CPT code 76872: Transrectal ultrasound, prostate imaging2026 Medicare rate & RVUs
Transrectal ultrasound images the prostate and nearby structures to evaluate abnormalities or support clinical assessment of prostate disease.
Medicare pays $120.24 for 76872 nationally in the office. Local office rates run $105.89–$164.97.
Medicare rate · 76872
Transrectal ultrasound, prostate imaging
- Work RVUs
- 0.65
- Total RVUs
- 3.60
- Global days
- XXX
National rate · 2026
$120.24
Office setting, before claim adjustments.
See every locality for 76872 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 76872 covers
A transrectal ultrasound uses an ultrasound probe placed in the rectum to image the prostate and nearby structures, including the seminal vesicles. Urologists and radiologists commonly perform it to assess prostate size, contour, or focal abnormalities in patients with findings such as an abnormal digital rectal examination or elevated prostate-specific antigen. It may also be performed during a session that includes prostate needle biopsy.
Report 76872 for the diagnostic transrectal examination, supported by documentation of the structures examined, imaging findings, and a written interpretation. A dedicated prostate volume study is distinguished by code 76873. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for the equipment and staff, or neither modifier when billing the global service. The record should identify which component the billing entity performed.
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.
Where 76872 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$105.89 to $164.97
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $107.51 | Unavailable |
| Alaska | $136.82 | Unavailable |
| Arizona | $117.04 | Unavailable |
| Arkansas | $105.89 | Unavailable |
| Atlanta, GA | $122.13 | Unavailable |
| Austin, TX | $125.77 | Unavailable |
| Bakersfield, CA | $129.46 | Unavailable |
| Baltimore area, MD | $128.00 | Unavailable |
| Beaumont, TX | $111.40 | Unavailable |
| Brazoria, TX | $119.25 | Unavailable |
| Chicago, IL | $122.61 | Unavailable |
| Chico, CA | $129.32 | Unavailable |
| Colorado | $126.43 | Unavailable |
| Connecticut | $128.44 | Unavailable |
| Dallas, TX | $119.86 | Unavailable |
| Delaware | $119.05 | Unavailable |
| Detroit, MI | $117.76 | Unavailable |
| East St. Louis, IL | $113.82 | Unavailable |
| El Centro, CA | $129.33 | Unavailable |
| Fort Lauderdale, FL | $122.59 | Unavailable |
| Fort Worth, TX | $118.91 | Unavailable |
| Fresno, CA | $129.32 | Unavailable |
| Galveston, TX | $119.51 | Unavailable |
| Hanford, CA | $129.32 | Unavailable |
| Hawaii, Guam, HI | $133.00 | Unavailable |
| Houston, TX | $120.24 | Unavailable |
| Idaho | $111.76 | Unavailable |
| Indiana | $112.46 | Unavailable |
| Iowa | $111.18 | Unavailable |
| Kansas | $110.25 | Unavailable |
| Kentucky | $109.34 | Unavailable |
| King County, WA | $143.15 | Unavailable |
| Los Angeles, CA | $138.47 | Unavailable |
| Madera, CA | $129.32 | Unavailable |
| Manhattan, NY | $138.16 | Unavailable |
| Marin County, CA | $161.43 | Unavailable |
| Merced, CA | $129.32 | Unavailable |
| Metropolitan Boston, MA | $139.84 | Unavailable |
| Metropolitan Kansas City, MO | $114.28 | Unavailable |
| Metropolitan Philadelphia, PA | $124.88 | Unavailable |
| Metropolitan St. Louis, MO | $115.58 | Unavailable |
| Miami, FL | $126.27 | Unavailable |
| Minnesota | $122.12 | Unavailable |
| Mississippi | $106.38 | Unavailable |
| Modesto, CA | $129.32 | Unavailable |
| Montana | $120.24 | Unavailable |
| Napa, CA | $151.86 | Unavailable |
| Nebraska | $111.93 | Unavailable |
| Nevada | $120.12 | Unavailable |
| New Hampshire | $124.06 | Unavailable |
| New Mexico | $112.44 | Unavailable |
| New Orleans, LA | $114.69 | Unavailable |
| North Carolina | $113.25 | Unavailable |
| North Dakota | $119.45 | Unavailable |
| Northern New Jersey | $137.25 | Unavailable |
| NYC suburbs and Long Island, NY | $141.15 | Unavailable |
| Ohio | $111.80 | Unavailable |
| Oklahoma | $109.55 | Unavailable |
| Oxnard, CA | $138.04 | Unavailable |
| Portland, OR | $131.04 | Unavailable |
| Poughkeepsie and northern NYC suburbs, NY | $130.73 | Unavailable |
| Puerto Rico | $121.29 | Unavailable |
| Queens, NY | $139.91 | Unavailable |
| Redding, CA | $129.32 | Unavailable |
| Rest of California | $129.32 | Unavailable |
| Rest of Florida | $116.64 | Unavailable |
| Rest of Georgia | $110.00 | Unavailable |
| Rest of Illinois | $112.54 | Unavailable |
| Rest of Louisiana | $109.01 | Unavailable |
| Rest of Maine | $111.96 | Unavailable |
| Rest of Maryland | $121.52 | Unavailable |
| Rest of Massachusetts | $125.47 | Unavailable |
| Rest of Michigan | $111.96 | Unavailable |
| Rest of Missouri | $106.80 | Unavailable |
| Rest of New Jersey | $130.18 | Unavailable |
| Rest of New York | $114.99 | Unavailable |
| Rest of Oregon | $119.46 | Unavailable |
| Rest of Pennsylvania | $112.20 | Unavailable |
| Rest of Texas | $115.16 | Unavailable |
| Rest of Washington | $125.36 | Unavailable |
| Rhode Island | $123.72 | Unavailable |
| Riverside, CA | $129.77 | Unavailable |
| Sacramento, CA | $136.25 | Unavailable |
| Salinas, CA | $135.75 | Unavailable |
| San Benito County, CA | $164.97 | Unavailable |
| San Diego, CA | $139.33 | Unavailable |
| San Francisco, CA | $161.39 | Unavailable |
| San Luis Obispo, CA | $133.50 | Unavailable |
| Santa Clara County, CA | $164.79 | Unavailable |
| Santa Cruz, CA | $140.98 | Unavailable |
| Santa Maria, CA | $136.37 | Unavailable |
| Santa Rosa, CA | $142.44 | Unavailable |
| South Carolina | $112.66 | Unavailable |
| South Dakota | $119.36 | Unavailable |
| Southern Maine, ME | $118.88 | Unavailable |
| Stockton, CA | $129.32 | Unavailable |
| Suburban Chicago, IL | $124.05 | Unavailable |
| Tennessee | $110.78 | Unavailable |
| Utah | $114.28 | Unavailable |
| Vallejo, CA | $151.80 | Unavailable |
| Vermont | $118.61 | Unavailable |
| Virgin Islands, VI | $121.29 | Unavailable |
| Virginia | $118.20 | Unavailable |
| Visalia, CA | $129.32 | Unavailable |
| Washington, DC area | $138.87 | Unavailable |
| West Virginia | $108.09 | Unavailable |
| Wisconsin | $115.24 | Unavailable |
| Wyoming | $119.90 | Unavailable |
| Yuba City, CA | $129.32 | Unavailable |
76872 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.
$105.89
$147.14
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 | $136.82 | 1 |
| AL | $107.51 | 1 |
| AR | $105.89 | 1 |
| AZ | $117.04 | 1 |
| CA | $129.32–$164.97 | 29 |
| CO | $126.43 | 1 |
| CT | $128.44 | 1 |
| DC | $138.87 | 1 |
| DE | $119.05 | 1 |
| FL | $116.64–$126.27 | 3 |
| GA | $110.00–$122.13 | 2 |
| GU | $133.00 | 1 |
| HI | $133.00 | 1 |
| IA | $111.18 | 1 |
| ID | $111.76 | 1 |
| IL | $112.54–$124.05 | 4 |
| IN | $112.46 | 1 |
| KS | $110.25 | 1 |
| KY | $109.34 | 1 |
| LA | $109.01–$114.69 | 2 |
| MA | $125.47–$139.84 | 2 |
| MD | $121.52–$138.87 | 3 |
| ME | $111.96–$118.88 | 2 |
| MI | $111.96–$117.76 | 2 |
| MN | $122.12 | 1 |
| MO | $106.80–$115.58 | 3 |
| MS | $106.38 | 1 |
| MT | $120.24 | 1 |
| NC | $113.25 | 1 |
| ND | $119.45 | 1 |
| NE | $111.93 | 1 |
| NH | $124.06 | 1 |
| NJ | $130.18–$137.25 | 2 |
| NM | $112.44 | 1 |
| NV | $120.12 | 1 |
| NY | $114.99–$141.15 | 5 |
| OH | $111.80 | 1 |
| OK | $109.55 | 1 |
| OR | $119.46–$131.04 | 2 |
| PA | $112.20–$124.88 | 2 |
| PR | $121.29 | 1 |
| RI | $123.72 | 1 |
| SC | $112.66 | 1 |
| SD | $119.36 | 1 |
| TN | $110.78 | 1 |
| TX | $111.40–$125.77 | 8 |
| UT | $114.28 | 1 |
| VA | $118.20–$138.87 | 2 |
| VI | $121.29 | 1 |
| VT | $118.61 | 1 |
| WA | $125.36–$143.15 | 2 |
| WI | $115.24 | 1 |
| WV | $108.09 | 1 |
| WY | $119.90 | 1 |
How the 76872 rate is calculated
Each of 76872’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 · 76872
RVUs × geographic indexes × conversion factor
Work0.65
0.65 RVUs× 1.000 GPCI
Practice expense2.91
2.91 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
3.6000
Conversion factor
$33.4009
Medicare rate
$120.24
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 76872
The CMS indicators that decide how 76872 is paid alongside other services.
CMS payment indicators · 76872
Transrectal ultrasound, prostate imaging
| 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
76872 without 26 · national office
$120.24
Transrectal ultrasound, prostate imaging
76872-26 · Professional component
$31.73
Pays only the interpretation and report.
76872 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 76873Prostate ultrasoundVolume study
- Choose 76873 for a dedicated prostate volume study. Use 76872 for diagnostic transrectal imaging that is not specifically a volume study.
- 76870Scrotal ultrasoundTestes and scrotal contents
- 76870 images the scrotum and its contents. 76872 images the prostate through a transrectal approach.
- 76856Pelvic ultrasoundComplete, nonobstetric
- 76856 describes a complete pelvic ultrasound, generally using an external approach. 76872 is specifically transrectal imaging of the prostate and nearby structures.
76872 billing questions
How does 76872 differ from 76873?
76872 represents diagnostic transrectal ultrasound imaging. Use 76873 for a dedicated transrectal prostate volume study.
Can 76872 be reported with a prostate biopsy?
It may be reported for diagnostic prostate imaging performed during a session that also includes a separately documented needle biopsy. The imaging record should support the ultrasound service rather than only the biopsy.
Which modifier identifies the ultrasound interpretation?
Append modifier 26 when billing the professional component, meaning the interpretation. Modifier TC identifies the technical component, including equipment and staff; billing without either modifier represents the global service.
What documentation supports 76872?
Document the transrectal examination, the anatomy imaged, the findings, and the interpretation. If a biopsy is performed in the same session, document that procedure separately.
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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