CPT code 76872: Transrectal ultrasound, prostate imaging2026 Medicare rate & RVUs in Utah
Transrectal ultrasound images the prostate and nearby structures to evaluate abnormalities or support clinical assessment of prostate disease.
In Utah, Medicare pays $114.28 for 76872 in the office.
Check a contract rate as a % of Medicare · 76872 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 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.
How Utah compares for 76872
Across 109 of 109 payment localities, the office rate for 76872 runs from $105.89 in Arkansas to $164.97 in San Benito County, CA. Utah pays $114.28. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$114.28
- Los Angeles, CA · California$138.47+$24.19
- Washington, DC area · District of Columbia$138.87+$24.59
- Miami, FL · Florida$126.27+$11.99
- Chicago, IL · Illinois$122.61+$8.33
- Manhattan, NY · New York$138.16+$23.88
- Alaska · Alaska$136.82+$22.54
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $107.51 | — |
| ArkansasArkansas | $105.89 | — |
| ArizonaArizona | $117.04 | — |
| Bakersfield, CACalifornia | $129.46 | — |
| Chico, CACalifornia | $129.32 | — |
| El Centro, CACalifornia | $129.33 | — |
| Fresno, CACalifornia | $129.32 | — |
| Hanford, CACalifornia | $129.32 | — |
| Madera, CACalifornia | $129.32 | — |
| Merced, CACalifornia | $129.32 | — |
| Modesto, CACalifornia | $129.32 | — |
| Napa, CACalifornia | $151.86 | — |
| Oxnard, CACalifornia | $138.04 | — |
| Redding, CACalifornia | $129.32 | — |
| Rest of CaliforniaCalifornia | $129.32 | — |
| Riverside, CACalifornia | $129.77 | — |
| Sacramento, CACalifornia | $136.25 | — |
| Salinas, CACalifornia | $135.75 | — |
| San Diego, CACalifornia | $139.33 | — |
| Marin County, CACalifornia | $161.43 | — |
| San Francisco, CACalifornia | $161.39 | — |
| San Benito County, CACalifornia | $164.97 | — |
| Santa Clara County, CACalifornia | $164.79 | — |
| San Luis Obispo, CACalifornia | $133.50 | — |
| Santa Cruz, CACalifornia | $140.98 | — |
| Santa Maria, CACalifornia | $136.37 | — |
| Santa Rosa, CACalifornia | $142.44 | — |
| Stockton, CACalifornia | $129.32 | — |
| Vallejo, CACalifornia | $151.80 | — |
| Visalia, CACalifornia | $129.32 | — |
| Yuba City, CACalifornia | $129.32 | — |
| ColoradoColorado | $126.43 | — |
| ConnecticutConnecticut | $128.44 | — |
| DelawareDelaware | $119.05 | — |
| Fort Lauderdale, FLFlorida | $122.59 | — |
| Rest of FloridaFlorida | $116.64 | — |
| Atlanta, GAGeorgia | $122.13 | — |
| Rest of GeorgiaGeorgia | $110.00 | — |
| Hawaii, Guam, HIHawaii | $133.00 | — |
| IowaIowa | $111.18 | — |
| IdahoIdaho | $111.76 | — |
| East St. Louis, ILIllinois | $113.82 | — |
| Rest of IllinoisIllinois | $112.54 | — |
| Suburban Chicago, ILIllinois | $124.05 | — |
| IndianaIndiana | $112.46 | — |
| KansasKansas | $110.25 | — |
| KentuckyKentucky | $109.34 | — |
| New Orleans, LALouisiana | $114.69 | — |
| Rest of LouisianaLouisiana | $109.01 | — |
| Metropolitan Boston, MAMassachusetts | $139.84 | — |
| Rest of MassachusettsMassachusetts | $125.47 | — |
| Baltimore area, MDMaryland | $128.00 | — |
| Rest of MarylandMaryland | $121.52 | — |
| Rest of MaineMaine | $111.96 | — |
| Southern Maine, MEMaine | $118.88 | — |
| Detroit, MIMichigan | $117.76 | — |
| Rest of MichiganMichigan | $111.96 | — |
| MinnesotaMinnesota | $122.12 | — |
| Metropolitan Kansas City, MOMissouri | $114.28 | — |
| Metropolitan St. Louis, MOMissouri | $115.58 | — |
| Rest of MissouriMissouri | $106.80 | — |
| MississippiMississippi | $106.38 | — |
| MontanaMontana | $120.24 | — |
| North CarolinaNorth Carolina | $113.25 | — |
| North DakotaNorth Dakota | $119.45 | — |
| NebraskaNebraska | $111.93 | — |
| New HampshireNew Hampshire | $124.06 | — |
| Northern New JerseyNew Jersey | $137.25 | — |
| Rest of New JerseyNew Jersey | $130.18 | — |
| New MexicoNew Mexico | $112.44 | — |
| NevadaNevada | $120.12 | — |
| NYC suburbs and Long Island, NYNew York | $141.15 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $130.73 | — |
| Queens, NYNew York | $139.91 | — |
| Rest of New YorkNew York | $114.99 | — |
| OhioOhio | $111.80 | — |
| OklahomaOklahoma | $109.55 | — |
| Portland, OROregon | $131.04 | — |
| Rest of OregonOregon | $119.46 | — |
| Metropolitan Philadelphia, PAPennsylvania | $124.88 | — |
| Rest of PennsylvaniaPennsylvania | $112.20 | — |
| Puerto RicoPuerto Rico | $121.29 | — |
| Rhode IslandRhode Island | $123.72 | — |
| South CarolinaSouth Carolina | $112.66 | — |
| South DakotaSouth Dakota | $119.36 | — |
| TennesseeTennessee | $110.78 | — |
| Austin, TXTexas | $125.77 | — |
| Beaumont, TXTexas | $111.40 | — |
| Brazoria, TXTexas | $119.25 | — |
| Dallas, TXTexas | $119.86 | — |
| Fort Worth, TXTexas | $118.91 | — |
| Galveston, TXTexas | $119.51 | — |
| Houston, TXTexas | $120.24 | — |
| Rest of TexasTexas | $115.16 | — |
| VirginiaVirginia | $118.20 | — |
| Virgin Islands, VIUnited States Virgin Islands | $121.29 | — |
| VermontVermont | $118.61 | — |
| Rest of WashingtonWashington | $125.36 | — |
| King County, WAWashington | $143.15 | — |
| WisconsinWisconsin | $115.24 | — |
| West VirginiaWest Virginia | $108.09 | — |
| WyomingWyoming | $119.90 | — |
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.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,835
- Code
- 76872
- Physician work
- 0.65
- Practice expense
- 2.91
- Malpractice
- 0.04
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.65 | × 1.000 | 0.6500 |
| Practice expense | 2.91 | × 0.940 | 2.7354 |
| Malpractice | 0.04 | × 0.898 | 0.0359 |
| Total RVUs | 3.4213 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Utah$114.28
Office: (0.65 × 1 + 2.91 × 0.94 + 0.04 × 0.898) × $33.4009 = $114.28
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.
How 76872 has changed in Utah
76872 · Office / nonfacility
$114.28
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
No ratechanged to$114.28
Held through RVU26B, RVU26C, RVU26D.
January 1, 2020
RVU20A
$123.01changed toNo rate
Held through RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D.
January 1, 2019
RVU19A
$93.84changed to$123.01
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.03 changed to 2.90
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$91.75changed to$93.84
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.98 changed to 2.03
- Practice expense GPCI 0.925 changed to 0.927
- Malpractice GPCI 1.167 changed to 1.165
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$90.00changed to$91.75
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.94 changed to 1.98
- Practice expense GPCI 0.922 changed to 0.925
- Malpractice GPCI 1.169 changed to 1.167
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$89.67changed to$90.00
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.92 changed to 1.94
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$89.22changed to$89.67
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$88.64changed to$89.22
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.88 changed to 1.92
- Malpractice RVU 0.05 changed to 0.03
- Practice expense GPCI 0.919 changed to 0.922
- Malpractice GPCI 1.136 changed to 1.169
Held through RVU15B.
January 1, 2014
RVU14A
$69.60changed to$88.64
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.42 changed to 1.88
- Practice expense GPCI 0.916 changed to 0.919
- Malpractice GPCI 1.102 changed to 1.136
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $69.60
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $114.28 | Not available in this setting | RVU26D |
| 2026-07-01 | $114.28 | Not available in this setting | RVU26C |
| 2026-04-01 | $114.28 | Not available in this setting | RVU26B |
| 2026-01-01 | $114.28 | Not available in this setting | RVU26A |
| 2025-10-01 | Additional calculation required | Not available in this setting | RVU25D |
| 2025-07-01 | Additional calculation required | Not available in this setting | RVU25C |
| 2025-04-01 | Additional calculation required | Not available in this setting | RVU25B |
| 2025-01-01 | Additional calculation required | Not available in this setting | RVU25A |
| 2024-10-01 | Additional calculation required | Not available in this setting | RVU24D |
| 2024-07-01 | Additional calculation required | Not available in this setting | RVU24C |
| 2024-04-01 | Additional calculation required | Not available in this setting | RVU24B |
| 2024-03-09 | Additional calculation required | Not available in this setting | RVU24AR |
| 2024-01-01 | Additional calculation required | Not available in this setting | RVU24A |
| 2023-10-01 | Additional calculation required | Not available in this setting | RVU23D |
| 2023-07-01 | Additional calculation required | Not available in this setting | RVU23C |
| 2023-04-01 | Additional calculation required | Not available in this setting | RVU23B |
| 2023-01-01 | Additional calculation required | Not available in this setting | RVU23A |
| 2022-10-01 | Additional calculation required | Not available in this setting | RVU22D |
| 2022-07-01 | Additional calculation required | Not available in this setting | RVU22C |
| 2022-04-01 | Additional calculation required | Not available in this setting | RVU22B |
| 2022-01-01 | Additional calculation required | Not available in this setting | RVU22A |
| 2021-10-01 | Additional calculation required | Not available in this setting | RVU21D |
| 2021-07-01 | Additional calculation required | Not available in this setting | RVU21C |
| 2021-04-01 | Additional calculation required | Not available in this setting | RVU21B |
| 2021-01-01 | Additional calculation required | Not available in this setting | RVU21A |
| 2020-10-01 | Additional calculation required | Not available in this setting | RVU20D |
| 2020-07-01 | Additional calculation required | Not available in this setting | RVU20C |
| 2020-04-01 | Additional calculation required | Not available in this setting | RVU20B |
| 2020-01-01 | Additional calculation required | Not available in this setting | RVU20A |
| 2019-10-01 | $123.01 | Not available in this setting | RVU19D |
| 2019-07-01 | $123.01 | Not available in this setting | RVU19C |
| 2019-04-01 | $123.01 | Not available in this setting | RVU19B |
| 2019-01-01 | $123.01 | Not available in this setting | RVU19A |
| 2018-10-01 | $93.84 | Not available in this setting | RVU18D |
| 2018-07-01 | $93.84 | Not available in this setting | RVU18C |
| 2018-04-01 | $93.84 | Not available in this setting | RVU18B |
| 2018-01-01 | $93.84 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $91.75 | Not available in this setting | RVU17D |
| 2017-07-01 | $91.75 | Not available in this setting | RVU17C |
| 2017-04-01 | $91.75 | Not available in this setting | RVU17B |
| 2017-01-01 | $91.75 | Not available in this setting | RVU17A |
| 2016-10-01 | $90.00 | Not available in this setting | RVU16D |
| 2016-07-01 | $90.00 | Not available in this setting | RVU16C |
| 2016-04-01 | $90.00 | Not available in this setting | RVU16B |
| 2016-01-01 | $90.00 | Not available in this setting | RVU16A |
| 2015-10-01 | $89.67 | Not available in this setting | RVU15D |
| 2015-07-01 | $89.67 | Not available in this setting | RVU15C |
| 2015-04-01 | $89.22 | Not available in this setting | RVU15B |
| 2015-01-01 | $89.22 | Not available in this setting | RVU15A |
| 2014-10-01 | $88.64 | Not available in this setting | RVU14D |
| 2014-07-01 | $88.64 | Not available in this setting | RVU14C |
| 2014-04-01 | $88.64 | Not available in this setting | RVU14B |
| 2014-01-01 | $88.64 | Not available in this setting | RVU14A |
| 2013-10-01 | $69.60 | Not available in this setting | RVU13D |
| 2013-07-01 | $69.60 | Not available in this setting | RVU13C |
| 2013-04-01 | $69.60 | Not available in this setting | RVU13B |
| 2013-01-01 | $69.60 | Not available in this setting | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
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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