Billing code 76705: Abdominal ultrasoundMedicare rate & RVUs
Targeted abdominal ultrasound evaluates a single organ or quadrant, such as the right upper quadrant, when a complete abdominal survey is not performed.
Medicare pays $86.17 for 76705 nationally in the office. Local office rates run $76.30–$116.62.
Medicare rate · 76705
Abdominal ultrasound
Swap in your local Medicare rate.
- Work RVUs
- 0.58
- Total RVUs
- 2.58
- Global days
- XXX
National rate · 2026
$86.17
Office setting, before claim adjustments.
See every locality for 76705 → · 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 76705 covers
A limited abdominal ultrasound uses real-time imaging to assess a defined organ, quadrant, or follow-up target rather than the full abdominal survey. A right upper quadrant study may evaluate the gallbladder and biliary region for suspected gallstones or cholecystitis. Other targeted studies may assess a liver finding, spleen size, or abdominal ascites. A sonographer commonly acquires and stores images in a hospital imaging department, emergency department, or office; a radiologist or other qualified physician interprets the study and signs the report.
Select 76705 based on the structures actually examined, not merely because the study follows an earlier exam: a follow-up can be complete. Document the indication, organs or region evaluated, stored images, findings, and signed interpretation. Modifier 26 identifies the professional interpretation; modifier TC identifies equipment and staff. Billing without either modifier represents the combined service. CMS applies the diagnostic imaging multiple procedure reduction to the technical and professional components when multiple eligible imaging services meet its criteria.
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 76705 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
$76.30 to $116.62
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $77.41 | Unavailable |
| Alaska* | $99.52 | Unavailable |
| Arizona | $83.95 | Unavailable |
| Arkansas | $76.30 | Unavailable |
| Atlanta | $87.55 | Unavailable |
| Austin | $89.86 | Unavailable |
| Bakersfield | $92.30 | Unavailable |
| Baltimore/Surr. Cntys | $91.58 | Unavailable |
| Beaumont | $80.19 | Unavailable |
| Brazoria | $85.45 | Unavailable |
| Chicago | $88.37 | Unavailable |
| Chico | $92.17 | Unavailable |
| Colorado | $90.30 | Unavailable |
| Connecticut | $91.88 | Unavailable |
| Dallas | $85.90 | Unavailable |
| Dc + Md/Va Suburbs | $99.02 | Unavailable |
| Delaware | $85.35 | Unavailable |
| Detroit | $84.80 | Unavailable |
| East St. Louis | $82.29 | Unavailable |
| El Centro | $92.18 | Unavailable |
| Fort Lauderdale | $88.10 | Unavailable |
| Fort Worth | $85.26 | Unavailable |
| Fresno | $92.17 | Unavailable |
| Galveston | $85.64 | Unavailable |
| Hanford-Corcoran | $92.17 | Unavailable |
| Hawaii, Guam | $94.58 | Unavailable |
| Houston | $86.37 | Unavailable |
| Idaho | $80.23 | Unavailable |
| Indiana | $80.71 | Unavailable |
| Iowa | $79.80 | Unavailable |
| Kansas | $79.23 | Unavailable |
| Kentucky | $78.79 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $98.50 | Unavailable |
| Madera | $92.17 | Unavailable |
| Manhattan | $98.80 | Unavailable |
| Merced | $92.17 | Unavailable |
| Metropolitan Boston | $99.52 | Unavailable |
| Metropolitan Kansas City | $82.15 | Unavailable |
| Metropolitan Philadelphia | $89.46 | Unavailable |
| Metropolitan St. Louis | $83.03 | Unavailable |
| Miami | $90.90 | Unavailable |
| Minnesota | $87.13 | Unavailable |
| Mississippi | $76.73 | Unavailable |
| Modesto | $92.17 | Unavailable |
| Montana** | $86.17 | Unavailable |
| Napa | $107.56 | Unavailable |
| Nebraska | $80.30 | Unavailable |
| Nevada** | $86.02 | Unavailable |
| New Hampshire | $88.69 | Unavailable |
| New Mexico | $81.01 | Unavailable |
| New Orleans | $82.49 | Unavailable |
| North Carolina | $81.31 | Unavailable |
| North Dakota** | $85.38 | Unavailable |
| Northern Nj | $97.96 | Unavailable |
| Nyc Suburbs/Long Island | $100.93 | Unavailable |
| Ohio | $80.49 | Unavailable |
| Oklahoma | $78.87 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $98.13 | Unavailable |
| Portland | $93.41 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $93.55 | Unavailable |
| Puerto Rico | $86.87 | Unavailable |
| Queens | $99.92 | Unavailable |
| Redding | $92.17 | Unavailable |
| Rest Of California | $92.17 | Unavailable |
| Rest Of Florida | $83.97 | Unavailable |
| Rest Of Georgia | $79.36 | Unavailable |
| Rest Of Illinois | $81.23 | Unavailable |
| Rest Of Louisiana | $78.59 | Unavailable |
| Rest Of Maine | $80.43 | Unavailable |
| Rest Of Maryland | $87.04 | Unavailable |
| Rest Of Massachusetts | $89.68 | Unavailable |
| Rest Of Michigan | $80.65 | Unavailable |
| Rest Of Missouri | $77.11 | Unavailable |
| Rest Of New Jersey | $93.10 | Unavailable |
| Rest Of New York | $82.50 | Unavailable |
| Rest Of Oregon | $85.52 | Unavailable |
| Rest Of Pennsylvania | $80.73 | Unavailable |
| Rest Of Texas | $82.71 | Unavailable |
| Rest Of Washington | $89.58 | Unavailable |
| Rhode Island | $88.56 | Unavailable |
| Riverside-San Bernardino-Ontario | $92.61 | Unavailable |
| Sacramento-Roseville-Folsom | $96.92 | Unavailable |
| Salinas | $96.56 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $98.97 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $114.13 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $114.09 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $116.62 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $116.44 | Unavailable |
| San Luis Obispo-Paso Robles | $94.98 | Unavailable |
| Santa Cruz-Watsonville | $100.04 | Unavailable |
| Santa Maria-Santa Barbara | $96.96 | Unavailable |
| Santa Rosa-Petaluma | $101.06 | Unavailable |
| Seattle (King Cnty) | $101.76 | Unavailable |
| South Carolina | $81.00 | Unavailable |
| South Dakota** | $85.29 | Unavailable |
| Southern Maine | $85.09 | Unavailable |
| Stockton | $92.17 | Unavailable |
| Suburban Chicago | $89.11 | Unavailable |
| Tennessee | $79.60 | Unavailable |
| Utah | $82.11 | Unavailable |
| Vallejo | $107.49 | Unavailable |
| Vermont | $84.86 | Unavailable |
| Virgin Islands | $86.87 | Unavailable |
| Virginia | $84.67 | Unavailable |
| Visalia | $92.17 | Unavailable |
| West Virginia | $78.17 | Unavailable |
| Wisconsin | $82.50 | Unavailable |
| Wyoming** | $85.83 | Unavailable |
| Yuba City | $92.17 | Unavailable |
76705 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.
$76.30
$104.40
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 | $99.52 | 1 |
| AL | $77.41 | 1 |
| AR | $76.30 | 1 |
| AZ | $83.95 | 1 |
| CA | $92.17–$116.62 | 29 |
| CO | $90.30 | 1 |
| CT | $91.88 | 1 |
| DC | $99.02 | 1 |
| DE | $85.35 | 1 |
| FL | $83.97–$90.90 | 3 |
| GA | $79.36–$87.55 | 2 |
| GU | $94.58 | 1 |
| HI | $94.58 | 1 |
| IA | $79.80 | 1 |
| ID | $80.23 | 1 |
| IL | $81.23–$89.11 | 4 |
| IN | $80.71 | 1 |
| KS | $79.23 | 1 |
| KY | $78.79 | 1 |
| LA | $78.59–$82.49 | 2 |
| MA | $89.68–$99.52 | 2 |
| MD | $87.04–$99.02 | 3 |
| ME | $80.43–$85.09 | 2 |
| MI | $80.65–$84.80 | 2 |
| MN | $87.13 | 1 |
| MO | $77.11–$83.03 | 3 |
| MS | $76.73 | 1 |
| MT | $86.17 | 1 |
| NC | $81.31 | 1 |
| ND | $85.38 | 1 |
| NE | $80.30 | 1 |
| NH | $88.69 | 1 |
| NJ | $93.10–$97.96 | 2 |
| NM | $81.01 | 1 |
| NV | $86.02 | 1 |
| NY | $82.50–$100.93 | 5 |
| OH | $80.49 | 1 |
| OK | $78.87 | 1 |
| OR | $85.52–$93.41 | 2 |
| PA | $80.73–$89.46 | 2 |
| PR | $86.87 | 1 |
| RI | $88.56 | 1 |
| SC | $81.00 | 1 |
| SD | $85.29 | 1 |
| TN | $79.60 | 1 |
| TX | $80.19–$89.86 | 8 |
| UT | $82.11 | 1 |
| VA | $84.67–$99.02 | 2 |
| VI | $86.87 | 1 |
| VT | $84.86 | 1 |
| WA | $89.58–$101.76 | 2 |
| WI | $82.50 | 1 |
| WV | $78.17 | 1 |
| WY | $85.83 | 1 |
How the 76705 rate is calculated
Each of 76705’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 · 76705
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.58Practice expense 1.96Malpractice 0.04
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 76705
The CMS indicators that decide how 76705 is paid alongside other services.
CMS payment indicators · 76705
Abdominal ultrasound
| 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
76705 without 26 · national office
$86.17
Abdominal ultrasound
76705-26 · Professional component
$27.39
Pays only the interpretation and report.
76705 compared with similar codes
Compare codes
76705 vs 76700 vs 76775: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 76700Abdominal ultrasound
- A complete abdominal exam addresses the liver, gallbladder, common bile duct, pancreas, spleen, kidneys, upper abdominal aorta, and inferior vena cava. A targeted organ or quadrant study is limited; document why a required structure cannot be seen in an otherwise complete exam.
- 76775Retroperitoneal ultrasound
- A kidney-only or diagnostic aorta-only examination is generally a limited retroperitoneal study. Code 76705 covers a targeted abdominal organ or quadrant examination, such as a right upper quadrant study.
76705 billing questions
When should this be reported instead of the complete abdominal ultrasound?
Report 76705 for a targeted study, such as an examination limited to the gallbladder and biliary region. A complete study must address its required structures; document the reason when a required structure cannot be visualized.
Can a limited and a complete abdominal ultrasound be billed on the same date?
Do not report both for the same examination; the targeted evaluation is included in a complete study. Report the code matching the documented scope.
Which modifier does a radiologist reading hospital studies use?
A physician interpreting images acquired on hospital equipment reports modifier 26 for the professional component. The hospital bills the technical portion on its facility claim.
Is a kidney-only ultrasound reported with this code?
An examination limited to the kidneys is generally reported with the limited retroperitoneal ultrasound code, 76775, rather than 76705.
Can Doppler evaluation of the liver vessels be added?
A separate abdominal vascular duplex code may be reported when a medically necessary vascular evaluation with spectral waveforms is performed and documented. Color flow used only during the organ examination does not establish a separate duplex service.
Does the multiple procedure reduction affect this code?
Yes. When multiple eligible diagnostic imaging services meet CMS multiple-procedure criteria, the 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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