doppler2026 Medicare rate & RVUs in Nevada
Reports repeat or follow-up Doppler assessment of fetal cardiac blood flow when a prior fetal echocardiographic evaluation requires reassessment.
In Nevada, Medicare pays $49.30 for 76828 in the office.
Check a contract rate as a % of Medicare · 76828 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 76828 covers
This service is a repeat or follow-up Doppler evaluation of the fetal heart, using pulsed-wave and/or continuous-wave Doppler with spectral display to assess cardiac blood-flow patterns. It may be performed by a fetal cardiologist, pediatric cardiologist, radiologist, or maternal-fetal medicine specialist in an ultrasound or hospital setting. The study addresses a previously evaluated fetal cardiac concern, rather than serving as a routine obstetric survey or a Doppler study limited to a fetal artery.
Select this code when the documented service is follow-up or repeat fetal cardiac Doppler imaging; use the complete Doppler study code for an initial complete Doppler examination. The report should identify the clinical reason for reassessment and include the Doppler findings and interpretation. The service has 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 Nevada compares for 76828
Across 109 of 109 payment localities, the office rate for 76828 runs from $44.71 in Arkansas to $64.28 in San Benito County, CA. Nevada pays $49.30. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Nevada · this page$49.30
- Los Angeles, CA · California$55.35+$6.05
- Washington, DC area · District of Columbia$55.89+$6.59
- Miami, FL · Florida$52.20+$2.90
- Chicago, IL · Illinois$51.01+$1.71
- Manhattan, NY · New York$56.07+$6.77
- Alaska · Alaska$60.12+$10.82
Other areas in Nevada first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $45.24 | — |
| ArkansasArkansas | $44.71 | — |
| ArizonaArizona | $48.36 | — |
| Bakersfield, CACalifornia | $52.28 | — |
| Chico, CACalifornia | $52.17 | — |
| El Centro, CACalifornia | $52.17 | — |
| Fresno, CACalifornia | $52.17 | — |
| Hanford, CACalifornia | $52.17 | — |
| Madera, CACalifornia | $52.17 | — |
| Merced, CACalifornia | $52.17 | — |
| Modesto, CACalifornia | $52.17 | — |
| Napa, CACalifornia | $59.66 | — |
| Oxnard, CACalifornia | $55.04 | — |
| Redding, CACalifornia | $52.17 | — |
| Rest of CaliforniaCalifornia | $52.17 | — |
| Riverside, CACalifornia | $52.50 | — |
| Sacramento, CACalifornia | $54.53 | — |
| Salinas, CACalifornia | $54.32 | — |
| San Diego, CACalifornia | $55.42 | — |
| Marin County, CACalifornia | $62.96 | — |
| San Francisco, CACalifornia | $62.93 | — |
| San Benito County, CACalifornia | $64.28 | — |
| Santa Clara County, CACalifornia | $64.14 | — |
| San Luis Obispo, CACalifornia | $53.46 | — |
| Santa Cruz, CACalifornia | $55.82 | — |
| Santa Maria, CACalifornia | $54.47 | — |
| Santa Rosa, CACalifornia | $56.37 | — |
| Stockton, CACalifornia | $52.17 | — |
| Vallejo, CACalifornia | $59.61 | — |
| Visalia, CACalifornia | $52.17 | — |
| Yuba City, CACalifornia | $52.17 | — |
| ColoradoColorado | $51.36 | — |
| ConnecticutConnecticut | $52.33 | — |
| DelawareDelaware | $49.06 | — |
| Fort Lauderdale, FLFlorida | $50.63 | — |
| Rest of FloridaFlorida | $48.61 | — |
| Atlanta, GAGeorgia | $50.17 | — |
| Rest of GeorgiaGeorgia | $46.38 | — |
| Hawaii, Guam, HIHawaii | $53.13 | — |
| IowaIowa | $46.27 | — |
| IdahoIdaho | $46.50 | — |
| East St. Louis, ILIllinois | $48.04 | — |
| Rest of IllinoisIllinois | $47.38 | — |
| Suburban Chicago, ILIllinois | $51.15 | — |
| IndianaIndiana | $46.72 | — |
| KansasKansas | $46.05 | — |
| KentuckyKentucky | $46.01 | — |
| New Orleans, LALouisiana | $47.80 | — |
| Rest of LouisianaLouisiana | $45.93 | — |
| Metropolitan Boston, MAMassachusetts | $55.91 | — |
| Rest of MassachusettsMassachusetts | $51.12 | — |
| Baltimore area, MDMaryland | $52.16 | — |
| Rest of MarylandMaryland | $49.90 | — |
| Rest of MaineMaine | $46.65 | — |
| Southern Maine, MEMaine | $48.79 | — |
| Detroit, MIMichigan | $49.07 | — |
| Rest of MichiganMichigan | $46.95 | — |
| MinnesotaMinnesota | $49.60 | — |
| Metropolitan Kansas City, MOMissouri | $47.58 | — |
| Metropolitan St. Louis, MOMissouri | $47.99 | — |
| Rest of MissouriMissouri | $45.26 | — |
| MississippiMississippi | $44.99 | — |
| MontanaMontana | $49.43 | — |
| North CarolinaNorth Carolina | $47.06 | — |
| North DakotaNorth Dakota | $48.84 | — |
| NebraskaNebraska | $46.50 | — |
| New HampshireNew Hampshire | $50.54 | — |
| Northern New JerseyNew Jersey | $55.47 | — |
| Rest of New JerseyNew Jersey | $53.03 | — |
| New MexicoNew Mexico | $47.14 | — |
| NYC suburbs and Long Island, NYNew York | $57.15 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $53.33 | — |
| Queens, NYNew York | $56.52 | — |
| Rest of New YorkNew York | $47.63 | — |
| OhioOhio | $46.83 | — |
| OklahomaOklahoma | $45.99 | — |
| Portland, OROregon | $52.81 | — |
| Rest of OregonOregon | $49.02 | — |
| Metropolitan Philadelphia, PAPennsylvania | $51.19 | — |
| Rest of PennsylvaniaPennsylvania | $46.91 | — |
| Puerto RicoPuerto Rico | $49.75 | — |
| Rhode IslandRhode Island | $50.67 | — |
| South CarolinaSouth Carolina | $47.00 | — |
| South DakotaSouth Dakota | $48.77 | — |
| TennesseeTennessee | $46.23 | — |
| Austin, TXTexas | $51.10 | — |
| Beaumont, TXTexas | $46.66 | — |
| Brazoria, TXTexas | $49.09 | — |
| Dallas, TXTexas | $49.34 | — |
| Fort Worth, TXTexas | $49.05 | — |
| Galveston, TXTexas | $49.20 | — |
| Houston, TXTexas | $49.75 | — |
| Rest of TexasTexas | $47.80 | — |
| UtahUtah | $47.53 | — |
| VirginiaVirginia | $48.63 | — |
| Virgin Islands, VIUnited States Virgin Islands | $49.75 | — |
| VermontVermont | $48.64 | — |
| Rest of WashingtonWashington | $51.03 | — |
| King County, WAWashington | $56.99 | — |
| WisconsinWisconsin | $47.48 | — |
| West VirginiaWest Virginia | $45.93 | — |
| WyomingWyoming | $49.17 | — |
76828 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.
$44.71
$60.12
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 | $60.12 | 1 |
| AL | $45.24 | 1 |
| AR | $44.71 | 1 |
| AZ | $48.36 | 1 |
| CA | $52.17–$64.28 | 29 |
| CO | $51.36 | 1 |
| CT | $52.33 | 1 |
| DC | $55.89 | 1 |
| DE | $49.06 | 1 |
| FL | $48.61–$52.20 | 3 |
| GA | $46.38–$50.17 | 2 |
| GU | $53.13 | 1 |
| HI | $53.13 | 1 |
| IA | $46.27 | 1 |
| ID | $46.50 | 1 |
| IL | $47.38–$51.15 | 4 |
| IN | $46.72 | 1 |
| KS | $46.05 | 1 |
| KY | $46.01 | 1 |
| LA | $45.93–$47.80 | 2 |
| MA | $51.12–$55.91 | 2 |
| MD | $49.90–$55.89 | 3 |
| ME | $46.65–$48.79 | 2 |
| MI | $46.95–$49.07 | 2 |
| MN | $49.60 | 1 |
| MO | $45.26–$47.99 | 3 |
| MS | $44.99 | 1 |
| MT | $49.43 | 1 |
| NC | $47.06 | 1 |
| ND | $48.84 | 1 |
| NE | $46.50 | 1 |
| NH | $50.54 | 1 |
| NJ | $53.03–$55.47 | 2 |
| NM | $47.14 | 1 |
| NV | $49.30 | 1 |
| NY | $47.63–$57.15 | 5 |
| OH | $46.83 | 1 |
| OK | $45.99 | 1 |
| OR | $49.02–$52.81 | 2 |
| PA | $46.91–$51.19 | 2 |
| PR | $49.75 | 1 |
| RI | $50.67 | 1 |
| SC | $47.00 | 1 |
| SD | $48.77 | 1 |
| TN | $46.23 | 1 |
| TX | $46.66–$51.10 | 8 |
| UT | $47.53 | 1 |
| VA | $48.63–$55.89 | 2 |
| VI | $49.75 | 1 |
| VT | $48.64 | 1 |
| WA | $51.03–$56.99 | 2 |
| WI | $47.48 | 1 |
| WV | $45.93 | 1 |
| WY | $49.17 | 1 |
How the 76828 rate is calculated
Each of 76828’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 · 76828
RVUs × geographic indexes × conversion factor
Work0.55
0.55 RVUs× 1.000 GPCI
Practice expense0.90
0.90 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
1.4800
Conversion factor
$33.4009
Medicare rate
$49.43
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Nevada inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,817
- Code
- 76828
- Physician work
- 0.55
- Practice expense
- 0.90
- Malpractice
- 0.03
GPCI2026.csv
73
- Locality
- Nevada
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.55 | × 1.000 | 0.5500 |
| Practice expense | 0.90 | × 1.001 | 0.9009 |
| Malpractice | 0.03 | × 0.833 | 0.0250 |
| Total RVUs | 1.4759 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Nevada$49.30
Office: (0.55 × 1 + 0.9 × 1.001 + 0.03 × 0.833) × $33.4009 = $49.30
Payment rules and modifiers for 76828
The CMS indicators that decide how 76828 is paid alongside other services.
CMS payment indicators · 76828
Fetal echo, follow-up Doppler
| 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
76828 without 26 · national office
$49.43
Fetal echo, follow-up Doppler
76828-26 · Professional component
$26.72
Pays only the interpretation and report.
How 76828 has changed in Nevada
76828 · Office / nonfacility
$49.30
Effective 2026-10-01
The base rate is $2.82 higher than on 2025-10-01, moving from $46.48 to $49.30 (6.1%).
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
$46.48changed to$49.30
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.56 changed to 0.55
- Practice expense RVU 0.86 changed to 0.90
- Malpractice RVU 0.02 changed to 0.03
- Practice expense GPCI 1.000 changed to 1.001
- Malpractice GPCI 0.844 changed to 0.833
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$48.50changed to$46.48
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.88 changed to 0.86
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$47.70changed to$48.50
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$49.88changed to$47.70
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.89 changed to 0.88
- Malpractice GPCI 1.098 changed to 0.844
January 1, 2023
RVU23A
$51.68changed to$49.88
- Conversion factor 34.6062 changed to 33.8872
- Malpractice RVU 0.03 changed to 0.02
- Work GPCI 1.005 changed to 1.000
- Malpractice GPCI 1.351 changed to 1.098
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$53.15changed to$51.68
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.92 changed to 0.89
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$53.27changed to$53.15
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.88 changed to 0.92
- Work GPCI 1.004 changed to 1.005
- Malpractice GPCI 1.130 changed to 1.351
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$54.85changed to$53.27
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.90 changed to 0.88
- Malpractice RVU 0.05 changed to 0.03
- Work GPCI 1.002 changed to 1.004
- Practice expense GPCI 1.017 changed to 1.000
- Malpractice GPCI 0.909 changed to 1.130
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$55.15changed to$54.85
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.91 changed to 0.90
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$56.39changed to$55.15
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.93 changed to 0.91
- Work GPCI 1.004 changed to 1.002
- Practice expense GPCI 1.034 changed to 1.017
- Malpractice GPCI 0.946 changed to 0.909
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$56.15changed to$56.39
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.91 changed to 0.93
- Work GPCI 1.005 changed to 1.004
- Practice expense GPCI 1.051 changed to 1.034
- Malpractice GPCI 0.982 changed to 0.946
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$56.35changed to$56.15
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$56.07changed to$56.35
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$55.27changed to$56.07
- Conversion factor 35.8228 changed to 35.7547
- Malpractice RVU 0.02 changed to 0.05
- Work GPCI 1.001 changed to 1.005
- Practice expense GPCI 1.055 changed to 1.051
- Malpractice GPCI 1.107 changed to 0.982
Held through RVU15B.
January 1, 2014
RVU14A
$46.53changed to$55.27
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.74 changed to 0.91
- Work GPCI 1.000 changed to 1.001
- Practice expense GPCI 1.058 changed to 1.055
- Malpractice GPCI 1.232 changed to 1.107
Held through RVU14B, RVU14C, RVU14D.
October 1, 2013
RVU13D
No ratechanged to$46.53
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $49.30 | Not available in this setting | RVU26D |
| 2026-07-01 | $49.30 | Not available in this setting | RVU26C |
| 2026-04-01 | $49.30 | Not available in this setting | RVU26B |
| 2026-01-01 | $49.30 | Not available in this setting | RVU26A |
| 2025-10-01 | $46.48 | Not available in this setting | RVU25D |
| 2025-07-01 | $46.48 | Not available in this setting | RVU25C |
| 2025-04-01 | $46.48 | Not available in this setting | RVU25B |
| 2025-01-01 | $46.48 | Not available in this setting | RVU25A |
| 2024-10-01 | $48.50 | Not available in this setting | RVU24D |
| 2024-07-01 | $48.50 | Not available in this setting | RVU24C |
| 2024-04-01 | $48.50 | Not available in this setting | RVU24B |
| 2024-03-09 | $48.50 | Not available in this setting | RVU24AR |
| 2024-01-01 | $47.70 | Not available in this setting | RVU24A |
| 2023-10-01 | $49.88 | Not available in this setting | RVU23D |
| 2023-07-01 | $49.88 | Not available in this setting | RVU23C |
| 2023-04-01 | $49.88 | Not available in this setting | RVU23B |
| 2023-01-01 | $49.88 | Not available in this setting | RVU23A |
| 2022-10-01 | $51.68 | Not available in this setting | RVU22D |
| 2022-07-01 | $51.68 | Not available in this setting | RVU22C |
| 2022-04-01 | $51.68 | Not available in this setting | RVU22B |
| 2022-01-01 | $51.68 | Not available in this setting | RVU22A |
| 2021-10-01 | $53.15 | Not available in this setting | RVU21D |
| 2021-07-01 | $53.15 | Not available in this setting | RVU21C |
| 2021-04-01 | $53.15 | Not available in this setting | RVU21B |
| 2021-01-01 | $53.15 | Not available in this setting | RVU21A |
| 2020-10-01 | $53.27 | Not available in this setting | RVU20D |
| 2020-07-01 | $53.27 | Not available in this setting | RVU20C |
| 2020-04-01 | $53.27 | Not available in this setting | RVU20B |
| 2020-01-01 | $53.27 | Not available in this setting | RVU20A |
| 2019-10-01 | $54.85 | Not available in this setting | RVU19D |
| 2019-07-01 | $54.85 | Not available in this setting | RVU19C |
| 2019-04-01 | $54.85 | Not available in this setting | RVU19B |
| 2019-01-01 | $54.85 | Not available in this setting | RVU19A |
| 2018-10-01 | $55.15 | Not available in this setting | RVU18D |
| 2018-07-01 | $55.15 | Not available in this setting | RVU18C |
| 2018-04-01 | $55.15 | Not available in this setting | RVU18B |
| 2018-01-01 | $55.15 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $56.39 | Not available in this setting | RVU17D |
| 2017-07-01 | $56.39 | Not available in this setting | RVU17C |
| 2017-04-01 | $56.39 | Not available in this setting | RVU17B |
| 2017-01-01 | $56.39 | Not available in this setting | RVU17A |
| 2016-10-01 | $56.15 | Not available in this setting | RVU16D |
| 2016-07-01 | $56.15 | Not available in this setting | RVU16C |
| 2016-04-01 | $56.15 | Not available in this setting | RVU16B |
| 2016-01-01 | $56.15 | Not available in this setting | RVU16A |
| 2015-10-01 | $56.35 | Not available in this setting | RVU15D |
| 2015-07-01 | $56.35 | Not available in this setting | RVU15C |
| 2015-04-01 | $56.07 | Not available in this setting | RVU15B |
| 2015-01-01 | $56.07 | Not available in this setting | RVU15A |
| 2014-10-01 | $55.27 | Not available in this setting | RVU14D |
| 2014-07-01 | $55.27 | Not available in this setting | RVU14C |
| 2014-04-01 | $55.27 | Not available in this setting | RVU14B |
| 2014-01-01 | $55.27 | Not available in this setting | RVU14A |
| 2013-10-01 | $46.53 | Not available in this setting | RVU13D |
| 2013-07-01 | Rate data unavailable | Not available in this setting | RVU13C |
| 2013-04-01 | Rate data unavailable | Not available in this setting | RVU13B |
| 2013-01-01 | Rate data unavailable | Not available in this setting | RVU13AR |
Where the Nevada rate applies
Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.
- Alamo
- Amargosa Valley
- Austin
- Baker
- Battle Mountain
- Beatty
- Beaverdam
- Bennett Springs
76828 billing questions
How does this differ from 76827?
76828 is for repeat or follow-up fetal cardiac Doppler imaging. 76827 describes the complete Doppler fetal echocardiographic study.
How does this differ from 76826?
76826 covers follow-up or repeat fetal echocardiography using real-time imaging and M-mode when performed. 76828 identifies the follow-up Doppler assessment with spectral display.
Can 76828 be reported with 76826?
They describe different aspects of a follow-up fetal echocardiographic examination: real-time imaging and M-mode under 76826, and Doppler assessment under 76828. The documentation should support both services.
Which modifiers identify the professional and technical portions?
Append modifier 26 for the professional interpretation or modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports follow-up Doppler reporting?
Document the reason for reassessment, the fetal cardiac Doppler evaluation performed, the spectral findings, and the interpretation. The record should support that this was a repeat or follow-up Doppler study.
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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