CPT code 76856: Pelvic ultrasound, complete, nonobstetric2026 Medicare rate & RVUs in Montana
Report this code for a complete nonobstetric pelvic ultrasound assessing pelvic organs, commonly for pelvic pain, abnormal bleeding, or a suspected mass.
In Montana, Medicare pays $105.21 for 76856 in the office.
Check a contract rate as a % of Medicare · 76856 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 76856 covers
This service is a complete ultrasound examination of the nonpregnant pelvis, most often performed transabdominally by a sonographer and interpreted by a physician. Common reasons include pelvic pain, abnormal uterine bleeding, suspected fibroids or ovarian cysts, and evaluation of a pelvic mass. The study typically assesses the uterus, endometrium, ovaries, adnexa, and other relevant pelvic structures, with saved images and a written interpretation.
Select the complete study when the examination evaluates the relevant pelvic structures rather than only a limited question or region. The report should identify the structures assessed and document findings supporting the medical need. A separately performed transvaginal nonobstetric examination may be reported with 76830 when the documentation supports both services. CMS recognizes professional and technical components: report modifier 26 for interpretation, TC for equipment and staff, or neither for the global service. The diagnostic imaging multiple procedure reduction applies to both the technical and professional 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 Montana compares for 76856
Across 109 of 109 payment localities, the office rate for 76856 runs from $92.96 in Arkansas to $142.77 in San Benito County, CA. Montana pays $105.21. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$105.21
- Los Angeles, CA · California$120.42+$15.21
- Washington, DC area · District of Columbia$121.06+$15.85
- Miami, FL · Florida$111.09+$5.88
- Chicago, IL · Illinois$107.94+$2.73
- Manhattan, NY · New York$120.77+$15.56
- Alaska · Alaska$120.93+$15.72
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $94.34 | — |
| ArkansasArkansas | $92.96 | — |
| ArizonaArizona | $102.46 | — |
| Bakersfield, CACalifornia | $112.78 | — |
| Chico, CACalifornia | $112.61 | — |
| El Centro, CACalifornia | $112.62 | — |
| Fresno, CACalifornia | $112.61 | — |
| Hanford, CACalifornia | $112.61 | — |
| Madera, CACalifornia | $112.61 | — |
| Merced, CACalifornia | $112.61 | — |
| Modesto, CACalifornia | $112.61 | — |
| Napa, CACalifornia | $131.61 | — |
| Oxnard, CACalifornia | $119.98 | — |
| Redding, CACalifornia | $112.61 | — |
| Rest of CaliforniaCalifornia | $112.61 | — |
| Riverside, CACalifornia | $113.16 | — |
| Sacramento, CACalifornia | $118.47 | — |
| Salinas, CACalifornia | $118.04 | — |
| San Diego, CACalifornia | $121.03 | — |
| Marin County, CACalifornia | $139.71 | — |
| San Francisco, CACalifornia | $139.66 | — |
| San Benito County, CACalifornia | $142.77 | — |
| Santa Clara County, CACalifornia | $142.54 | — |
| San Luis Obispo, CACalifornia | $116.10 | — |
| Santa Cruz, CACalifornia | $122.36 | — |
| Santa Maria, CACalifornia | $118.54 | — |
| Santa Rosa, CACalifornia | $123.61 | — |
| Stockton, CACalifornia | $112.61 | — |
| Vallejo, CACalifornia | $131.53 | — |
| Visalia, CACalifornia | $112.61 | — |
| Yuba City, CACalifornia | $112.61 | — |
| ColoradoColorado | $110.31 | — |
| ConnecticutConnecticut | $112.26 | — |
| DelawareDelaware | $104.18 | — |
| Fort Lauderdale, FLFlorida | $107.62 | — |
| Rest of FloridaFlorida | $102.48 | — |
| Atlanta, GAGeorgia | $106.91 | — |
| Rest of GeorgiaGeorgia | $96.77 | — |
| Hawaii, Guam, HIHawaii | $115.63 | — |
| IowaIowa | $97.31 | — |
| IdahoIdaho | $97.84 | — |
| East St. Louis, ILIllinois | $100.41 | — |
| Rest of IllinoisIllinois | $99.09 | — |
| Suburban Chicago, ILIllinois | $108.85 | — |
| IndianaIndiana | $98.43 | — |
| KansasKansas | $96.59 | — |
| KentuckyKentucky | $96.06 | — |
| New Orleans, LALouisiana | $100.65 | — |
| Rest of LouisianaLouisiana | $95.81 | — |
| Metropolitan Boston, MAMassachusetts | $121.69 | — |
| Rest of MassachusettsMassachusetts | $109.53 | — |
| Baltimore area, MDMaryland | $111.89 | — |
| Rest of MarylandMaryland | $106.27 | — |
| Rest of MaineMaine | $98.09 | — |
| Southern Maine, MEMaine | $103.87 | — |
| Detroit, MIMichigan | $103.52 | — |
| Rest of MichiganMichigan | $98.37 | — |
| MinnesotaMinnesota | $106.39 | — |
| Metropolitan Kansas City, MOMissouri | $100.22 | — |
| Metropolitan St. Louis, MOMissouri | $101.32 | — |
| Rest of MissouriMissouri | $93.97 | — |
| MississippiMississippi | $93.50 | — |
| North CarolinaNorth Carolina | $99.17 | — |
| North DakotaNorth Dakota | $104.22 | — |
| NebraskaNebraska | $97.92 | — |
| New HampshireNew Hampshire | $108.33 | — |
| Northern New JerseyNew Jersey | $119.72 | — |
| Rest of New JerseyNew Jersey | $113.74 | — |
| New MexicoNew Mexico | $98.81 | — |
| NevadaNevada | $105.02 | — |
| NYC suburbs and Long Island, NYNew York | $123.42 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $114.28 | — |
| Queens, NYNew York | $122.16 | — |
| Rest of New YorkNew York | $100.66 | — |
| OhioOhio | $98.16 | — |
| OklahomaOklahoma | $96.16 | — |
| Portland, OROregon | $114.15 | — |
| Rest of OregonOregon | $104.39 | — |
| Metropolitan Philadelphia, PAPennsylvania | $109.27 | — |
| Rest of PennsylvaniaPennsylvania | $98.47 | — |
| Puerto RicoPuerto Rico | $106.08 | — |
| Rhode IslandRhode Island | $108.14 | — |
| South CarolinaSouth Carolina | $98.79 | — |
| South DakotaSouth Dakota | $104.10 | — |
| TennesseeTennessee | $97.05 | — |
| Austin, TXTexas | $109.77 | — |
| Beaumont, TXTexas | $97.79 | — |
| Brazoria, TXTexas | $104.29 | — |
| Dallas, TXTexas | $104.85 | — |
| Fort Worth, TXTexas | $104.06 | — |
| Galveston, TXTexas | $104.54 | — |
| Houston, TXTexas | $105.45 | — |
| Rest of TexasTexas | $100.91 | — |
| UtahUtah | $100.17 | — |
| VirginiaVirginia | $103.34 | — |
| Virgin Islands, VIUnited States Virgin Islands | $106.08 | — |
| VermontVermont | $103.58 | — |
| Rest of WashingtonWashington | $109.41 | — |
| King County, WAWashington | $124.45 | — |
| WisconsinWisconsin | $100.65 | — |
| West VirginiaWest Virginia | $95.30 | — |
| WyomingWyoming | $104.78 | — |
76856 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.
$92.96
$127.69
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 | $120.93 | 1 |
| AL | $94.34 | 1 |
| AR | $92.96 | 1 |
| AZ | $102.46 | 1 |
| CA | $112.61–$142.77 | 29 |
| CO | $110.31 | 1 |
| CT | $112.26 | 1 |
| DC | $121.06 | 1 |
| DE | $104.18 | 1 |
| FL | $102.48–$111.09 | 3 |
| GA | $96.77–$106.91 | 2 |
| GU | $115.63 | 1 |
| HI | $115.63 | 1 |
| IA | $97.31 | 1 |
| ID | $97.84 | 1 |
| IL | $99.09–$108.85 | 4 |
| IN | $98.43 | 1 |
| KS | $96.59 | 1 |
| KY | $96.06 | 1 |
| LA | $95.81–$100.65 | 2 |
| MA | $109.53–$121.69 | 2 |
| MD | $106.27–$121.06 | 3 |
| ME | $98.09–$103.87 | 2 |
| MI | $98.37–$103.52 | 2 |
| MN | $106.39 | 1 |
| MO | $93.97–$101.32 | 3 |
| MS | $93.50 | 1 |
| MT | $105.21 | 1 |
| NC | $99.17 | 1 |
| ND | $104.22 | 1 |
| NE | $97.92 | 1 |
| NH | $108.33 | 1 |
| NJ | $113.74–$119.72 | 2 |
| NM | $98.81 | 1 |
| NV | $105.02 | 1 |
| NY | $100.66–$123.42 | 5 |
| OH | $98.16 | 1 |
| OK | $96.16 | 1 |
| OR | $104.39–$114.15 | 2 |
| PA | $98.47–$109.27 | 2 |
| PR | $106.08 | 1 |
| RI | $108.14 | 1 |
| SC | $98.79 | 1 |
| SD | $104.10 | 1 |
| TN | $97.05 | 1 |
| TX | $97.79–$109.77 | 8 |
| UT | $100.17 | 1 |
| VA | $103.34–$121.06 | 2 |
| VI | $106.08 | 1 |
| VT | $103.58 | 1 |
| WA | $109.41–$124.45 | 2 |
| WI | $100.65 | 1 |
| WV | $95.30 | 1 |
| WY | $104.78 | 1 |
How the 76856 rate is calculated
Each of 76856’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 · 76856
RVUs × geographic indexes × conversion factor
Work0.67
0.67 RVUs× 1.000 GPCI
Practice expense2.43
2.43 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
3.1500
Conversion factor
$33.4009
Medicare rate
$105.21
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,826
- Code
- 76856
- Physician work
- 0.67
- Practice expense
- 2.43
- Malpractice
- 0.05
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.67 | × 1.000 | 0.6700 |
| Practice expense | 2.43 | × 1.000 | 2.4300 |
| Malpractice | 0.05 | × 0.998 | 0.0499 |
| Total RVUs | 3.1499 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$105.21
Office: (0.67 × 1 + 2.43 × 1 + 0.05 × 0.998) × $33.4009 = $105.21
Payment rules and modifiers for 76856
The CMS indicators that decide how 76856 is paid alongside other services.
CMS payment indicators · 76856
Pelvic ultrasound, complete, nonobstetric
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| 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
76856 without 26 · national office
$105.21
Pelvic ultrasound, complete, nonobstetric
76856-26 · Professional component
$32.40
Pays only the interpretation and report.
How 76856 has changed in Montana
76856 · Office / nonfacility
$105.21
Effective 2026-10-01
The base rate is $3.68 higher than on 2025-10-01, moving from $101.53 to $105.21 (3.6%).
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
$101.53changed to$105.21
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.69 changed to 0.67
- Practice expense RVU 2.40 changed to 2.43
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$105.16changed to$101.53
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.43 changed to 2.40
- Malpractice RVU 0.04 changed to 0.05
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$103.44changed to$105.16
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$107.72changed to$103.44
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.44 changed to 2.43
- Malpractice RVU 0.05 changed to 0.04
January 1, 2023
RVU23A
$110.35changed to$107.72
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.45 changed to 2.44
- Malpractice GPCI 0.977 changed to 0.978
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$112.32changed to$110.35
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.48 changed to 2.45
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$111.96changed to$112.32
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.36 changed to 2.48
- Malpractice RVU 0.04 changed to 0.05
- Malpractice GPCI 1.304 changed to 0.977
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$112.50changed to$111.96
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.35 changed to 2.36
- Malpractice RVU 0.05 changed to 0.04
- Malpractice GPCI 1.631 changed to 1.304
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$114.17changed to$112.50
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.40 changed to 2.35
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$113.46changed to$114.17
- Conversion factor 35.8887 changed to 35.9996
- Malpractice GPCI 1.429 changed to 1.631
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$111.76changed to$113.46
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 2.37 changed to 2.40
- Malpractice GPCI 1.226 changed to 1.429
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$111.72changed to$111.76
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.04 changed to 0.05
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$111.16changed to$111.72
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$125.97changed to$111.16
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 2.78 changed to 2.37
- Malpractice GPCI 1.165 changed to 1.226
Held through RVU15B.
January 1, 2014
RVU14A
$127.05changed to$125.97
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 3.00 changed to 2.78
- Malpractice GPCI 1.103 changed to 1.165
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $127.05
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $105.21 | Not available in this setting | RVU26D |
| 2026-07-01 | $105.21 | Not available in this setting | RVU26C |
| 2026-04-01 | $105.21 | Not available in this setting | RVU26B |
| 2026-01-01 | $105.21 | Not available in this setting | RVU26A |
| 2025-10-01 | $101.53 | Not available in this setting | RVU25D |
| 2025-07-01 | $101.53 | Not available in this setting | RVU25C |
| 2025-04-01 | $101.53 | Not available in this setting | RVU25B |
| 2025-01-01 | $101.53 | Not available in this setting | RVU25A |
| 2024-10-01 | $105.16 | Not available in this setting | RVU24D |
| 2024-07-01 | $105.16 | Not available in this setting | RVU24C |
| 2024-04-01 | $105.16 | Not available in this setting | RVU24B |
| 2024-03-09 | $105.16 | Not available in this setting | RVU24AR |
| 2024-01-01 | $103.44 | Not available in this setting | RVU24A |
| 2023-10-01 | $107.72 | Not available in this setting | RVU23D |
| 2023-07-01 | $107.72 | Not available in this setting | RVU23C |
| 2023-04-01 | $107.72 | Not available in this setting | RVU23B |
| 2023-01-01 | $107.72 | Not available in this setting | RVU23A |
| 2022-10-01 | $110.35 | Not available in this setting | RVU22D |
| 2022-07-01 | $110.35 | Not available in this setting | RVU22C |
| 2022-04-01 | $110.35 | Not available in this setting | RVU22B |
| 2022-01-01 | $110.35 | Not available in this setting | RVU22A |
| 2021-10-01 | $112.32 | Not available in this setting | RVU21D |
| 2021-07-01 | $112.32 | Not available in this setting | RVU21C |
| 2021-04-01 | $112.32 | Not available in this setting | RVU21B |
| 2021-01-01 | $112.32 | Not available in this setting | RVU21A |
| 2020-10-01 | $111.96 | Not available in this setting | RVU20D |
| 2020-07-01 | $111.96 | Not available in this setting | RVU20C |
| 2020-04-01 | $111.96 | Not available in this setting | RVU20B |
| 2020-01-01 | $111.96 | Not available in this setting | RVU20A |
| 2019-10-01 | $112.50 | Not available in this setting | RVU19D |
| 2019-07-01 | $112.50 | Not available in this setting | RVU19C |
| 2019-04-01 | $112.50 | Not available in this setting | RVU19B |
| 2019-01-01 | $112.50 | Not available in this setting | RVU19A |
| 2018-10-01 | $114.17 | Not available in this setting | RVU18D |
| 2018-07-01 | $114.17 | Not available in this setting | RVU18C |
| 2018-04-01 | $114.17 | Not available in this setting | RVU18B |
| 2018-01-01 | $114.17 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $113.46 | Not available in this setting | RVU17D |
| 2017-07-01 | $113.46 | Not available in this setting | RVU17C |
| 2017-04-01 | $113.46 | Not available in this setting | RVU17B |
| 2017-01-01 | $113.46 | Not available in this setting | RVU17A |
| 2016-10-01 | $111.76 | Not available in this setting | RVU16D |
| 2016-07-01 | $111.76 | Not available in this setting | RVU16C |
| 2016-04-01 | $111.76 | Not available in this setting | RVU16B |
| 2016-01-01 | $111.76 | Not available in this setting | RVU16A |
| 2015-10-01 | $111.72 | Not available in this setting | RVU15D |
| 2015-07-01 | $111.72 | Not available in this setting | RVU15C |
| 2015-04-01 | $111.16 | Not available in this setting | RVU15B |
| 2015-01-01 | $111.16 | Not available in this setting | RVU15A |
| 2014-10-01 | $125.97 | Not available in this setting | RVU14D |
| 2014-07-01 | $125.97 | Not available in this setting | RVU14C |
| 2014-04-01 | $125.97 | Not available in this setting | RVU14B |
| 2014-01-01 | $125.97 | Not available in this setting | RVU14A |
| 2013-10-01 | $127.05 | Not available in this setting | RVU13D |
| 2013-07-01 | $127.05 | Not available in this setting | RVU13C |
| 2013-04-01 | $127.05 | Not available in this setting | RVU13B |
| 2013-01-01 | $127.05 | Not available in this setting | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
76856 billing questions
Can 76856 and 76830 be reported for the same encounter?
They may be reported together when both a complete pelvic ultrasound and a nonobstetric transvaginal examination are performed and documented. The report should support each service.
Which modifier identifies the interpretation only?
Append modifier 26 when billing only the physician's professional interpretation. Modifier TC identifies the technical portion; billing without either modifier represents the global service.
How does the imaging multiple procedure reduction affect this code?
CMS applies the diagnostic imaging multiple procedure reduction to both the professional and technical components when applicable.
What documentation supports a complete pelvic study?
Document the clinical reason, pelvic structures evaluated, saved images, and interpretation. The findings and scope should support a complete examination rather than a focused limited 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
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