CPT code 76983: Ultrasound elastography, each additional target lesion2026 Medicare rate & RVUs in Fresno, CA
Reports ultrasound elastography assessment of each target lesion after the first, when additional lesions are evaluated during a targeted elastography service.
In Fresno, CA, Medicare pays $64.66 for 76983 in the office.
Check a contract rate as a % of Medicare · 76983 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 76983 covers
This add-on represents elastography assessment of a target lesion beyond the first lesion evaluated. Ultrasound elastography measures tissue stiffness as part of diagnostic imaging. A physician, often a radiologist or another clinician performing diagnostic ultrasound, interprets the images; the technical work involves the ultrasound equipment and staff supporting image acquisition. The code is for additional target lesions, not a general assessment of organ parenchyma.
Report 76983 with the primary first-lesion service, 76982, for each additional target lesion assessed. The record should support the number of distinct additional lesions evaluated and the elastography work performed. This is an add-on code, so it is billed only with its primary procedure and payment falls within that procedure’s global period. The diagnostic service may be billed globally or split into professional interpretation with modifier 26 and technical services with modifier TC.
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 Fresno, CA compares for 76983
Across 109 of 109 payment localities, the office rate for 76983 runs from $53.93 in Arkansas to $81.35 in San Benito County, CA. Fresno, CA pays $64.66. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Fresno, CA · this page$64.66
- Bakersfield, CA · California$64.79+$0.13
- Chico, CA · California$64.66
- El Centro, CA · California$64.67+$0.01
- Hanford, CA · California$64.66
- Los Angeles, CA · California$69.04+$4.38
- Madera, CA · California$64.66
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Merced, CACalifornia | $64.66 | — |
| Modesto, CACalifornia | $64.66 | — |
| Napa, CACalifornia | $75.12 | — |
| Oxnard, CACalifornia | $68.74 | — |
| Redding, CACalifornia | $64.66 | — |
| Rest of CaliforniaCalifornia | $64.66 | — |
| Riverside, CACalifornia | $65.10 | — |
| Sacramento, CACalifornia | $67.91 | — |
| Salinas, CACalifornia | $67.66 | — |
| San Diego, CACalifornia | $69.28 | — |
| Marin County, CACalifornia | $79.60 | — |
| San Francisco, CACalifornia | $79.56 | — |
| San Benito County, CACalifornia | $81.35 | — |
| Santa Clara County, CACalifornia | $81.16 | — |
| San Luis Obispo, CACalifornia | $66.56 | — |
| Santa Cruz, CACalifornia | $69.97 | — |
| Santa Maria, CACalifornia | $67.92 | — |
| Santa Rosa, CACalifornia | $70.68 | — |
| Stockton, CACalifornia | $64.66 | — |
| Vallejo, CACalifornia | $75.06 | — |
| Visalia, CACalifornia | $64.66 | — |
| Yuba City, CACalifornia | $64.66 | — |
| Washington, DC areaDistrict of Columbia | $69.62 | — |
| Miami, FLFlorida | $64.64 | — |
| Chicago, ILIllinois | $62.85 | — |
| Manhattan, NYNew York | $69.70 | — |
| AlaskaAlaska | $70.74 | — |
| AlabamaAlabama | $54.70 | — |
| ArkansasArkansas | $53.93 | — |
| ArizonaArizona | $59.23 | — |
| ColoradoColorado | $63.50 | — |
| ConnecticutConnecticut | $64.77 | — |
| DelawareDelaware | $60.20 | — |
| Fort Lauderdale, FLFlorida | $62.44 | — |
| Rest of FloridaFlorida | $59.52 | — |
| Atlanta, GAGeorgia | $61.81 | — |
| Rest of GeorgiaGeorgia | $56.28 | — |
| Hawaii, Guam, HIHawaii | $66.27 | — |
| IowaIowa | $56.24 | — |
| IdahoIdaho | $56.56 | — |
| East St. Louis, ILIllinois | $58.62 | — |
| Rest of IllinoisIllinois | $57.71 | — |
| Suburban Chicago, ILIllinois | $63.12 | — |
| IndianaIndiana | $56.88 | — |
| KansasKansas | $55.89 | — |
| KentuckyKentucky | $55.78 | — |
| New Orleans, LALouisiana | $58.37 | — |
| Rest of LouisianaLouisiana | $55.66 | — |
| Metropolitan Boston, MAMassachusetts | $69.83 | — |
| Rest of MassachusettsMassachusetts | $63.10 | — |
| Baltimore area, MDMaryland | $64.57 | — |
| Rest of MarylandMaryland | $61.36 | — |
| Rest of MaineMaine | $56.76 | — |
| Southern Maine, MEMaine | $59.90 | — |
| Detroit, MIMichigan | $60.16 | — |
| Rest of MichiganMichigan | $57.13 | — |
| MinnesotaMinnesota | $61.13 | — |
| Metropolitan Kansas City, MOMissouri | $58.07 | — |
| Metropolitan St. Louis, MOMissouri | $58.68 | — |
| Rest of MissouriMissouri | $54.67 | — |
| MississippiMississippi | $54.31 | — |
| MontanaMontana | $60.79 | — |
| North CarolinaNorth Carolina | $57.35 | — |
| North DakotaNorth Dakota | $60.00 | — |
| NebraskaNebraska | $56.56 | — |
| New HampshireNew Hampshire | $62.43 | — |
| Northern New JerseyNew Jersey | $68.90 | — |
| Rest of New JerseyNew Jersey | $65.59 | — |
| New MexicoNew Mexico | $57.40 | — |
| NevadaNevada | $60.61 | — |
| NYC suburbs and Long Island, NYNew York | $71.25 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $65.95 | — |
| Queens, NYNew York | $70.39 | — |
| Rest of New YorkNew York | $58.19 | — |
| OhioOhio | $56.96 | — |
| OklahomaOklahoma | $55.77 | — |
| Portland, OROregon | $65.59 | — |
| Rest of OregonOregon | $60.22 | — |
| Metropolitan Philadelphia, PAPennsylvania | $63.13 | — |
| Rest of PennsylvaniaPennsylvania | $57.10 | — |
| Puerto RicoPuerto Rico | $61.25 | — |
| Rhode IslandRhode Island | $62.39 | — |
| South CarolinaSouth Carolina | $57.24 | — |
| South DakotaSouth Dakota | $59.90 | — |
| TennesseeTennessee | $56.16 | — |
| Austin, TXTexas | $63.23 | — |
| Beaumont, TXTexas | $56.73 | — |
| Brazoria, TXTexas | $60.22 | — |
| Dallas, TXTexas | $60.56 | — |
| Fort Worth, TXTexas | $60.14 | — |
| Galveston, TXTexas | $60.37 | — |
| Houston, TXTexas | $61.11 | — |
| Rest of TexasTexas | $58.41 | — |
| UtahUtah | $58.01 | — |
| VirginiaVirginia | $59.65 | — |
| Virgin Islands, VIUnited States Virgin Islands | $61.25 | — |
| VermontVermont | $59.69 | — |
| Rest of WashingtonWashington | $63.01 | — |
| King County, WAWashington | $71.32 | — |
| WisconsinWisconsin | $58.01 | — |
| West VirginiaWest Virginia | $55.59 | — |
| WyomingWyoming | $60.44 | — |
76983 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.
$53.93
$73.01
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 | $70.74 | 1 |
| AL | $54.70 | 1 |
| AR | $53.93 | 1 |
| AZ | $59.23 | 1 |
| CA | $64.66–$81.35 | 29 |
| CO | $63.50 | 1 |
| CT | $64.77 | 1 |
| DC | $69.62 | 1 |
| DE | $60.20 | 1 |
| FL | $59.52–$64.64 | 3 |
| GA | $56.28–$61.81 | 2 |
| GU | $66.27 | 1 |
| HI | $66.27 | 1 |
| IA | $56.24 | 1 |
| ID | $56.56 | 1 |
| IL | $57.71–$63.12 | 4 |
| IN | $56.88 | 1 |
| KS | $55.89 | 1 |
| KY | $55.78 | 1 |
| LA | $55.66–$58.37 | 2 |
| MA | $63.10–$69.83 | 2 |
| MD | $61.36–$69.62 | 3 |
| ME | $56.76–$59.90 | 2 |
| MI | $57.13–$60.16 | 2 |
| MN | $61.13 | 1 |
| MO | $54.67–$58.68 | 3 |
| MS | $54.31 | 1 |
| MT | $60.79 | 1 |
| NC | $57.35 | 1 |
| ND | $60.00 | 1 |
| NE | $56.56 | 1 |
| NH | $62.43 | 1 |
| NJ | $65.59–$68.90 | 2 |
| NM | $57.40 | 1 |
| NV | $60.61 | 1 |
| NY | $58.19–$71.25 | 5 |
| OH | $56.96 | 1 |
| OK | $55.77 | 1 |
| OR | $60.22–$65.59 | 2 |
| PA | $57.10–$63.13 | 2 |
| PR | $61.25 | 1 |
| RI | $62.39 | 1 |
| SC | $57.24 | 1 |
| SD | $59.90 | 1 |
| TN | $56.16 | 1 |
| TX | $56.73–$63.23 | 8 |
| UT | $58.01 | 1 |
| VA | $59.65–$69.62 | 2 |
| VI | $61.25 | 1 |
| VT | $59.69 | 1 |
| WA | $63.01–$71.32 | 2 |
| WI | $58.01 | 1 |
| WV | $55.59 | 1 |
| WY | $60.44 | 1 |
How the 76983 rate is calculated
Each of 76983’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 · 76983
RVUs × geographic indexes × conversion factor
Work0.46
0.46 RVUs× 1.000 GPCI
Practice expense1.32
1.32 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
1.8200
Conversion factor
$33.4009
Medicare rate
$60.79
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Fresno, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,904
- Code
- 76983
- Physician work
- 0.46
- Practice expense
- 1.32
- Malpractice
- 0.04
GPCI2026.csv
11
- Locality
- Fresno, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.46 | × 1.017 | 0.4678 |
| Practice expense | 1.32 | × 1.096 | 1.4467 |
| Malpractice | 0.04 | × 0.536 | 0.0214 |
| Total RVUs | 1.9360 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Fresno, CA$64.66
Office: (0.46 × 1.017 + 1.32 × 1.096 + 0.04 × 0.536) × $33.4009 = $64.66
Payment rules and modifiers for 76983
The CMS indicators that decide how 76983 is paid alongside other services.
CMS payment indicators · 76983
Ultrasound elastography, each additional target lesion
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| 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
76983 without 26 · national office
$60.79
Ultrasound elastography, each additional target lesion
76983-26 · Professional component
$24.05
Pays only the interpretation and report.
How 76983 has changed in Fresno, CA
76983 · Office / nonfacility
$64.66
Effective 2026-10-01
The base rate is $3.45 higher than on 2025-10-01, moving from $61.21 to $64.66 (5.6%).
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
$61.21changed to$64.66
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.47 changed to 0.46
- Practice expense RVU 1.28 changed to 1.32
- Malpractice RVU 0.03 changed to 0.04
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$65.28changed to$61.21
- Conversion factor 33.2875 changed to 32.3465
- Work RVU 0.50 changed to 0.47
- Practice expense RVU 1.31 changed to 1.28
- Malpractice RVU 0.04 changed to 0.03
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$64.22changed to$65.28
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$65.08changed to$64.22
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.28 changed to 1.31
- Malpractice RVU 0.05 changed to 0.04
- Work GPCI 1.021 changed to 1.014
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.579 changed to 0.560
January 1, 2023
RVU23A
$66.30changed to$65.08
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.30 changed to 1.28
- Malpractice RVU 0.03 changed to 0.05
- Work GPCI 1.027 changed to 1.021
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.597 changed to 0.579
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$67.02changed to$66.30
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.31 changed to 1.30
- Malpractice RVU 0.02 changed to 0.03
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$63.30changed to$67.02
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.15 changed to 1.31
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.580 changed to 0.597
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$63.11changed to$63.30
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.14 changed to 1.15
- Malpractice RVU 0.03 changed to 0.02
- Work GPCI 1.020 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.562 changed to 0.580
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
No ratechanged to$63.11
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 | $64.66 | Not available in this setting | RVU26D |
| 2026-07-01 | $64.66 | Not available in this setting | RVU26C |
| 2026-04-01 | $64.66 | Not available in this setting | RVU26B |
| 2026-01-01 | $64.66 | Not available in this setting | RVU26A |
| 2025-10-01 | $61.21 | Not available in this setting | RVU25D |
| 2025-07-01 | $61.21 | Not available in this setting | RVU25C |
| 2025-04-01 | $61.21 | Not available in this setting | RVU25B |
| 2025-01-01 | $61.21 | Not available in this setting | RVU25A |
| 2024-10-01 | $65.28 | Not available in this setting | RVU24D |
| 2024-07-01 | $65.28 | Not available in this setting | RVU24C |
| 2024-04-01 | $65.28 | Not available in this setting | RVU24B |
| 2024-03-09 | $65.28 | Not available in this setting | RVU24AR |
| 2024-01-01 | $64.22 | Not available in this setting | RVU24A |
| 2023-10-01 | $65.08 | Not available in this setting | RVU23D |
| 2023-07-01 | $65.08 | Not available in this setting | RVU23C |
| 2023-04-01 | $65.08 | Not available in this setting | RVU23B |
| 2023-01-01 | $65.08 | Not available in this setting | RVU23A |
| 2022-10-01 | $66.30 | Not available in this setting | RVU22D |
| 2022-07-01 | $66.30 | Not available in this setting | RVU22C |
| 2022-04-01 | $66.30 | Not available in this setting | RVU22B |
| 2022-01-01 | $66.30 | Not available in this setting | RVU22A |
| 2021-10-01 | $67.02 | Not available in this setting | RVU21D |
| 2021-07-01 | $67.02 | Not available in this setting | RVU21C |
| 2021-04-01 | $67.02 | Not available in this setting | RVU21B |
| 2021-01-01 | $67.02 | Not available in this setting | RVU21A |
| 2020-10-01 | $63.30 | Not available in this setting | RVU20D |
| 2020-07-01 | $63.30 | Not available in this setting | RVU20C |
| 2020-04-01 | $63.30 | Not available in this setting | RVU20B |
| 2020-01-01 | $63.30 | Not available in this setting | RVU20A |
| 2019-10-01 | $63.11 | Not available in this setting | RVU19D |
| 2019-07-01 | $63.11 | Not available in this setting | RVU19C |
| 2019-04-01 | $63.11 | Not available in this setting | RVU19B |
| 2019-01-01 | $63.11 | 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 Fresno, CA rate applies
Fresno, CA is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Fresno
- Auberry
- Big Creek
- Biola
- Bowles
- Calwa
- Cantua Creek
- Caruthers
76983 billing questions
When should 76983 be reported instead of 76982?
Use 76982 for the first target lesion assessed with elastography. Report 76983 for each additional target lesion evaluated in the same service.
Can 76983 be billed without 76982?
No. It is an add-on code and must be reported with the primary first-lesion elastography service, 76982.
How many units should be reported?
Report one unit for each additional target lesion assessed after the first. Documentation should identify the additional lesions and support the elastography assessment.
Can the professional and technical work be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.
How does 76983 differ from 76981?
76983 covers each additional target lesion after the first. 76981 is for elastography assessment of organ parenchyma rather than an additional targeted lesion.
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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