$45.75–$67.05
76856 represents a complete pelvic examination; 76857 is for a limited study addressing a focused question or selected structures.
On this page
CMS RVU26D · Effective 2026-10-01
76856 Pelvic ultrasound Medicare reimbursement rates
Report this code for a complete nonobstetric pelvic ultrasound assessing pelvic organs, commonly for pelvic pain, abnormal bleeding, or a suspected mass. Compare 76856 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 76856?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$92.96–$142.77
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $49.81 per service.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 76856 pays more and less
109 payment localities
$92.96 to $142.77
Diagnostic imaging
About 76856: Complete nonobstetric pelvic ultrasound
Report this code for a complete nonobstetric pelvic ultrasound assessing pelvic organs, commonly for pelvic pain, abnormal bleeding, or a suspected mass.
This service is a complete ultrasound examination of the nonpregnant pelvis, most often performed transabdominally by a sonographer and interpreted by a physician. Common reasons include pelvic pain, abnormal uterine bleeding, suspected fibroids or ovarian cysts, and evaluation of a pelvic mass. The study typically assesses the uterus, endometrium, ovaries, adnexa, and other relevant pelvic structures, with saved images and a written interpretation.
Select the complete study when the examination evaluates the relevant pelvic structures rather than only a limited question or region. The report should identify the structures assessed and document findings supporting the medical need. A separately performed transvaginal nonobstetric examination may be reported with 76830 when the documentation supports both services. CMS recognizes professional and technical components: report modifier 26 for interpretation, TC for equipment and staff, or neither for the global service. The diagnostic imaging multiple procedure reduction applies to both the technical and professional components.
CMS billing rules for 76856
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Diagnostic imaging multiple procedure reduction applies to the technical and professional components.
Where the value comes from
- Work RVU0.67 · 21%
- Practice expense (office) RVU2.43 · 77%
- Malpractice RVU0.05 · 2%
364.1K
Medicare services in 2024 · #276 by national volume
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.
76856 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$103.46–$160.29
76830 describes nonobstetric transvaginal imaging. It may accompany 76856 when both the transabdominal complete study and transvaginal examination are performed.
$82.63–$124.29
76817 is for transvaginal obstetric ultrasound. Use 76856 for a complete nonobstetric pelvic study.
See how rates vary across the country
76856 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$92.96
$127.69
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $120.93 | 1 |
| AL | $94.34 | 1 |
| AR | $92.96 | 1 |
| AZ | $102.46 | 1 |
| CA | $112.61–$142.77 | 29 |
| CO | $110.31 | 1 |
| CT | $112.26 | 1 |
| DC | $121.06 | 1 |
| DE | $104.18 | 1 |
| FL | $102.48–$111.09 | 3 |
| GA | $96.77–$106.91 | 2 |
| GU | $115.63 | 1 |
| HI | $115.63 | 1 |
| IA | $97.31 | 1 |
| ID | $97.84 | 1 |
| IL | $99.09–$108.85 | 4 |
| IN | $98.43 | 1 |
| KS | $96.59 | 1 |
| KY | $96.06 | 1 |
| LA | $95.81–$100.65 | 2 |
| MA | $109.53–$121.69 | 2 |
| MD | $106.27–$121.06 | 3 |
| ME | $98.09–$103.87 | 2 |
| MI | $98.37–$103.52 | 2 |
| MN | $106.39 | 1 |
| MO | $93.97–$101.32 | 3 |
| MS | $93.50 | 1 |
| MT | $105.21 | 1 |
| NC | $99.17 | 1 |
| ND | $104.22 | 1 |
| NE | $97.92 | 1 |
| NH | $108.33 | 1 |
| NJ | $113.74–$119.72 | 2 |
| NM | $98.81 | 1 |
| NV | $105.02 | 1 |
| NY | $100.66–$123.42 | 5 |
| OH | $98.16 | 1 |
| OK | $96.16 | 1 |
| OR | $104.39–$114.15 | 2 |
| PA | $98.47–$109.27 | 2 |
| PR | $106.08 | 1 |
| RI | $108.14 | 1 |
| SC | $98.79 | 1 |
| SD | $104.10 | 1 |
| TN | $97.05 | 1 |
| TX | $97.79–$109.77 | 8 |
| UT | $100.17 | 1 |
| VA | $103.34–$121.06 | 2 |
| VI | $106.08 | 1 |
| VT | $103.58 | 1 |
| WA | $109.41–$124.45 | 2 |
| WI | $100.65 | 1 |
| WV | $95.30 | 1 |
| WY | $104.78 | 1 |
Compare 76856 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $94.34 | Facility Unavailable |
| Alaska* | Office $120.93 | Facility Unavailable |
| Arizona | Office $102.46 | Facility Unavailable |
| Arkansas | Office $92.96 | Facility Unavailable |
| Atlanta | Office $106.91 | Facility Unavailable |
| Austin | Office $109.77 | Facility Unavailable |
| Bakersfield | Office $112.78 | Facility Unavailable |
| Baltimore/Surr. Cntys | Office $111.89 | Facility Unavailable |
| Beaumont | Office $97.79 | Facility Unavailable |
| Brazoria | Office $104.29 | Facility Unavailable |
| Chicago | Office $107.94 | Facility Unavailable |
| Chico | Office $112.61 | Facility Unavailable |
| Colorado | Office $110.31 | Facility Unavailable |
| Connecticut | Office $112.26 | Facility Unavailable |
| Dallas | Office $104.85 | Facility Unavailable |
| Dc + Md/Va Suburbs | Office $121.06 | Facility Unavailable |
| Delaware | Office $104.18 | Facility Unavailable |
| Detroit | Office $103.52 | Facility Unavailable |
| East St. Louis | Office $100.41 | Facility Unavailable |
| El Centro | Office $112.62 | Facility Unavailable |
| Fort Lauderdale | Office $107.62 | Facility Unavailable |
| Fort Worth | Office $104.06 | Facility Unavailable |
| Fresno | Office $112.61 | Facility Unavailable |
| Galveston | Office $104.54 | Facility Unavailable |
| Hanford-Corcoran | Office $112.61 | Facility Unavailable |
| Hawaii, Guam | Office $115.63 | Facility Unavailable |
| Houston | Office $105.45 | Facility Unavailable |
| Idaho | Office $97.84 | Facility Unavailable |
| Indiana | Office $98.43 | Facility Unavailable |
| Iowa | Office $97.31 | Facility Unavailable |
| Kansas | Office $96.59 | Facility Unavailable |
| Kentucky | Office $96.06 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $120.42 | Facility Unavailable |
| Madera | Office $112.61 | Facility Unavailable |
| Manhattan | Office $120.77 | Facility Unavailable |
| Merced | Office $112.61 | Facility Unavailable |
| Metropolitan Boston | Office $121.69 | Facility Unavailable |
| Metropolitan Kansas City | Office $100.22 | Facility Unavailable |
| Metropolitan Philadelphia | Office $109.27 | Facility Unavailable |
| Metropolitan St. Louis | Office $101.32 | Facility Unavailable |
| Miami | Office $111.09 | Facility Unavailable |
| Minnesota | Office $106.39 | Facility Unavailable |
| Mississippi | Office $93.50 | Facility Unavailable |
| Modesto | Office $112.61 | Facility Unavailable |
| Montana** | Office $105.21 | Facility Unavailable |
| Napa | Office $131.61 | Facility Unavailable |
| Nebraska | Office $97.92 | Facility Unavailable |
| Nevada** | Office $105.02 | Facility Unavailable |
| New Hampshire | Office $108.33 | Facility Unavailable |
| New Mexico | Office $98.81 | Facility Unavailable |
| New Orleans | Office $100.65 | Facility Unavailable |
| North Carolina | Office $99.17 | Facility Unavailable |
| North Dakota** | Office $104.22 | Facility Unavailable |
| Northern Nj | Office $119.72 | Facility Unavailable |
| Nyc Suburbs/Long Island | Office $123.42 | Facility Unavailable |
| Ohio | Office $98.16 | Facility Unavailable |
| Oklahoma | Office $96.16 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $119.98 | Facility Unavailable |
| Portland | Office $114.15 | Facility Unavailable |
| Poughkpsie/N Nyc Suburbs | Office $114.28 | Facility Unavailable |
| Puerto Rico | Office $106.08 | Facility Unavailable |
| Queens | Office $122.16 | Facility Unavailable |
| Redding | Office $112.61 | Facility Unavailable |
| Rest Of California | Office $112.61 | Facility Unavailable |
| Rest Of Florida | Office $102.48 | Facility Unavailable |
| Rest Of Georgia | Office $96.77 | Facility Unavailable |
| Rest Of Illinois | Office $99.09 | Facility Unavailable |
| Rest Of Louisiana | Office $95.81 | Facility Unavailable |
| Rest Of Maine | Office $98.09 | Facility Unavailable |
| Rest Of Maryland | Office $106.27 | Facility Unavailable |
| Rest Of Massachusetts | Office $109.53 | Facility Unavailable |
| Rest Of Michigan | Office $98.37 | Facility Unavailable |
| Rest Of Missouri | Office $93.97 | Facility Unavailable |
| Rest Of New Jersey | Office $113.74 | Facility Unavailable |
| Rest Of New York | Office $100.66 | Facility Unavailable |
| Rest Of Oregon | Office $104.39 | Facility Unavailable |
| Rest Of Pennsylvania | Office $98.47 | Facility Unavailable |
| Rest Of Texas | Office $100.91 | Facility Unavailable |
| Rest Of Washington | Office $109.41 | Facility Unavailable |
| Rhode Island | Office $108.14 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $113.16 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $118.47 | Facility Unavailable |
| Salinas | Office $118.04 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $121.03 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $139.71 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $139.66 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $142.77 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $142.54 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $116.10 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $122.36 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $118.54 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $123.61 | Facility Unavailable |
| Seattle (King Cnty) | Office $124.45 | Facility Unavailable |
| South Carolina | Office $98.79 | Facility Unavailable |
| South Dakota** | Office $104.10 | Facility Unavailable |
| Southern Maine | Office $103.87 | Facility Unavailable |
| Stockton | Office $112.61 | Facility Unavailable |
| Suburban Chicago | Office $108.85 | Facility Unavailable |
| Tennessee | Office $97.05 | Facility Unavailable |
| Utah | Office $100.17 | Facility Unavailable |
| Vallejo | Office $131.53 | Facility Unavailable |
| Vermont | Office $103.58 | Facility Unavailable |
| Virgin Islands | Office $106.08 | Facility Unavailable |
| Virginia | Office $103.34 | Facility Unavailable |
| Visalia | Office $112.61 | Facility Unavailable |
| West Virginia | Office $95.30 | Facility Unavailable |
| Wisconsin | Office $100.65 | Facility Unavailable |
| Wyoming** | Office $104.78 | Facility Unavailable |
| Yuba City | Office $112.61 | Facility Unavailable |
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76856 billing questions
Can 76856 and 76830 be reported for the same encounter?
They may be reported together when both a complete pelvic ultrasound and a nonobstetric transvaginal examination are performed and documented. The report should support each service.
Which modifier identifies the interpretation only?
Append modifier 26 when billing only the physician's professional interpretation. Modifier TC identifies the technical portion; billing without either modifier represents the global service.
How does the imaging multiple procedure reduction affect this code?
CMS applies the diagnostic imaging multiple procedure reduction to both the professional and technical components when applicable.
What documentation supports a complete pelvic study?
Document the clinical reason, pelvic structures evaluated, saved images, and interpretation. The findings and scope should support a complete examination rather than a focused limited study.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
8,82376831,,Echo exam uterus,A,,0.70,2.76,,2.76,NA,0.05,3.51,3.51,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,7.57,7.57,0.07
8,82476831,26,Echo exam uterus,A,,0.70,0.30,,0.30,,0.04,1.04,1.04,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,82576831,TC,Echo exam uterus,A,,0.00,2.46,,2.46,NA,0.01,2.47,2.47,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,03,0,88,7.27,7.27,0.03
8,82676856,,Us exam pelvic complete,A,,0.67,2.43,,2.43,NA,0.05,3.15,3.15,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,3.44,3.44,0.05
8,82776856,26,Us exam pelvic complete,A,,0.67,0.26,,0.26,,0.04,0.97,0.97,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,82876856,TC,Us exam pelvic complete,A,,0.00,2.17,,2.17,NA,0.01,2.18,2.18,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,01,0,88,3.18,3.18,0.01
8,82976857,,Us exam pelvic limited,A,,0.49,1.00,,1.00,NA,0.04,1.53,1.53,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,3.35,3.35,0.07