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CPT code 76830: Pelvic ultrasound, transvaginal, nonobstetric2026 Medicare rate & RVUs in Puerto Rico

Reports diagnostic pelvic ultrasound using a vaginal transducer to assess pelvic structures in a nonpregnant patient, such as for pelvic pain or abnormal bleeding.

CMS RVU26DEffective Oct 1, 2026One payment locality386K Medicare services in 2024

In Puerto Rico, Medicare pays $118.57 for 76830 in the office.

$118.57Office (non-facility)
Not available in this settingHospital or facility
+0.9%vs the national office rate ($117.57)

Check a contract rate as a % of Medicare · 76830 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 76830 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 76830 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 76830 covers

This diagnostic exam uses a vaginal transducer to obtain images of pelvic structures, commonly the uterus, endometrium, and ovaries. It is used in nonpregnant patients when a closer view is needed to evaluate concerns such as pelvic pain, abnormal uterine bleeding, or an adnexal finding. A sonographer may acquire the images, with a qualified practitioner interpreting the study; the service is commonly performed in imaging departments and gynecology offices.

Report the code for the nonobstetric transvaginal exam performed, and retain documentation of the indication, transvaginal approach, findings, and interpretation. CMS recognizes a professional component for interpretation, reported with modifier 26, and a technical component for equipment and staff, reported with modifier TC. Reporting without either modifier represents the global service, including both components.

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 Puerto Rico compares for 76830

Across 109 of 109 payment localities, the office rate for 76830 runs from $103.46 in Arkansas to $160.29 in San Benito County, CA. Puerto Rico pays $118.57. The RVUs are the same everywhere; the geographic indexes change the dollars.

76830 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$118.57
  2. Los Angeles, CA · California$134.87+$16.30
  3. Washington, DC area · District of Columbia$135.59+$17.02
  4. Miami, FL · Florida$124.46+$5.89
  5. Chicago, IL · Illinois$120.79+$2.22
  6. Manhattan, NY · New York$135.27+$16.70
  7. Alaska · Alaska$133.92+$15.35

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

Every other payment area

76830 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$105.05—
ArkansasArkansas$103.46—
ArizonaArizona$114.39—
Bakersfield, CACalifornia$126.16—
Chico, CACalifornia$125.97—
El Centro, CACalifornia$125.98—
Fresno, CACalifornia$125.97—
Hanford, CACalifornia$125.97—

76830 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$103.46

$143.13

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
76830 office rate range by state
State / territoryOffice rate rangeLocalities
AK$133.921
AL$105.051
AR$103.461
AZ$114.391
CA$125.97–$160.2929
CO$123.361
CT$125.621
DC$135.591
DE$116.361
FL$114.48–$124.463
GA$107.89–$119.532
GU$129.491
HI$129.491
IA$108.441
ID$109.061
IL$110.59–$121.794
IN$109.741
KS$107.631
KY$107.061
LA$106.77–$112.352
MA$122.46–$136.352
MD$118.75–$135.593
ME$109.36–$115.992
MI$109.72–$115.682
MN$118.861
MO$104.66–$113.103
MS$104.091
MT$117.571
NC$110.601
ND$116.381
NE$109.151
NH$121.141
NJ$127.23–$134.032
NM$110.241
NV$117.331
NY$112.32–$138.335
OH$109.481
OK$107.151
OR$116.60–$127.762
PA$109.82–$122.182
PR$118.571
RI$120.861
SC$110.191
SD$116.241
TN$108.161
TX$109.04–$122.798
UT$111.781
VA$115.40–$135.592
VI$118.571
VT$115.651
WA$122.32–$139.482
WI$112.271
WV$106.231
WY$117.051

See 76830 in every payment locality

How the 76830 rate is calculated

Each of 76830’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 · 76830

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.67

0.67 RVUs× 1.000 GPCI

Practice expense2.79

2.79 RVUs× 1.000 GPCI

Malpractice0.06

0.06 RVUs× 1.000 GPCI

Adjusted RVUs

3.5200

Conversion factor

$33.4009

Medicare rate

$117.57

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,820

Code
76830
Physician work
0.67
Practice expense
2.79
Malpractice
0.06

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 76830 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work0.67× 1.0000.6700
Practice expense2.79× 1.0112.8207
Malpractice0.06× 0.9850.0591
Total RVUs3.5498
Conversion factor× 33.4009

Office rate, Puerto Rico$118.57

Office: (0.67 × 1 + 2.79 × 1.011 + 0.06 × 0.985) × $33.4009 = $118.57

Open 76830 in the RVU calculator

Payment rules and modifiers for 76830

The CMS indicators that decide how 76830 is paid alongside other services.

CMS payment indicators · 76830

Pelvic ultrasound, transvaginal, nonobstetric

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
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

76830 without 26 · national office

$117.57

Pelvic ultrasound, transvaginal, nonobstetric

76830-26 · Professional component

$32.40

Pays only the interpretation and report.

When to use modifier 26

Codes related to 76830

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 76830
CodeHow it relatesOffice range, Puerto Rico
Often billed with
76856Pelvic ultrasound, complete, nonobstetricMay accompany this exam when a complete transabdominal pelvic ultrasound is also performed.$106.08
Used instead
76857Pelvic ultrasound, limited or follow-upDescribes a limited pelvic ultrasound rather than the transvaginal approach.$51.45
76831Sonohysterography, saline infusionUsed for saline-infusion sonohysterography to assess the uterine cavity.$118.23
76817OB ultrasound, transvaginal approachTransvaginal ultrasound for an obstetric indication.$93.56

How 76830 has changed in Puerto Rico

76830 · Office / nonfacility

$118.57

Effective 2026-10-01

The base rate is $3.78 higher than on 2025-10-01, moving from $114.79 to $118.57 (3.3%).

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

    $114.79changed to$118.57

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.69 changed to 0.67
    • Malpractice RVU 0.05 changed to 0.06
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $119.80changed to$114.79

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.84 changed to 2.79

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $117.85changed to$119.80

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $123.08changed to$117.85

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.87 changed to 2.84
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $122.33changed to$123.08

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $125.70changed to$122.33

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $127.80changed to$125.70

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.90 changed to 2.87

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $126.00changed to$127.80

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.74 changed to 2.90
    • Malpractice RVU 0.04 changed to 0.05
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $124.64changed to$126.00

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.70 changed to 2.74
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $125.95changed to$124.64

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.74 changed to 2.70

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $110.09changed to$125.95

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $93.89changed to$110.09

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.72 changed to 2.74
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $94.08changed to$93.89

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.71 changed to 2.72
    • Malpractice RVU 0.06 changed to 0.05

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $93.61changed to$94.08

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $95.51changed to$93.61

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.84 changed to 2.71
    • Malpractice RVU 0.04 changed to 0.06
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $58.65changed to$95.51

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.51 changed to 2.84
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $58.65

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$118.57Not available in this settingRVU26D
2026-07-01$118.57Not available in this settingRVU26C
2026-04-01$118.57Not available in this settingRVU26B
2026-01-01$118.57Not available in this settingRVU26A
2025-10-01$114.79Not available in this settingRVU25D
2025-07-01$114.79Not available in this settingRVU25C
2025-04-01$114.79Not available in this settingRVU25B
2025-01-01$114.79Not available in this settingRVU25A
2024-10-01$119.80Not available in this settingRVU24D
2024-07-01$119.80Not available in this settingRVU24C
2024-04-01$119.80Not available in this settingRVU24B
2024-03-09$119.80Not available in this settingRVU24AR
2024-01-01$117.85Not available in this settingRVU24A
2023-10-01$123.08Not available in this settingRVU23D
2023-07-01$122.33Not available in this settingRVU23C
2023-04-01$122.33Not available in this settingRVU23B
2023-01-01$122.33Not available in this settingRVU23A
2022-10-01$125.70Not available in this settingRVU22D
2022-07-01$125.70Not available in this settingRVU22C
2022-04-01$125.70Not available in this settingRVU22B
2022-01-01$125.70Not available in this settingRVU22A
2021-10-01$127.80Not available in this settingRVU21D
2021-07-01$127.80Not available in this settingRVU21C
2021-04-01$127.80Not available in this settingRVU21B
2021-01-01$127.80Not available in this settingRVU21A
2020-10-01$126.00Not available in this settingRVU20D
2020-07-01$126.00Not available in this settingRVU20C
2020-04-01$126.00Not available in this settingRVU20B
2020-01-01$126.00Not available in this settingRVU20A
2019-10-01$124.64Not available in this settingRVU19D
2019-07-01$124.64Not available in this settingRVU19C
2019-04-01$124.64Not available in this settingRVU19B
2019-01-01$124.64Not available in this settingRVU19A
2018-10-01$125.95Not available in this settingRVU18D
2018-07-01$125.95Not available in this settingRVU18C
2018-04-01$125.95Not available in this settingRVU18B
2018-01-01$125.95Not available in this settingRVU18AR1
2017-10-01$110.09Not available in this settingRVU17D
2017-07-01$110.09Not available in this settingRVU17C
2017-04-01$110.09Not available in this settingRVU17B
2017-01-01$110.09Not available in this settingRVU17A
2016-10-01$93.89Not available in this settingRVU16D
2016-07-01$93.89Not available in this settingRVU16C
2016-04-01$93.89Not available in this settingRVU16B
2016-01-01$93.89Not available in this settingRVU16A
2015-10-01$94.08Not available in this settingRVU15D
2015-07-01$94.08Not available in this settingRVU15C
2015-04-01$93.61Not available in this settingRVU15B
2015-01-01$93.61Not available in this settingRVU15A
2014-10-01$95.51Not available in this settingRVU14D
2014-07-01$95.51Not available in this settingRVU14C
2014-04-01$95.51Not available in this settingRVU14B
2014-01-01$95.51Not available in this settingRVU14A
2013-10-01$58.65Not available in this settingRVU13D
2013-07-01$58.65Not available in this settingRVU13C
2013-04-01$58.65Not available in this settingRVU13B
2013-01-01$58.65Not available in this settingRVU13AR

Price 76830 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

76830 billing questions

How does this differ from 76817?

This code is for a nonobstetric pelvic exam. Use 76817 for a transvaginal ultrasound performed for an obstetric indication.

Can 76830 be reported with 76856?

They may be reported together when both a complete transabdominal pelvic exam and a transvaginal exam are performed and documented. The record should support each distinct examination.

Which modifier applies to the interpretation?

Report modifier 26 for the professional interpretation. Modifier TC represents the technical portion, including equipment and staff; reporting without either modifier represents the global service.

Is the code reported once for each ovary?

No. The code reports the transvaginal pelvic examination, not a separate service for each structure imaged.

When is 76831 a better fit?

Use 76831 for sonohysterography, in which saline is introduced into the uterine cavity to help assess it. This code describes transvaginal pelvic imaging without that cavity-distension procedure.

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 76830PPRRVU2026_Oct_nonQPP.csv, line 8,820 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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