CPT code 76870: Scrotal ultrasound, testes and scrotal contents2026 Medicare rate & RVUs in Hawaii, Guam, HI
Scrotal ultrasound evaluates the testes and surrounding structures for pain, swelling, masses, fluid collections, and other suspected scrotal abnormalities.
In Hawaii, Guam, HI, Medicare pays $108.26 for 76870 in the office.
Check a contract rate as a % of Medicare · 76870 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 76870 covers
Scrotal ultrasound uses a transducer over the scrotum to image the testes and surrounding contents, including the epididymides and fluid collections. It is commonly ordered for testicular pain or swelling, a palpable mass, suspected torsion or inflammation, and evaluation of hydrocele or varicocele. Radiologists and other qualified imaging professionals perform or interpret the study in hospital and outpatient imaging settings.
Report 76870 for diagnostic sonographic assessment of scrotal contents. Documentation should identify the clinical indication, structures examined, findings, and interpretation. The service may be billed globally when one entity provides both image acquisition and interpretation, or split with modifier 26 for the professional interpretation and modifier TC for the technical service. CMS applies diagnostic imaging multiple-procedure reduction to both professional and technical components when applicable imaging services are reported together.
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 Hawaii, Guam, HI compares for 76870
Across 109 of 109 payment localities, the office rate for 76870 runs from $86.98 in Arkansas to $133.70 in San Benito County, CA. Hawaii, Guam, HI pays $108.26. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Hawaii, Guam, HI · this page$108.26
- Los Angeles, CA · California$112.76+$4.50
- Washington, DC area · District of Columbia$113.40+$5.14
- Miami, FL · Florida$104.21−$4.05
- Chicago, IL · Illinois$101.22−$7.04
- Manhattan, NY · New York$113.17+$4.91
- Alaska · Alaska$113.09+$4.83
Other areas in Hawaii first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $88.29 | — |
| ArkansasArkansas | $86.98 | — |
| ArizonaArizona | $95.93 | — |
| Bakersfield, CACalifornia | $105.58 | — |
| Chico, CACalifornia | $105.42 | — |
| El Centro, CACalifornia | $105.43 | — |
| Fresno, CACalifornia | $105.42 | — |
| Hanford, CACalifornia | $105.42 | — |
| Madera, CACalifornia | $105.42 | — |
| Merced, CACalifornia | $105.42 | — |
| Modesto, CACalifornia | $105.42 | — |
| Napa, CACalifornia | $123.23 | — |
| Oxnard, CACalifornia | $112.34 | — |
| Redding, CACalifornia | $105.42 | — |
| Rest of CaliforniaCalifornia | $105.42 | — |
| Riverside, CACalifornia | $105.97 | — |
| Sacramento, CACalifornia | $110.92 | — |
| Salinas, CACalifornia | $110.51 | — |
| San Diego, CACalifornia | $113.32 | — |
| Marin County, CACalifornia | $130.82 | — |
| San Francisco, CACalifornia | $130.76 | — |
| San Benito County, CACalifornia | $133.70 | — |
| Santa Clara County, CACalifornia | $133.46 | — |
| San Luis Obispo, CACalifornia | $108.70 | — |
| Santa Cruz, CACalifornia | $114.57 | — |
| Santa Maria, CACalifornia | $110.98 | — |
| Santa Rosa, CACalifornia | $115.74 | — |
| Stockton, CACalifornia | $105.42 | — |
| Vallejo, CACalifornia | $123.15 | — |
| Visalia, CACalifornia | $105.42 | — |
| Yuba City, CACalifornia | $105.42 | — |
| ColoradoColorado | $103.29 | — |
| ConnecticutConnecticut | $105.16 | — |
| DelawareDelaware | $97.55 | — |
| Fort Lauderdale, FLFlorida | $100.87 | — |
| Rest of FloridaFlorida | $96.02 | — |
| Atlanta, GAGeorgia | $100.15 | — |
| Rest of GeorgiaGeorgia | $90.63 | — |
| IowaIowa | $91.05 | — |
| IdahoIdaho | $91.56 | — |
| East St. Louis, ILIllinois | $94.13 | — |
| Rest of IllinoisIllinois | $92.85 | — |
| Suburban Chicago, ILIllinois | $102.02 | — |
| IndianaIndiana | $92.12 | — |
| KansasKansas | $90.39 | — |
| KentuckyKentucky | $89.94 | — |
| New Orleans, LALouisiana | $94.27 | — |
| Rest of LouisianaLouisiana | $89.70 | — |
| Metropolitan Boston, MAMassachusetts | $113.97 | — |
| Rest of MassachusettsMassachusetts | $102.56 | — |
| Baltimore area, MDMaryland | $104.82 | — |
| Rest of MarylandMaryland | $99.52 | — |
| Rest of MaineMaine | $91.81 | — |
| Southern Maine, MEMaine | $97.23 | — |
| Detroit, MIMichigan | $97.01 | — |
| Rest of MichiganMichigan | $92.12 | — |
| MinnesotaMinnesota | $99.57 | — |
| Metropolitan Kansas City, MOMissouri | $93.85 | — |
| Metropolitan St. Louis, MOMissouri | $94.88 | — |
| Rest of MissouriMissouri | $87.98 | — |
| MississippiMississippi | $87.51 | — |
| MontanaMontana | $98.53 | — |
| North CarolinaNorth Carolina | $92.83 | — |
| North DakotaNorth Dakota | $97.54 | — |
| NebraskaNebraska | $91.63 | — |
| New HampshireNew Hampshire | $101.45 | — |
| Northern New JerseyNew Jersey | $112.14 | — |
| Rest of New JerseyNew Jersey | $106.53 | — |
| New MexicoNew Mexico | $92.55 | — |
| NevadaNevada | $98.33 | — |
| NYC suburbs and Long Island, NYNew York | $115.68 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $107.05 | — |
| Queens, NYNew York | $114.46 | — |
| Rest of New YorkNew York | $94.23 | — |
| OhioOhio | $91.92 | — |
| OklahomaOklahoma | $90.01 | — |
| Portland, OROregon | $106.89 | — |
| Rest of OregonOregon | $97.73 | — |
| Metropolitan Philadelphia, PAPennsylvania | $102.35 | — |
| Rest of PennsylvaniaPennsylvania | $92.20 | — |
| Puerto RicoPuerto Rico | $99.35 | — |
| Rhode IslandRhode Island | $101.26 | — |
| South CarolinaSouth Carolina | $92.49 | — |
| South DakotaSouth Dakota | $97.42 | — |
| TennesseeTennessee | $90.83 | — |
| Austin, TXTexas | $102.80 | — |
| Beaumont, TXTexas | $91.56 | — |
| Brazoria, TXTexas | $97.65 | — |
| Dallas, TXTexas | $98.18 | — |
| Fort Worth, TXTexas | $97.44 | — |
| Galveston, TXTexas | $97.88 | — |
| Houston, TXTexas | $98.79 | — |
| Rest of TexasTexas | $94.49 | — |
| UtahUtah | $93.79 | — |
| VirginiaVirginia | $96.75 | — |
| Virgin Islands, VIUnited States Virgin Islands | $99.35 | — |
| VermontVermont | $96.95 | — |
| Rest of WashingtonWashington | $102.44 | — |
| King County, WAWashington | $116.55 | — |
| WisconsinWisconsin | $94.18 | — |
| West VirginiaWest Virginia | $89.28 | — |
| WyomingWyoming | $98.10 | — |
76870 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.
$86.98
$119.56
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 | $113.09 | 1 |
| AL | $88.29 | 1 |
| AR | $86.98 | 1 |
| AZ | $95.93 | 1 |
| CA | $105.42–$133.70 | 29 |
| CO | $103.29 | 1 |
| CT | $105.16 | 1 |
| DC | $113.40 | 1 |
| DE | $97.55 | 1 |
| FL | $96.02–$104.21 | 3 |
| GA | $90.63–$100.15 | 2 |
| GU | $108.26 | 1 |
| HI | $108.26 | 1 |
| IA | $91.05 | 1 |
| ID | $91.56 | 1 |
| IL | $92.85–$102.02 | 4 |
| IN | $92.12 | 1 |
| KS | $90.39 | 1 |
| KY | $89.94 | 1 |
| LA | $89.70–$94.27 | 2 |
| MA | $102.56–$113.97 | 2 |
| MD | $99.52–$113.40 | 3 |
| ME | $91.81–$97.23 | 2 |
| MI | $92.12–$97.01 | 2 |
| MN | $99.57 | 1 |
| MO | $87.98–$94.88 | 3 |
| MS | $87.51 | 1 |
| MT | $98.53 | 1 |
| NC | $92.83 | 1 |
| ND | $97.54 | 1 |
| NE | $91.63 | 1 |
| NH | $101.45 | 1 |
| NJ | $106.53–$112.14 | 2 |
| NM | $92.55 | 1 |
| NV | $98.33 | 1 |
| NY | $94.23–$115.68 | 5 |
| OH | $91.92 | 1 |
| OK | $90.01 | 1 |
| OR | $97.73–$106.89 | 2 |
| PA | $92.20–$102.35 | 2 |
| PR | $99.35 | 1 |
| RI | $101.26 | 1 |
| SC | $92.49 | 1 |
| SD | $97.42 | 1 |
| TN | $90.83 | 1 |
| TX | $91.56–$102.80 | 8 |
| UT | $93.79 | 1 |
| VA | $96.75–$113.40 | 2 |
| VI | $99.35 | 1 |
| VT | $96.95 | 1 |
| WA | $102.44–$116.55 | 2 |
| WI | $94.18 | 1 |
| WV | $89.28 | 1 |
| WY | $98.10 | 1 |
How the 76870 rate is calculated
Each of 76870’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 · 76870
RVUs × geographic indexes × conversion factor
Work0.62
0.62 RVUs× 1.000 GPCI
Practice expense2.28
2.28 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
2.9500
Conversion factor
$33.4009
Medicare rate
$98.53
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Hawaii, Guam, HI inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,832
- Code
- 76870
- Physician work
- 0.62
- Practice expense
- 2.28
- Malpractice
- 0.05
GPCI2026.csv
46
- Locality
- Hawaii, Guam, HI
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.62 | × 1.000 | 0.6200 |
| Practice expense | 2.28 | × 1.137 | 2.5924 |
| Malpractice | 0.05 | × 0.579 | 0.0290 |
| Total RVUs | 3.2413 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Hawaii, Guam, HI$108.26
Office: (0.62 × 1 + 2.28 × 1.137 + 0.05 × 0.579) × $33.4009 = $108.26
Payment rules and modifiers for 76870
The CMS indicators that decide how 76870 is paid alongside other services.
CMS payment indicators · 76870
Scrotal ultrasound, testes and scrotal contents
| 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
76870 without 26 · national office
$98.53
Scrotal ultrasound, testes and scrotal contents
76870-26 · Professional component
$29.73
Pays only the interpretation and report.
How 76870 has changed in Hawaii, Guam, HI
76870 · Office / nonfacility
$108.26
Effective 2026-10-01
The base rate is $1.17 higher than on 2025-10-01, moving from $107.09 to $108.26 (1.1%).
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
$107.09changed to$108.26
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.64 changed to 0.62
- Practice expense RVU 2.30 changed to 2.28
- Practice expense GPCI 1.149 changed to 1.137
- Malpractice GPCI 0.561 changed to 0.579
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$110.78changed to$107.09
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.32 changed to 2.30
- Malpractice RVU 0.04 changed to 0.05
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$108.98changed to$110.78
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$114.06changed to$108.98
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.35 changed to 2.32
- Malpractice RVU 0.05 changed to 0.04
- Work GPCI 1.003 changed to 1.000
- Practice expense GPCI 1.146 changed to 1.149
- Malpractice GPCI 0.618 changed to 0.561
January 1, 2023
RVU23A
$116.49changed to$114.06
- Conversion factor 34.6062 changed to 33.8872
- Work GPCI 1.010 changed to 1.003
- Practice expense GPCI 1.143 changed to 1.146
- Malpractice GPCI 0.675 changed to 0.618
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$119.05changed to$116.49
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.39 changed to 2.35
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$118.30changed to$119.05
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.28 changed to 2.39
- Malpractice RVU 0.04 changed to 0.05
- Work GPCI 1.006 changed to 1.010
- Practice expense GPCI 1.144 changed to 1.143
- Malpractice GPCI 0.644 changed to 0.675
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$118.36changed to$118.30
- Conversion factor 36.0391 changed to 36.0896
- Malpractice RVU 0.05 changed to 0.04
- Work GPCI 1.001 changed to 1.006
- Practice expense GPCI 1.146 changed to 1.144
- Malpractice GPCI 0.614 changed to 0.644
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$75.32changed to$118.36
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.24 changed to 2.28
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$75.89changed to$75.32
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.25 changed to 1.24
- Work GPCI 1.002 changed to 1.001
- Practice expense GPCI 1.154 changed to 1.146
- Malpractice GPCI 0.616 changed to 0.614
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$74.85changed to$75.89
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.22 changed to 1.25
- Work GPCI 1.003 changed to 1.002
- Practice expense GPCI 1.162 changed to 1.154
- Malpractice GPCI 0.618 changed to 0.616
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$74.26changed to$74.85
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.21 changed to 1.22
- Malpractice RVU 0.03 changed to 0.05
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$73.89changed to$74.26
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$82.23changed to$73.89
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.40 changed to 1.21
- Malpractice RVU 0.05 changed to 0.03
- Work GPCI 1.002 changed to 1.003
- Practice expense GPCI 1.158 changed to 1.162
- Malpractice GPCI 0.659 changed to 0.618
Held through RVU15B.
January 1, 2014
RVU14A
$142.32changed to$82.23
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 3.04 changed to 1.40
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 1.154 changed to 1.158
- Malpractice GPCI 0.700 changed to 0.659
Held through RVU14B, RVU14C, RVU14D.
October 1, 2013
RVU13D
No ratechanged to$142.32
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $108.26 | Not available in this setting | RVU26D |
| 2026-07-01 | $108.26 | Not available in this setting | RVU26C |
| 2026-04-01 | $108.26 | Not available in this setting | RVU26B |
| 2026-01-01 | $108.26 | Not available in this setting | RVU26A |
| 2025-10-01 | $107.09 | Not available in this setting | RVU25D |
| 2025-07-01 | $107.09 | Not available in this setting | RVU25C |
| 2025-04-01 | $107.09 | Not available in this setting | RVU25B |
| 2025-01-01 | $107.09 | Not available in this setting | RVU25A |
| 2024-10-01 | $110.78 | Not available in this setting | RVU24D |
| 2024-07-01 | $110.78 | Not available in this setting | RVU24C |
| 2024-04-01 | $110.78 | Not available in this setting | RVU24B |
| 2024-03-09 | $110.78 | Not available in this setting | RVU24AR |
| 2024-01-01 | $108.98 | Not available in this setting | RVU24A |
| 2023-10-01 | $114.06 | Not available in this setting | RVU23D |
| 2023-07-01 | $114.06 | Not available in this setting | RVU23C |
| 2023-04-01 | $114.06 | Not available in this setting | RVU23B |
| 2023-01-01 | $114.06 | Not available in this setting | RVU23A |
| 2022-10-01 | $116.49 | Not available in this setting | RVU22D |
| 2022-07-01 | $116.49 | Not available in this setting | RVU22C |
| 2022-04-01 | $116.49 | Not available in this setting | RVU22B |
| 2022-01-01 | $116.49 | Not available in this setting | RVU22A |
| 2021-10-01 | $119.05 | Not available in this setting | RVU21D |
| 2021-07-01 | $119.05 | Not available in this setting | RVU21C |
| 2021-04-01 | $119.05 | Not available in this setting | RVU21B |
| 2021-01-01 | $119.05 | Not available in this setting | RVU21A |
| 2020-10-01 | $118.30 | Not available in this setting | RVU20D |
| 2020-07-01 | $118.30 | Not available in this setting | RVU20C |
| 2020-04-01 | $118.30 | Not available in this setting | RVU20B |
| 2020-01-01 | $118.30 | Not available in this setting | RVU20A |
| 2019-10-01 | $118.36 | Not available in this setting | RVU19D |
| 2019-07-01 | $118.36 | Not available in this setting | RVU19C |
| 2019-04-01 | $118.36 | Not available in this setting | RVU19B |
| 2019-01-01 | $118.36 | Not available in this setting | RVU19A |
| 2018-10-01 | $75.32 | Not available in this setting | RVU18D |
| 2018-07-01 | $75.32 | Not available in this setting | RVU18C |
| 2018-04-01 | $75.32 | Not available in this setting | RVU18B |
| 2018-01-01 | $75.32 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $75.89 | Not available in this setting | RVU17D |
| 2017-07-01 | $75.89 | Not available in this setting | RVU17C |
| 2017-04-01 | $75.89 | Not available in this setting | RVU17B |
| 2017-01-01 | $75.89 | Not available in this setting | RVU17A |
| 2016-10-01 | $74.85 | Not available in this setting | RVU16D |
| 2016-07-01 | $74.85 | Not available in this setting | RVU16C |
| 2016-04-01 | $74.85 | Not available in this setting | RVU16B |
| 2016-01-01 | $74.85 | Not available in this setting | RVU16A |
| 2015-10-01 | $74.26 | Not available in this setting | RVU15D |
| 2015-07-01 | $74.26 | Not available in this setting | RVU15C |
| 2015-04-01 | $73.89 | Not available in this setting | RVU15B |
| 2015-01-01 | $73.89 | Not available in this setting | RVU15A |
| 2014-10-01 | $82.23 | Not available in this setting | RVU14D |
| 2014-07-01 | $82.23 | Not available in this setting | RVU14C |
| 2014-04-01 | $82.23 | Not available in this setting | RVU14B |
| 2014-01-01 | $82.23 | Not available in this setting | RVU14A |
| 2013-10-01 | $142.32 | 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 Hawaii, Guam, HI rate applies
Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.
- Ahuimanu
- Aiea
- Ainaloa
- Anahola
- Black Sands
- Captain Cook
- Discovery Harbour
- East Honolulu
76870 billing questions
How does 76870 differ from a pelvic ultrasound?
76870 examines the testes and scrotal contents. Codes 76856 and 76857 are for pelvic-organ imaging, not a substitute for a scrotal study.
When should modifier 26 or TC be used?
Use modifier 26 when billing only the professional interpretation, or TC for the technical service, including equipment and staff. Billing without either modifier represents the global service.
Can a duplex code be reported with 76870?
A separate duplex code may be appropriate when a distinct, medically necessary vascular duplex study is performed and documented. Color-flow images alone do not establish that a separate duplex service was performed.
How does the imaging multiple-procedure reduction affect 76870?
When applicable diagnostic imaging services are reported together, CMS applies the multiple-procedure reduction to both the technical and professional components.
What documentation supports 76870?
Document the reason for the examination, the scrotal structures evaluated, the sonographic findings, and the interpreting professional's report.
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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