CPT code 76979: Contrast ultrasound, each additional target lesion2026 Medicare rate & RVUs in Wyoming

Reports dynamic microbubble contrast ultrasound assessment of an additional target lesion after the initial lesion is evaluated with the primary code.

CMS RVU26DEffective Oct 1, 2026One payment locality36 Medicare services in 2024

In Wyoming, Medicare pays $106.36 for 76979 in the office.

$106.36Office (non-facility)
Not available in this settingHospital or facility
−0.5%vs the national office rate ($106.88)

Check a contract rate as a % of Medicare · 76979 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 76979 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Wyoming
  2. What 76979 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 76979 covers

This add-on represents contrast-enhanced ultrasound assessment of another distinct target lesion after the initial lesion. A radiologist or other qualified physician uses ultrasound imaging with microbubble contrast to evaluate lesion perfusion and characterize findings; assessment of treatment response may also be part of the examination. Focal liver lesions are a common setting for this technique. The service is typically performed in a hospital imaging department or outpatient diagnostic imaging setting.

Report 76979 for each additional lesion evaluated after the first lesion reported with 76978. The record should identify the separate target lesions and support dynamic contrast assessment of each one. CMS classifies this as an add-on, so it is billed with the primary procedure and paid within that procedure's global period. The diagnostic service may be billed globally or split into its professional interpretation (modifier 26) and technical service (modifier TC); a claim without either modifier represents the global service.

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 Wyoming compares for 76979

Across 109 of 109 payment localities, the office rate for 76979 runs from $95.03 in Arkansas to $143.11 in San Benito County, CA. Wyoming pays $106.36. The RVUs are the same everywhere; the geographic indexes change the dollars.

76979 in Wyoming vs other payment areas
  1. Wyoming · this page$106.36
  2. Los Angeles, CA · California$121.47+$15.11
  3. Washington, DC area · District of Columbia$122.34+$15.98
  4. Miami, FL · Florida$113.11+$6.75
  5. Chicago, IL · Illinois$110.06+$3.70
  6. Manhattan, NY · New York$122.33+$15.97
  7. Alaska · Alaska$124.86+$18.50

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

Every other payment area

76979 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$96.37—
ArkansasArkansas$95.03—
ArizonaArizona$104.20—
Bakersfield, CACalifornia$114.03—
Chico, CACalifornia$113.83—
El Centro, CACalifornia$113.84—
Fresno, CACalifornia$113.83—
Hanford, CACalifornia$113.83—

76979 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.

$95.03

$128.47

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

View every state and territory as a table
76979 office rate range by state
State / territoryOffice rate rangeLocalities
AK$124.861
AL$96.371
AR$95.031
AZ$104.201
CA$113.83–$143.1129
CO$111.711
CT$113.801
DC$122.341
DE$105.891
FL$104.50–$113.113
GA$98.93–$108.602
GU$116.611
HI$116.611
IA$99.121
ID$99.651
IL$101.30–$110.714
IN$100.221
KS$98.481
KY$98.151
LA$97.93–$102.602
MA$111.01–$122.772
MD$107.92–$122.343
ME$99.95–$105.452
MI$100.43–$105.562
MN$107.711
MO$96.18–$103.183
MS$95.641
MT$106.881
NC$100.991
ND$105.691
NE$99.701
NH$109.801
NJ$115.28–$121.112
NM$100.881
NV$106.631
NY$102.43–$124.965
OH$100.191
OK$98.181
OR$105.98–$115.382
PA$100.45–$110.932
PR$107.701
RI$109.741
SC$100.721
SD$105.551
TN$98.931
TX$99.80–$111.188
UT$102.051
VA$104.98–$122.342
VI$107.701
VT$105.121
WA$110.85–$125.422
WI$102.261
WV$97.641
WY$106.361

See 76979 in every payment locality

How the 76979 rate is calculated

Each of 76979’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 · 76979

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.83

0.83 RVUs× 1.000 GPCI

Practice expense2.31

2.31 RVUs× 1.000 GPCI

Malpractice0.06

0.06 RVUs× 1.000 GPCI

Adjusted RVUs

3.2000

Conversion factor

$33.4009

Medicare rate

$106.88

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

The exact Wyoming inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,895

Code
76979
Physician work
0.83
Practice expense
2.31
Malpractice
0.06

GPCI2026.csv

112

Locality
Wyoming
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office calculation for 76979 in Wyoming
ComponentRVULocality factorAdjusted
Physician work0.83× 1.0000.8300
Practice expense2.31× 1.0002.3100
Malpractice0.06× 0.7400.0444
Total RVUs3.1844
Conversion factor× 33.4009

Office rate, Wyoming$106.36

Office: (0.83 × 1 + 2.31 × 1 + 0.06 × 0.74) × $33.4009 = $106.36

Open 76979 in the RVU calculator

Payment rules and modifiers for 76979

The CMS indicators that decide how 76979 is paid alongside other services.

CMS payment indicators · 76979

Contrast ultrasound, each additional target lesion

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
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

76979 without 26 · national office

$106.88

Contrast ultrasound, each additional target lesion

76979-26 · Professional component

$39.41

Pays only the interpretation and report.

When to use modifier 26

How 76979 has changed in Wyoming

76979 · Office / nonfacility

$106.36

Effective 2026-10-01

The base rate is $12.90 lower than on 2025-10-01, moving from $119.26 to $106.36 (10.8%).

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

    $119.26changed to$106.36

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.85 changed to 0.83
    • Practice expense RVU 2.80 changed to 2.31
    • Malpractice RVU 0.05 changed to 0.06
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $142.04changed to$119.26

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.38 changed to 2.80

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $139.72changed to$142.04

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $169.76changed to$139.72

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.12 changed to 3.38
    • Malpractice GPCI 0.790 changed to 0.739
  5. January 1, 2023

    RVU23A

    $204.59changed to$169.76

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.02 changed to 4.12
    • Malpractice GPCI 0.841 changed to 0.790

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $220.60changed to$204.59

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.43 changed to 5.02

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $225.57changed to$220.60

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.34 changed to 5.43
    • Malpractice RVU 0.07 changed to 0.05
    • Malpractice GPCI 0.860 changed to 0.841

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $224.31changed to$225.57

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.33 changed to 5.34
    • Malpractice RVU 0.05 changed to 0.07
    • Malpractice GPCI 0.880 changed to 0.860

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    No ratechanged to$224.31

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$106.36Not available in this settingRVU26D
2026-07-01$106.36Not available in this settingRVU26C
2026-04-01$106.36Not available in this settingRVU26B
2026-01-01$106.36Not available in this settingRVU26A
2025-10-01$119.26Not available in this settingRVU25D
2025-07-01$119.26Not available in this settingRVU25C
2025-04-01$119.26Not available in this settingRVU25B
2025-01-01$119.26Not available in this settingRVU25A
2024-10-01$142.04Not available in this settingRVU24D
2024-07-01$142.04Not available in this settingRVU24C
2024-04-01$142.04Not available in this settingRVU24B
2024-03-09$142.04Not available in this settingRVU24AR
2024-01-01$139.72Not available in this settingRVU24A
2023-10-01$169.76Not available in this settingRVU23D
2023-07-01$169.76Not available in this settingRVU23C
2023-04-01$169.76Not available in this settingRVU23B
2023-01-01$169.76Not available in this settingRVU23A
2022-10-01$204.59Not available in this settingRVU22D
2022-07-01$204.59Not available in this settingRVU22C
2022-04-01$204.59Not available in this settingRVU22B
2022-01-01$204.59Not available in this settingRVU22A
2021-10-01$220.60Not available in this settingRVU21D
2021-07-01$220.60Not available in this settingRVU21C
2021-04-01$220.60Not available in this settingRVU21B
2021-01-01$220.60Not available in this settingRVU21A
2020-10-01$225.57Not available in this settingRVU20D
2020-07-01$225.57Not available in this settingRVU20C
2020-04-01$225.57Not available in this settingRVU20B
2020-01-01$225.57Not available in this settingRVU20A
2019-10-01$224.31Not available in this settingRVU19D
2019-07-01$224.31Not available in this settingRVU19C
2019-04-01$224.31Not available in this settingRVU19B
2019-01-01$224.31Not available in this settingRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 76979 for an earlier date of service

Where the Wyoming rate applies

Wyoming is a Medicare payment area, not a city. Our Census mapping connects it to 205 cities and communities in Wyoming. Some span more than one payment area; confirm with the service ZIP.

  • Afton
  • Albany
  • Albin
  • Alcova
  • Alpine
  • Alpine Northeast
  • Alpine Northwest
  • Alta

Browse all communities in Wyoming

76979 billing questions

When should 76979 be reported instead of 76978?

Use 76978 for the initial target lesion. Report 76979 for each additional distinct lesion assessed with the same dynamic microbubble contrast technique.

Which primary code must accompany 76979?

Report 76979 with 76978, which represents assessment of the initial target lesion. The add-on code is not reported by itself.

Can 76979 be reported for repeated imaging of the same lesion?

The add-on represents an additional lesion, not another pass or image set of the initial lesion. Documentation should distinguish each additional target assessed.

How are the professional and technical services billed?

Bill modifier 26 for the professional interpretation or modifier TC for the technical service. Without either modifier, the claim represents the global service.

How does 76979 differ from 76983?

76979 represents an additional lesion evaluated with dynamic microbubble contrast. 76983 represents an additional target assessed with ultrasound elastography, a different imaging technique.

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 76979PPRRVU2026_Oct_nonQPP.csv, line 8,895 (RVU26D)
Geographic factors for WyomingGPCI2026.csv, line 112 (RVU26D)

Open CMS sourceHow we calculate rates

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