Billing code 76100: X-ray examMedicare rate & RVUs
Reports a specifically requested single-view X-ray of a body section other than the chest when the study fits this broad radiographic service.
Medicare pays $86.17 for 76100 nationally in the office. Local office rates run $76.25–$116.73.
Medicare rate · 76100
X-ray exam
Swap in your local Medicare rate.
- Work RVUs
- 0.57
- Total RVUs
- 2.58
- Global days
- XXX
National rate · 2026
$86.17
Office setting, before claim adjustments.
See every locality for 76100 → · 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.
On this page 10 sections
What 76100 covers
This service covers a static X-ray examination of one body section outside the chest, performed as a single view. A radiologic technologist typically acquires the image in a hospital department, imaging center, or office; a physician interprets the study. It may fit a focused diagnostic question when the order and examination specify one projection and no more specific body-part code describes the service.
Choose the code based on the body section and number of views actually performed, not simply the number of images submitted. The record should identify the examined body section, support that the study was limited to one view, and include the order and interpretation. Modifier 26 identifies the professional interpretation; modifier TC identifies the technical work, equipment, and staff. Without either modifier, the claim represents the global service, including both 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.
Where 76100 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
$76.25 to $116.73
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $77.37 | Unavailable |
| Alaska* | $99.37 | Unavailable |
| Arizona | $83.94 | Unavailable |
| Arkansas | $76.25 | Unavailable |
| Atlanta | $87.55 | Unavailable |
| Austin | $89.88 | Unavailable |
| Bakersfield | $92.33 | Unavailable |
| Baltimore/Surr. Cntys | $91.60 | Unavailable |
| Beaumont | $80.16 | Unavailable |
| Brazoria | $85.44 | Unavailable |
| Chicago | $88.37 | Unavailable |
| Chico | $92.19 | Unavailable |
| Colorado | $90.32 | Unavailable |
| Connecticut | $91.90 | Unavailable |
| Dallas | $85.89 | Unavailable |
| Dc + Md/Va Suburbs | $99.07 | Unavailable |
| Delaware | $85.34 | Unavailable |
| Detroit | $84.79 | Unavailable |
| East St. Louis | $82.27 | Unavailable |
| El Centro | $92.20 | Unavailable |
| Fort Lauderdale | $88.11 | Unavailable |
| Fort Worth | $85.25 | Unavailable |
| Fresno | $92.19 | Unavailable |
| Galveston | $85.64 | Unavailable |
| Hanford-Corcoran | $92.19 | Unavailable |
| Hawaii, Guam | $94.63 | Unavailable |
| Houston | $86.37 | Unavailable |
| Idaho | $80.21 | Unavailable |
| Indiana | $80.68 | Unavailable |
| Iowa | $79.78 | Unavailable |
| Kansas | $79.19 | Unavailable |
| Kentucky | $78.76 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $98.55 | Unavailable |
| Madera | $92.19 | Unavailable |
| Manhattan | $98.84 | Unavailable |
| Merced | $92.19 | Unavailable |
| Metropolitan Boston | $99.57 | Unavailable |
| Metropolitan Kansas City | $82.13 | Unavailable |
| Metropolitan Philadelphia | $89.47 | Unavailable |
| Metropolitan St. Louis | $83.02 | Unavailable |
| Miami | $90.91 | Unavailable |
| Minnesota | $87.14 | Unavailable |
| Mississippi | $76.68 | Unavailable |
| Modesto | $92.19 | Unavailable |
| Montana** | $86.17 | Unavailable |
| Napa | $107.64 | Unavailable |
| Nebraska | $80.28 | Unavailable |
| Nevada** | $86.02 | Unavailable |
| New Hampshire | $88.71 | Unavailable |
| New Mexico | $80.98 | Unavailable |
| New Orleans | $82.47 | Unavailable |
| North Carolina | $81.28 | Unavailable |
| North Dakota** | $85.38 | Unavailable |
| Northern Nj | $97.99 | Unavailable |
| Nyc Suburbs/Long Island | $100.97 | Unavailable |
| Ohio | $80.46 | Unavailable |
| Oklahoma | $78.84 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $98.18 | Unavailable |
| Portland | $93.44 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $93.56 | Unavailable |
| Puerto Rico | $86.88 | Unavailable |
| Queens | $99.96 | Unavailable |
| Redding | $92.19 | Unavailable |
| Rest Of California | $92.19 | Unavailable |
| Rest Of Florida | $83.95 | Unavailable |
| Rest Of Georgia | $79.32 | Unavailable |
| Rest Of Illinois | $81.20 | Unavailable |
| Rest Of Louisiana | $78.55 | Unavailable |
| Rest Of Maine | $80.41 | Unavailable |
| Rest Of Maryland | $87.04 | Unavailable |
| Rest Of Massachusetts | $89.70 | Unavailable |
| Rest Of Michigan | $80.62 | Unavailable |
| Rest Of Missouri | $77.06 | Unavailable |
| Rest Of New Jersey | $93.12 | Unavailable |
| Rest Of New York | $82.49 | Unavailable |
| Rest Of Oregon | $85.51 | Unavailable |
| Rest Of Pennsylvania | $80.71 | Unavailable |
| Rest Of Texas | $82.69 | Unavailable |
| Rest Of Washington | $89.59 | Unavailable |
| Rhode Island | $88.56 | Unavailable |
| Riverside-San Bernardino-Ontario | $92.64 | Unavailable |
| Sacramento-Roseville-Folsom | $96.97 | Unavailable |
| Salinas | $96.61 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $99.03 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $114.24 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $114.19 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $116.73 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $116.55 | Unavailable |
| San Luis Obispo-Paso Robles | $95.02 | Unavailable |
| Santa Cruz-Watsonville | $100.10 | Unavailable |
| Santa Maria-Santa Barbara | $97.01 | Unavailable |
| Santa Rosa-Petaluma | $101.13 | Unavailable |
| Seattle (King Cnty) | $101.82 | Unavailable |
| South Carolina | $80.97 | Unavailable |
| South Dakota** | $85.29 | Unavailable |
| Southern Maine | $85.09 | Unavailable |
| Stockton | $92.19 | Unavailable |
| Suburban Chicago | $89.12 | Unavailable |
| Tennessee | $79.57 | Unavailable |
| Utah | $82.09 | Unavailable |
| Vallejo | $107.58 | Unavailable |
| Vermont | $84.86 | Unavailable |
| Virgin Islands | $86.88 | Unavailable |
| Virginia | $84.66 | Unavailable |
| Visalia | $92.19 | Unavailable |
| West Virginia | $78.13 | Unavailable |
| Wisconsin | $82.49 | Unavailable |
| Wyoming** | $85.83 | Unavailable |
| Yuba City | $92.19 | Unavailable |
76100 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.
$76.25
$104.46
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 | $99.37 | 1 |
| AL | $77.37 | 1 |
| AR | $76.25 | 1 |
| AZ | $83.94 | 1 |
| CA | $92.19–$116.73 | 29 |
| CO | $90.32 | 1 |
| CT | $91.90 | 1 |
| DC | $99.07 | 1 |
| DE | $85.34 | 1 |
| FL | $83.95–$90.91 | 3 |
| GA | $79.32–$87.55 | 2 |
| GU | $94.63 | 1 |
| HI | $94.63 | 1 |
| IA | $79.78 | 1 |
| ID | $80.21 | 1 |
| IL | $81.20–$89.12 | 4 |
| IN | $80.68 | 1 |
| KS | $79.19 | 1 |
| KY | $78.76 | 1 |
| LA | $78.55–$82.47 | 2 |
| MA | $89.70–$99.57 | 2 |
| MD | $87.04–$99.07 | 3 |
| ME | $80.41–$85.09 | 2 |
| MI | $80.62–$84.79 | 2 |
| MN | $87.14 | 1 |
| MO | $77.06–$83.02 | 3 |
| MS | $76.68 | 1 |
| MT | $86.17 | 1 |
| NC | $81.28 | 1 |
| ND | $85.38 | 1 |
| NE | $80.28 | 1 |
| NH | $88.71 | 1 |
| NJ | $93.12–$97.99 | 2 |
| NM | $80.98 | 1 |
| NV | $86.02 | 1 |
| NY | $82.49–$100.97 | 5 |
| OH | $80.46 | 1 |
| OK | $78.84 | 1 |
| OR | $85.51–$93.44 | 2 |
| PA | $80.71–$89.47 | 2 |
| PR | $86.88 | 1 |
| RI | $88.56 | 1 |
| SC | $80.97 | 1 |
| SD | $85.29 | 1 |
| TN | $79.57 | 1 |
| TX | $80.16–$89.88 | 8 |
| UT | $82.09 | 1 |
| VA | $84.66–$99.07 | 2 |
| VI | $86.88 | 1 |
| VT | $84.86 | 1 |
| WA | $89.59–$101.82 | 2 |
| WI | $82.49 | 1 |
| WV | $78.13 | 1 |
| WY | $85.83 | 1 |
How the 76100 rate is calculated
Each of 76100’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 · 76100
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.57Practice expense 1.97Malpractice 0.04
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 76100
The CMS indicators that decide how 76100 is paid alongside other services.
CMS payment indicators · 76100
X-ray exam
| 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
76100 without 26 · national office
$86.17
X-ray exam
76100-26 · Professional component
$27.05
Pays only the interpretation and report.
76100 compared with similar codes
Compare codes
76100 vs 74018 vs 71045 vs 76000: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 74018Abdomen X-ray
- This code is specific to a one-view abdominal radiograph. Use 76100 only when the nonchest body section does not have a more specific applicable code.
- 71045Chest X-ray
- This code describes a single-view chest radiograph; 76100 is for body sections other than the chest.
- 76000Fluoroscopy
- 76000 describes fluoroscopic imaging, which provides dynamic viewing; 76100 is for a static single-view X-ray.
76100 billing questions
When should 76100 be used instead of a body-part-specific X-ray code?
Use 76100 when the nonchest, single-view study fits this broad service and no more specific code describes the body section and view count. If a dedicated code matches the exam, report that code instead.
Can 76100 be reported for a chest X-ray?
No. This code describes a body section other than the chest; select the applicable chest radiography code for a chest study.
How are the interpretation and image acquisition reported?
Modifier 26 reports the professional interpretation, and modifier TC reports the technical service. An unmodified claim represents the global service.
Can 76100 be reported for each image when multiple views are obtained?
It describes a single-view study, not a per-image add-on. When multiple views are performed, select the code that matches the body section and view count.
What documentation supports 76100?
Document the body section examined, that only one view was performed, the clinical order, and the physician's interpretation.
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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