Billing code 76827: Fetal echocardiographyMedicare rate & RVUs
Reports a complete fetal cardiac Doppler assessment using pulsed-wave and/or continuous-wave spectral display to evaluate blood flow and cardiac hemodynamics.
Medicare pays $69.81 for 76827 nationally in the office. Local office rates run $62.30–$93.43.
Medicare rate · 76827
Fetal echocardiography
Swap in your local Medicare rate.
- Work RVUs
- 0.57
- Total RVUs
- 2.09
- Global days
- XXX
National rate · 2026
$69.81
Office setting, before claim adjustments.
See every locality for 76827 → · 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 76827 covers
This service evaluates blood flow through the fetal heart using pulsed-wave and/or continuous-wave Doppler with spectral display. It is commonly performed when fetal cardiac structure or function is a concern, such as suspected congenital heart disease or a suspected fetal rhythm or hemodynamic problem. A sonographer may acquire the images, with a qualified physician interpreting the study, in an imaging office or hospital setting.
Select this code for a complete Doppler echocardiographic assessment, not merely a repeat or follow-up Doppler examination. The report should support the complete study with the clinical indication, Doppler measurements or waveforms obtained, and interpretation of relevant findings. CMS recognizes a professional component for interpretation, reported with modifier 26, and a technical component for equipment and staff, reported with modifier TC; without either modifier, the claim 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.
Where 76827 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
$62.30 to $93.43
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $63.15 | Unavailable |
| Alaska* | $82.11 | Unavailable |
| Arizona | $68.12 | Unavailable |
| Arkansas | $62.30 | Unavailable |
| Atlanta | $70.86 | Unavailable |
| Austin | $72.62 | Unavailable |
| Bakersfield | $74.56 | Unavailable |
| Baltimore/Surr. Cntys | $73.98 | Unavailable |
| Beaumont | $65.26 | Unavailable |
| Brazoria | $69.29 | Unavailable |
| Chicago | $71.49 | Unavailable |
| Chico | $74.44 | Unavailable |
| Colorado | $73.00 | Unavailable |
| Connecticut | $74.23 | Unavailable |
| Dallas | $69.64 | Unavailable |
| Dc + Md/Va Suburbs | $79.81 | Unavailable |
| Delaware | $69.20 | Unavailable |
| Detroit | $68.75 | Unavailable |
| East St. Louis | $66.84 | Unavailable |
| El Centro | $74.45 | Unavailable |
| Fort Lauderdale | $71.26 | Unavailable |
| Fort Worth | $69.15 | Unavailable |
| Fresno | $74.44 | Unavailable |
| Galveston | $69.44 | Unavailable |
| Hanford-Corcoran | $74.44 | Unavailable |
| Hawaii, Guam | $76.20 | Unavailable |
| Houston | $69.99 | Unavailable |
| Idaho | $65.30 | Unavailable |
| Indiana | $65.66 | Unavailable |
| Iowa | $64.97 | Unavailable |
| Kansas | $64.53 | Unavailable |
| Kentucky | $64.20 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $79.36 | Unavailable |
| Madera | $74.44 | Unavailable |
| Manhattan | $79.68 | Unavailable |
| Merced | $74.44 | Unavailable |
| Metropolitan Boston | $80.13 | Unavailable |
| Metropolitan Kansas City | $66.75 | Unavailable |
| Metropolitan Philadelphia | $72.38 | Unavailable |
| Metropolitan St. Louis | $67.42 | Unavailable |
| Miami | $73.38 | Unavailable |
| Minnesota | $70.55 | Unavailable |
| Mississippi | $62.63 | Unavailable |
| Modesto | $74.44 | Unavailable |
| Montana** | $69.81 | Unavailable |
| Napa | $86.34 | Unavailable |
| Nebraska | $65.35 | Unavailable |
| Nevada** | $69.69 | Unavailable |
| New Hampshire | $71.72 | Unavailable |
| New Mexico | $65.88 | Unavailable |
| New Orleans | $67.01 | Unavailable |
| North Carolina | $66.11 | Unavailable |
| North Dakota** | $69.21 | Unavailable |
| Northern Nj | $79.04 | Unavailable |
| Nyc Suburbs/Long Island | $81.29 | Unavailable |
| Ohio | $65.49 | Unavailable |
| Oklahoma | $64.26 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $79.02 | Unavailable |
| Portland | $75.38 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $75.60 | Unavailable |
| Puerto Rico | $70.34 | Unavailable |
| Queens | $80.53 | Unavailable |
| Redding | $74.44 | Unavailable |
| Rest Of California | $74.44 | Unavailable |
| Rest Of Florida | $68.12 | Unavailable |
| Rest Of Georgia | $64.63 | Unavailable |
| Rest Of Illinois | $66.04 | Unavailable |
| Rest Of Louisiana | $64.04 | Unavailable |
| Rest Of Maine | $65.45 | Unavailable |
| Rest Of Maryland | $70.51 | Unavailable |
| Rest Of Massachusetts | $72.55 | Unavailable |
| Rest Of Michigan | $65.61 | Unavailable |
| Rest Of Missouri | $62.91 | Unavailable |
| Rest Of New Jersey | $75.25 | Unavailable |
| Rest Of New York | $67.02 | Unavailable |
| Rest Of Oregon | $69.31 | Unavailable |
| Rest Of Pennsylvania | $65.67 | Unavailable |
| Rest Of Texas | $67.17 | Unavailable |
| Rest Of Washington | $72.45 | Unavailable |
| Rhode Island | $71.70 | Unavailable |
| Riverside-San Bernardino-Ontario | $74.78 | Unavailable |
| Sacramento-Roseville-Folsom | $78.14 | Unavailable |
| Salinas | $77.85 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $79.67 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $91.48 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $91.44 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $93.43 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $93.30 | Unavailable |
| San Luis Obispo-Paso Robles | $76.58 | Unavailable |
| Santa Cruz-Watsonville | $80.44 | Unavailable |
| Santa Maria-Santa Barbara | $78.14 | Unavailable |
| Santa Rosa-Petaluma | $81.26 | Unavailable |
| Seattle (King Cnty) | $81.87 | Unavailable |
| South Carolina | $65.88 | Unavailable |
| South Dakota** | $69.14 | Unavailable |
| Southern Maine | $68.99 | Unavailable |
| Stockton | $74.44 | Unavailable |
| Suburban Chicago | $72.06 | Unavailable |
| Tennessee | $64.82 | Unavailable |
| Utah | $66.72 | Unavailable |
| Vallejo | $86.29 | Unavailable |
| Vermont | $68.82 | Unavailable |
| Virgin Islands | $70.34 | Unavailable |
| Virginia | $68.67 | Unavailable |
| Visalia | $74.44 | Unavailable |
| West Virginia | $63.72 | Unavailable |
| Wisconsin | $67.02 | Unavailable |
| Wyoming** | $69.55 | Unavailable |
| Yuba City | $74.44 | Unavailable |
76827 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.
$62.30
$83.94
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 | $82.11 | 1 |
| AL | $63.15 | 1 |
| AR | $62.30 | 1 |
| AZ | $68.12 | 1 |
| CA | $74.44–$93.43 | 29 |
| CO | $73.00 | 1 |
| CT | $74.23 | 1 |
| DC | $79.81 | 1 |
| DE | $69.20 | 1 |
| FL | $68.12–$73.38 | 3 |
| GA | $64.63–$70.86 | 2 |
| GU | $76.20 | 1 |
| HI | $76.20 | 1 |
| IA | $64.97 | 1 |
| ID | $65.30 | 1 |
| IL | $66.04–$72.06 | 4 |
| IN | $65.66 | 1 |
| KS | $64.53 | 1 |
| KY | $64.20 | 1 |
| LA | $64.04–$67.01 | 2 |
| MA | $72.55–$80.13 | 2 |
| MD | $70.51–$79.81 | 3 |
| ME | $65.45–$68.99 | 2 |
| MI | $65.61–$68.75 | 2 |
| MN | $70.55 | 1 |
| MO | $62.91–$67.42 | 3 |
| MS | $62.63 | 1 |
| MT | $69.81 | 1 |
| NC | $66.11 | 1 |
| ND | $69.21 | 1 |
| NE | $65.35 | 1 |
| NH | $71.72 | 1 |
| NJ | $75.25–$79.04 | 2 |
| NM | $65.88 | 1 |
| NV | $69.69 | 1 |
| NY | $67.02–$81.29 | 5 |
| OH | $65.49 | 1 |
| OK | $64.26 | 1 |
| OR | $69.31–$75.38 | 2 |
| PA | $65.67–$72.38 | 2 |
| PR | $70.34 | 1 |
| RI | $71.70 | 1 |
| SC | $65.88 | 1 |
| SD | $69.14 | 1 |
| TN | $64.82 | 1 |
| TX | $65.26–$72.62 | 8 |
| UT | $66.72 | 1 |
| VA | $68.67–$79.81 | 2 |
| VI | $70.34 | 1 |
| VT | $68.82 | 1 |
| WA | $72.45–$81.87 | 2 |
| WI | $67.02 | 1 |
| WV | $63.72 | 1 |
| WY | $69.55 | 1 |
How the 76827 rate is calculated
Each of 76827’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 · 76827
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.57Practice expense 1.49Malpractice 0.03
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 76827
The CMS indicators that decide how 76827 is paid alongside other services.
CMS payment indicators · 76827
Fetal echocardiography
| 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
76827 without 26 · national office
$69.81
Fetal echocardiography
76827-26 · Professional component
$27.39
Pays only the interpretation and report.
76827 compared with similar codes
Compare codes
76827 vs 76825 vs 76828 vs 76820: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 76825Fetal echocardiogram
- 76825 covers real-time fetal cardiac imaging; 76827 covers complete Doppler evaluation with spectral display. Both may be reported when both distinct services are performed.
- 76828Fetal echo
- 76828 is for follow-up or repeat fetal Doppler echocardiography. Use 76827 for the complete Doppler study.
- 76820Umbilical artery Doppler
- 76820 evaluates umbilical artery blood flow, not blood flow within the fetal heart as assessed by fetal echocardiography.
76827 billing questions
When should 76828 be used instead?
Use 76828 for a follow-up or repeat fetal Doppler echocardiographic examination. 76827 is for the complete Doppler study rather than a follow-up study.
Can the professional and technical portions be billed separately?
Yes. Report modifier 26 for the physician interpretation or TC for the technical service. Billing without either modifier represents the global service.
What documentation supports 76827?
Document the reason for fetal cardiac Doppler evaluation, the spectral Doppler assessment performed, and the interpretation of the findings. The record should support a complete study rather than a limited follow-up.
Is 76827 the same as a fetal artery Doppler study?
No. 76827 evaluates fetal cardiac blood flow as part of a fetal echocardiographic study. Codes 76820 and 76821 address Doppler assessment of the umbilical artery and middle cerebral artery, respectively.
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
Fee sheets
Put 76827 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →