CPT code 76982: Ultrasound elastography, first target lesion2026 Medicare rate & RVUs in Nevada
Reports ultrasound elastography of the first focal target lesion, assessing tissue stiffness in settings such as breast or liver imaging.
In Nevada, Medicare pays $92.37 for 76982 in the office.
Check a contract rate as a % of Medicare · 76982 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 76982 covers
This service uses ultrasound elastography to assess the stiffness of a specific focal lesion, such as a breast or liver lesion. The sonographic acquisition and physician interpretation may occur in a hospital imaging department or an outpatient imaging practice. It is distinct from elastography directed at diffuse organ parenchyma: this code identifies the first target lesion examined.
Report 76982 for the first target lesion; report 76983 for each additional target lesion when performed. Documentation should identify the lesion assessed and support the elastography findings with the imaging record and interpretation. The service may be billed globally or split: modifier 26 represents the professional interpretation, while modifier TC represents the technical service, including equipment and staff. Diagnostic imaging multiple procedure reduction applies to both the professional and technical 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 Nevada compares for 76982
Across 109 of 109 payment localities, the office rate for 76982 runs from $81.75 in Arkansas to $125.77 in San Benito County, CA. Nevada pays $92.37. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Nevada · this page$92.37
- Los Angeles, CA · California$106.01+$13.64
- Washington, DC area · District of Columbia$106.50+$14.13
- Miami, FL · Florida$97.51+$5.14
- Chicago, IL · Illinois$94.75+$2.38
- Manhattan, NY · New York$106.18+$13.81
- Alaska · Alaska$106.27+$13.90
Other areas in Nevada first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $82.96 | — |
| ArkansasArkansas | $81.75 | — |
| ArizonaArizona | $90.10 | — |
| Bakersfield, CACalifornia | $99.26 | — |
| Chico, CACalifornia | $99.12 | — |
| El Centro, CACalifornia | $99.13 | — |
| Fresno, CACalifornia | $99.12 | — |
| Hanford, CACalifornia | $99.12 | — |
| Madera, CACalifornia | $99.12 | — |
| Merced, CACalifornia | $99.12 | — |
| Modesto, CACalifornia | $99.12 | — |
| Napa, CACalifornia | $115.92 | — |
| Oxnard, CACalifornia | $105.63 | — |
| Redding, CACalifornia | $99.12 | — |
| Rest of CaliforniaCalifornia | $99.12 | — |
| Riverside, CACalifornia | $99.57 | — |
| Sacramento, CACalifornia | $104.30 | — |
| Salinas, CACalifornia | $103.92 | — |
| San Diego, CACalifornia | $106.56 | — |
| Marin County, CACalifornia | $123.08 | — |
| San Francisco, CACalifornia | $123.04 | — |
| San Benito County, CACalifornia | $125.77 | — |
| Santa Clara County, CACalifornia | $125.59 | — |
| San Luis Obispo, CACalifornia | $102.21 | — |
| Santa Cruz, CACalifornia | $107.75 | — |
| Santa Maria, CACalifornia | $104.36 | — |
| Santa Rosa, CACalifornia | $108.85 | — |
| Stockton, CACalifornia | $99.12 | — |
| Vallejo, CACalifornia | $115.85 | — |
| Visalia, CACalifornia | $99.12 | — |
| Yuba City, CACalifornia | $99.12 | — |
| ColoradoColorado | $97.06 | — |
| ConnecticutConnecticut | $98.72 | — |
| DelawareDelaware | $91.62 | — |
| Fort Lauderdale, FLFlorida | $94.53 | — |
| Rest of FloridaFlorida | $90.03 | — |
| Atlanta, GAGeorgia | $94.00 | — |
| Rest of GeorgiaGeorgia | $85.02 | — |
| Hawaii, Guam, HIHawaii | $101.80 | — |
| IowaIowa | $85.61 | — |
| IdahoIdaho | $86.07 | — |
| East St. Louis, ILIllinois | $88.13 | — |
| Rest of IllinoisIllinois | $87.03 | — |
| Suburban Chicago, ILIllinois | $95.63 | — |
| IndianaIndiana | $86.59 | — |
| KansasKansas | $84.96 | — |
| KentuckyKentucky | $84.44 | — |
| New Orleans, LALouisiana | $88.47 | — |
| Rest of LouisianaLouisiana | $84.21 | — |
| Metropolitan Boston, MAMassachusetts | $107.10 | — |
| Rest of MassachusettsMassachusetts | $96.37 | — |
| Baltimore area, MDMaryland | $98.39 | — |
| Rest of MarylandMaryland | $93.47 | — |
| Rest of MaineMaine | $86.27 | — |
| Southern Maine, MEMaine | $91.38 | — |
| Detroit, MIMichigan | $90.92 | — |
| Rest of MichiganMichigan | $86.45 | — |
| MinnesotaMinnesota | $93.66 | — |
| Metropolitan Kansas City, MOMissouri | $88.11 | — |
| Metropolitan St. Louis, MOMissouri | $89.08 | — |
| Rest of MissouriMissouri | $82.58 | — |
| MississippiMississippi | $82.19 | — |
| MontanaMontana | $92.52 | — |
| North CarolinaNorth Carolina | $87.23 | — |
| North DakotaNorth Dakota | $91.73 | — |
| NebraskaNebraska | $86.16 | — |
| New HampshireNew Hampshire | $95.30 | — |
| Northern New JerseyNew Jersey | $105.32 | — |
| Rest of New JerseyNew Jersey | $100.03 | — |
| New MexicoNew Mexico | $86.83 | — |
| NYC suburbs and Long Island, NYNew York | $108.48 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $100.49 | — |
| Queens, NYNew York | $107.42 | — |
| Rest of New YorkNew York | $88.53 | — |
| OhioOhio | $86.28 | — |
| OklahomaOklahoma | $84.54 | — |
| Portland, OROregon | $100.46 | — |
| Rest of OregonOregon | $91.84 | — |
| Metropolitan Philadelphia, PAPennsylvania | $96.07 | — |
| Rest of PennsylvaniaPennsylvania | $86.56 | — |
| Puerto RicoPuerto Rico | $93.29 | — |
| Rhode IslandRhode Island | $95.11 | — |
| South CarolinaSouth Carolina | $86.86 | — |
| South DakotaSouth Dakota | $91.63 | — |
| TennesseeTennessee | $85.37 | — |
| Austin, TXTexas | $96.57 | — |
| Beaumont, TXTexas | $85.96 | — |
| Brazoria, TXTexas | $91.74 | — |
| Dallas, TXTexas | $92.22 | — |
| Fort Worth, TXTexas | $91.52 | — |
| Galveston, TXTexas | $91.94 | — |
| Houston, TXTexas | $92.68 | — |
| Rest of TexasTexas | $88.73 | — |
| UtahUtah | $88.08 | — |
| VirginiaVirginia | $90.91 | — |
| Virgin Islands, VIUnited States Virgin Islands | $93.29 | — |
| VermontVermont | $91.14 | — |
| Rest of WashingtonWashington | $96.26 | — |
| King County, WAWashington | $109.55 | — |
| WisconsinWisconsin | $88.58 | — |
| West VirginiaWest Virginia | $83.69 | — |
| WyomingWyoming | $92.17 | — |
76982 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.
$81.75
$112.45
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 | $106.27 | 1 |
| AL | $82.96 | 1 |
| AR | $81.75 | 1 |
| AZ | $90.10 | 1 |
| CA | $99.12–$125.77 | 29 |
| CO | $97.06 | 1 |
| CT | $98.72 | 1 |
| DC | $106.50 | 1 |
| DE | $91.62 | 1 |
| FL | $90.03–$97.51 | 3 |
| GA | $85.02–$94.00 | 2 |
| GU | $101.80 | 1 |
| HI | $101.80 | 1 |
| IA | $85.61 | 1 |
| ID | $86.07 | 1 |
| IL | $87.03–$95.63 | 4 |
| IN | $86.59 | 1 |
| KS | $84.96 | 1 |
| KY | $84.44 | 1 |
| LA | $84.21–$88.47 | 2 |
| MA | $96.37–$107.10 | 2 |
| MD | $93.47–$106.50 | 3 |
| ME | $86.27–$91.38 | 2 |
| MI | $86.45–$90.92 | 2 |
| MN | $93.66 | 1 |
| MO | $82.58–$89.08 | 3 |
| MS | $82.19 | 1 |
| MT | $92.52 | 1 |
| NC | $87.23 | 1 |
| ND | $91.73 | 1 |
| NE | $86.16 | 1 |
| NH | $95.30 | 1 |
| NJ | $100.03–$105.32 | 2 |
| NM | $86.83 | 1 |
| NV | $92.37 | 1 |
| NY | $88.53–$108.48 | 5 |
| OH | $86.28 | 1 |
| OK | $84.54 | 1 |
| OR | $91.84–$100.46 | 2 |
| PA | $86.56–$96.07 | 2 |
| PR | $93.29 | 1 |
| RI | $95.11 | 1 |
| SC | $86.86 | 1 |
| SD | $91.63 | 1 |
| TN | $85.37 | 1 |
| TX | $85.96–$96.57 | 8 |
| UT | $88.08 | 1 |
| VA | $90.91–$106.50 | 2 |
| VI | $93.29 | 1 |
| VT | $91.14 | 1 |
| WA | $96.26–$109.55 | 2 |
| WI | $88.58 | 1 |
| WV | $83.69 | 1 |
| WY | $92.17 | 1 |
How the 76982 rate is calculated
Each of 76982’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 · 76982
RVUs × geographic indexes × conversion factor
Work0.58
0.58 RVUs× 1.000 GPCI
Practice expense2.15
2.15 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
2.7700
Conversion factor
$33.4009
Medicare rate
$92.52
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Nevada inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,901
- Code
- 76982
- Physician work
- 0.58
- Practice expense
- 2.15
- Malpractice
- 0.04
GPCI2026.csv
73
- Locality
- Nevada
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.58 | × 1.000 | 0.5800 |
| Practice expense | 2.15 | × 1.001 | 2.1521 |
| Malpractice | 0.04 | × 0.833 | 0.0333 |
| Total RVUs | 2.7655 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Nevada$92.37
Office: (0.58 × 1 + 2.15 × 1.001 + 0.04 × 0.833) × $33.4009 = $92.37
Payment rules and modifiers for 76982
The CMS indicators that decide how 76982 is paid alongside other services.
CMS payment indicators · 76982
Ultrasound elastography, first target lesion
| 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
76982 without 26 · national office
$92.52
Ultrasound elastography, first target lesion
76982-26 · Professional component
$28.06
Pays only the interpretation and report.
How 76982 has changed in Nevada
76982 · Office / nonfacility
$92.37
Effective 2026-10-01
The base rate is $2.97 higher than on 2025-10-01, moving from $89.40 to $92.37 (3.3%).
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
$89.40changed to$92.37
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.59 changed to 0.58
- Practice expense RVU 2.14 changed to 2.15
- Practice expense GPCI 1.000 changed to 1.001
- Malpractice GPCI 0.844 changed to 0.833
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$93.00changed to$89.40
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.17 changed to 2.14
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$91.48changed to$93.00
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$95.39changed to$91.48
- Conversion factor 33.8872 changed to 32.7442
- Malpractice RVU 0.05 changed to 0.04
- Malpractice GPCI 1.098 changed to 0.844
January 1, 2023
RVU23A
$98.30changed to$95.39
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.18 changed to 2.17
- Work GPCI 1.005 changed to 1.000
- Malpractice GPCI 1.351 changed to 1.098
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$102.60changed to$98.30
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.28 changed to 2.18
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$98.08changed to$102.60
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.08 changed to 2.28
- Malpractice RVU 0.04 changed to 0.05
- Work GPCI 1.004 changed to 1.005
- Malpractice GPCI 1.130 changed to 1.351
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$99.18changed to$98.08
- Conversion factor 36.0391 changed to 36.0896
- Malpractice RVU 0.05 changed to 0.04
- Work GPCI 1.002 changed to 1.004
- Practice expense GPCI 1.017 changed to 1.000
- Malpractice GPCI 0.909 changed to 1.130
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
No ratechanged to$99.18
Held through RVU19B, RVU19C, RVU19D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $92.37 | Not available in this setting | RVU26D |
| 2026-07-01 | $92.37 | Not available in this setting | RVU26C |
| 2026-04-01 | $92.37 | Not available in this setting | RVU26B |
| 2026-01-01 | $92.37 | Not available in this setting | RVU26A |
| 2025-10-01 | $89.40 | Not available in this setting | RVU25D |
| 2025-07-01 | $89.40 | Not available in this setting | RVU25C |
| 2025-04-01 | $89.40 | Not available in this setting | RVU25B |
| 2025-01-01 | $89.40 | Not available in this setting | RVU25A |
| 2024-10-01 | $93.00 | Not available in this setting | RVU24D |
| 2024-07-01 | $93.00 | Not available in this setting | RVU24C |
| 2024-04-01 | $93.00 | Not available in this setting | RVU24B |
| 2024-03-09 | $93.00 | Not available in this setting | RVU24AR |
| 2024-01-01 | $91.48 | Not available in this setting | RVU24A |
| 2023-10-01 | $95.39 | Not available in this setting | RVU23D |
| 2023-07-01 | $95.39 | Not available in this setting | RVU23C |
| 2023-04-01 | $95.39 | Not available in this setting | RVU23B |
| 2023-01-01 | $95.39 | Not available in this setting | RVU23A |
| 2022-10-01 | $98.30 | Not available in this setting | RVU22D |
| 2022-07-01 | $98.30 | Not available in this setting | RVU22C |
| 2022-04-01 | $98.30 | Not available in this setting | RVU22B |
| 2022-01-01 | $98.30 | Not available in this setting | RVU22A |
| 2021-10-01 | $102.60 | Not available in this setting | RVU21D |
| 2021-07-01 | $102.60 | Not available in this setting | RVU21C |
| 2021-04-01 | $102.60 | Not available in this setting | RVU21B |
| 2021-01-01 | $102.60 | Not available in this setting | RVU21A |
| 2020-10-01 | $98.08 | Not available in this setting | RVU20D |
| 2020-07-01 | $98.08 | Not available in this setting | RVU20C |
| 2020-04-01 | $98.08 | Not available in this setting | RVU20B |
| 2020-01-01 | $98.08 | Not available in this setting | RVU20A |
| 2019-10-01 | $99.18 | Not available in this setting | RVU19D |
| 2019-07-01 | $99.18 | Not available in this setting | RVU19C |
| 2019-04-01 | $99.18 | Not available in this setting | RVU19B |
| 2019-01-01 | $99.18 | Not available in this setting | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Nevada rate applies
Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.
- Alamo
- Amargosa Valley
- Austin
- Baker
- Battle Mountain
- Beatty
- Beaverdam
- Bennett Springs
76982 billing questions
When should 76982 be selected instead of 76981?
Use 76982 for elastography of a focal target lesion. Use 76981 when the examination assesses organ parenchyma rather than a specific lesion.
How is a second target lesion reported?
Report 76982 for the first lesion and 76983 for each additional target lesion examined in the same service.
Can the professional and technical services be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Billing without either modifier represents the global service.
What documentation supports reporting this code?
Document the target lesion evaluated, the elastography imaging, and the physician's interpretation and findings. The record should distinguish a focal lesion assessment from parenchymal elastography.
Does multiple procedure reduction affect this service?
Yes. Diagnostic imaging multiple procedure reduction applies to both the technical and professional components.
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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