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CMS RVU26D · Effective 2026-10-01

76805 in Austin

Office / nonfacility

$141.61

Base rate per service

Facility setting

Not available in this setting

Base rate per service

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.

Obstetric imaging

About 76805: Single-fetus complete obstetric ultrasound

Reports a standard transabdominal obstetric ultrasound for one fetus at 14 weeks or later, including fetal and maternal evaluation with image documentation.

This service is a standard transabdominal ultrasound for evaluating a pregnancy with one fetus at 14 weeks or later. A sonographer acquires and documents the images; an obstetrician, radiologist, or other qualified practitioner interprets them. It is commonly used for a second-trimester fetal survey and may assess fetal number and presentation, placental location, amniotic fluid, fetal measurements, and anatomy appropriate to the examination. A targeted, detailed fetal anomaly evaluation is a different service.

Report 76805 for the standard examination when the pregnancy is at least 14 weeks and one fetus is evaluated. The report and retained images should support the gestational age, the single-fetus examination, the clinical reason, and the findings assessed. For a multiple gestation, this code represents the first fetus; 76810 is the add-on for each additional fetus. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment-and-staff service, and no modifier represents the global service.

CMS billing rules for 76805

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.

Where the value comes from

  • Work RVU0.97 · 24%
  • Practice expense (office) RVU3.03 · 74%
  • Malpractice RVU0.07 · 2%

2.5K

Medicare services in 2024 · #2286 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.

76805 compared with similar codes

Office rates for Austin, from the same CMS release.

76801

Obstetric ultrasound

Under 14 weeks, single fetus

$121.52

Both describe standard obstetric ultrasound examinations, but 76801 is for before 14 weeks; 76805 is for 14 weeks or later.

76810

Obstetric ultrasound

14 weeks or later

$91.51

76810 reports each additional fetus in a multiple gestation; 76805 reports the first fetus.

76811

Obstetric ultrasound

Detailed single gestation

$188.50

76811 is for a detailed fetal anatomic examination. Use 76805 for the standard evaluation when a detailed study is not performed.

76816

Obstetric ultrasound

Follow-up, each fetus

$115.84

76816 describes a follow-up study per fetus, while 76805 describes the standard examination at 14 weeks or later.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 76805 is $126.67—$14.94 lower than the $141.61 rate in Austin. Both use the same code, release and participation basis.

76805 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $141.61

  2. Beaumont

    $126.67

    $14.94 lower than Austin

  3. Brazoria

    $134.78

    $6.83 lower than Austin

  4. Dallas

    $135.50

    $6.11 lower than Austin

  5. Fort Worth

    $134.51

    $7.10 lower than Austin

  6. Galveston

    $135.09

    $6.52 lower than Austin

  7. Houston

    $136.37

    $5.24 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 76805 ranges from $120.54 in Arkansas to $183.15 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 76805

    Office

    $130.55

    Facility

    Unavailable

    $11.06 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 76805

    Office

    $155.00

    Facility

    Unavailable

    $13.39 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 76805

    Office

    $155.97

    Facility

    Unavailable

    $14.36 higher than Austin for the office setting.

  • Miami

    Florida · 76805

    Office

    $143.67

    Facility

    Unavailable

    $2.06 higher than Austin for the office setting.

  • Chicago

    Illinois · 76805

    Office

    $139.70

    Facility

    Unavailable

    $1.91 lower than Austin for the office setting.

  • Manhattan

    New York · 76805

    Office

    $155.78

    Facility

    Unavailable

    $14.17 higher than Austin for the office setting.

  • Alaska*

    Alaska · 76805

    Office

    $157.67

    Facility

    Unavailable

    $16.06 higher than Austin for the office setting.

  • Alabama

    Alabama · 76805

    Office

    $122.28

    Facility

    Unavailable

    $19.33 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 76805

    Office

    $120.54

    Facility

    Unavailable

    $21.07 lower than Austin for the office setting.

  • Arizona

    Arizona · 76805

    Office

    $132.47

    Facility

    Unavailable

    $9.14 lower than Austin for the office setting.

  • Bakersfield

    California · 76805

    Office

    $145.36

    Facility

    Unavailable

    $3.75 higher than Austin for the office setting.

  • Chico

    California · 76805

    Office

    $145.12

    Facility

    Unavailable

    $3.51 higher than Austin for the office setting.

  • El Centro

    California · 76805

    Office

    $145.13

    Facility

    Unavailable

    $3.52 higher than Austin for the office setting.

  • Fresno

    California · 76805

    Office

    $145.12

    Facility

    Unavailable

    $3.51 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 76805

    Office

    $145.12

    Facility

    Unavailable

    $3.51 higher than Austin for the office setting.

  • Madera

    California · 76805

    Office

    $145.12

    Facility

    Unavailable

    $3.51 higher than Austin for the office setting.

  • Merced

    California · 76805

    Office

    $145.12

    Facility

    Unavailable

    $3.51 higher than Austin for the office setting.

  • Modesto

    California · 76805

    Office

    $145.12

    Facility

    Unavailable

    $3.51 higher than Austin for the office setting.

  • Napa

    California · 76805

    Office

    $169.02

    Facility

    Unavailable

    $27.41 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 76805

    Office

    $154.39

    Facility

    Unavailable

    $12.78 higher than Austin for the office setting.

  • Redding

    California · 76805

    Office

    $145.12

    Facility

    Unavailable

    $3.51 higher than Austin for the office setting.

  • Rest Of California

    California · 76805

    Office

    $145.12

    Facility

    Unavailable

    $3.51 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 76805

    Office

    $145.90

    Facility

    Unavailable

    $4.29 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 76805

    Office

    $152.52

    Facility

    Unavailable

    $10.91 higher than Austin for the office setting.

  • Salinas

    California · 76805

    Office

    $151.95

    Facility

    Unavailable

    $10.34 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 76805

    Office

    $155.68

    Facility

    Unavailable

    $14.07 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 76805

    Office

    $179.25

    Facility

    Unavailable

    $37.64 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 76805

    Office

    $179.17

    Facility

    Unavailable

    $37.56 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 76805

    Office

    $183.15

    Facility

    Unavailable

    $41.54 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 76805

    Office

    $182.83

    Facility

    Unavailable

    $41.22 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 76805

    Office

    $149.48

    Facility

    Unavailable

    $7.87 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 76805

    Office

    $157.30

    Facility

    Unavailable

    $15.69 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 76805

    Office

    $152.56

    Facility

    Unavailable

    $10.95 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 76805

    Office

    $158.90

    Facility

    Unavailable

    $17.29 higher than Austin for the office setting.

  • Stockton

    California · 76805

    Office

    $145.12

    Facility

    Unavailable

    $3.51 higher than Austin for the office setting.

  • Vallejo

    California · 76805

    Office

    $168.90

    Facility

    Unavailable

    $27.29 higher than Austin for the office setting.

  • Visalia

    California · 76805

    Office

    $145.12

    Facility

    Unavailable

    $3.51 higher than Austin for the office setting.

  • Yuba City

    California · 76805

    Office

    $145.12

    Facility

    Unavailable

    $3.51 higher than Austin for the office setting.

  • Colorado

    Colorado · 76805

    Office

    $142.30

    Facility

    Unavailable

    $0.69 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 76805

    Office

    $144.87

    Facility

    Unavailable

    $3.26 higher than Austin for the office setting.

  • Delaware

    Delaware · 76805

    Office

    $134.65

    Facility

    Unavailable

    $6.96 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 76805

    Office

    $139.15

    Facility

    Unavailable

    $2.46 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 76805

    Office

    $132.66

    Facility

    Unavailable

    $8.95 lower than Austin for the office setting.

  • Atlanta

    Georgia · 76805

    Office

    $138.13

    Facility

    Unavailable

    $3.48 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 76805

    Office

    $125.46

    Facility

    Unavailable

    $16.15 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 76805

    Office

    $148.82

    Facility

    Unavailable

    $7.21 higher than Austin for the office setting.

  • Iowa

    Iowa · 76805

    Office

    $125.93

    Facility

    Unavailable

    $15.68 lower than Austin for the office setting.

  • Idaho

    Idaho · 76805

    Office

    $126.61

    Facility

    Unavailable

    $15.00 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 76805

    Office

    $130.22

    Facility

    Unavailable

    $11.39 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 76805

    Office

    $128.45

    Facility

    Unavailable

    $13.16 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 76805

    Office

    $140.71

    Facility

    Unavailable

    $0.90 lower than Austin for the office setting.

  • Indiana

    Indiana · 76805

    Office

    $127.35

    Facility

    Unavailable

    $14.26 lower than Austin for the office setting.

  • Kansas

    Kansas · 76805

    Office

    $125.07

    Facility

    Unavailable

    $16.54 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 76805

    Office

    $124.51

    Facility

    Unavailable

    $17.10 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 76805

    Office

    $130.29

    Facility

    Unavailable

    $11.32 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 76805

    Office

    $124.20

    Facility

    Unavailable

    $17.41 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 76805

    Office

    $156.65

    Facility

    Unavailable

    $15.04 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 76805

    Office

    $141.35

    Facility

    Unavailable

    $0.26 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 76805

    Office

    $144.40

    Facility

    Unavailable

    $2.79 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 76805

    Office

    $137.29

    Facility

    Unavailable

    $4.32 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 76805

    Office

    $126.96

    Facility

    Unavailable

    $14.65 lower than Austin for the office setting.

  • Southern Maine

    Maine · 76805

    Office

    $134.17

    Facility

    Unavailable

    $7.44 lower than Austin for the office setting.

  • Detroit

    Michigan · 76805

    Office

    $134.00

    Facility

    Unavailable

    $7.61 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 76805

    Office

    $127.44

    Facility

    Unavailable

    $14.17 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 76805

    Office

    $137.23

    Facility

    Unavailable

    $4.38 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 76805

    Office

    $129.71

    Facility

    Unavailable

    $11.90 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 76805

    Office

    $131.09

    Facility

    Unavailable

    $10.52 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 76805

    Office

    $121.91

    Facility

    Unavailable

    $19.70 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 76805

    Office

    $121.26

    Facility

    Unavailable

    $20.35 lower than Austin for the office setting.

  • Montana**

    Montana · 76805

    Office

    $135.94

    Facility

    Unavailable

    $5.67 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 76805

    Office

    $128.32

    Facility

    Unavailable

    $13.29 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 76805

    Office

    $134.55

    Facility

    Unavailable

    $7.06 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 76805

    Office

    $126.69

    Facility

    Unavailable

    $14.92 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 76805

    Office

    $139.80

    Facility

    Unavailable

    $1.81 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 76805

    Office

    $154.33

    Facility

    Unavailable

    $12.72 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 76805

    Office

    $146.78

    Facility

    Unavailable

    $5.17 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 76805

    Office

    $128.01

    Facility

    Unavailable

    $13.60 lower than Austin for the office setting.

  • Nevada**

    Nevada · 76805

    Office

    $135.65

    Facility

    Unavailable

    $5.96 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 76805

    Office

    $159.15

    Facility

    Unavailable

    $17.54 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 76805

    Office

    $147.51

    Facility

    Unavailable

    $5.90 higher than Austin for the office setting.

  • Queens

    New York · 76805

    Office

    $157.47

    Facility

    Unavailable

    $15.86 higher than Austin for the office setting.

  • Rest Of New York

    New York · 76805

    Office

    $130.19

    Facility

    Unavailable

    $11.42 lower than Austin for the office setting.

  • Ohio

    Ohio · 76805

    Office

    $127.16

    Facility

    Unavailable

    $14.45 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 76805

    Office

    $124.59

    Facility

    Unavailable

    $17.02 lower than Austin for the office setting.

  • Portland

    Oregon · 76805

    Office

    $147.10

    Facility

    Unavailable

    $5.49 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 76805

    Office

    $134.84

    Facility

    Unavailable

    $6.77 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 76805

    Office

    $141.13

    Facility

    Unavailable

    $0.48 lower than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 76805

    Office

    $127.51

    Facility

    Unavailable

    $14.10 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 76805

    Office

    $137.02

    Facility

    Unavailable

    $4.59 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 76805

    Office

    $139.64

    Facility

    Unavailable

    $1.97 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 76805

    Office

    $127.90

    Facility

    Unavailable

    $13.71 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 76805

    Office

    $134.39

    Facility

    Unavailable

    $7.22 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 76805

    Office

    $125.65

    Facility

    Unavailable

    $15.96 lower than Austin for the office setting.

  • Utah

    Utah · 76805

    Office

    $129.63

    Facility

    Unavailable

    $11.98 lower than Austin for the office setting.

  • Virginia

    Virginia · 76805

    Office

    $133.53

    Facility

    Unavailable

    $8.08 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 76805

    Office

    $137.02

    Facility

    Unavailable

    $4.59 lower than Austin for the office setting.

  • Vermont

    Vermont · 76805

    Office

    $133.77

    Facility

    Unavailable

    $7.84 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 76805

    Office

    $141.17

    Facility

    Unavailable

    $0.44 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 76805

    Office

    $160.11

    Facility

    Unavailable

    $18.50 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 76805

    Office

    $130.07

    Facility

    Unavailable

    $11.54 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 76805

    Office

    $123.69

    Facility

    Unavailable

    $17.92 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 76805

    Office

    $135.33

    Facility

    Unavailable

    $6.28 lower than Austin for the office setting.

See how rates vary across the country

76805 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$120.54

$164.14

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$157.671
AL$122.281
AR$120.541
AZ$132.471
CA$145.12–$183.1529
CO$142.301
CT$144.871
DC$155.971
DE$134.651
FL$132.66–$143.673
GA$125.46–$138.132
GU$148.821
HI$148.821
IA$125.931
ID$126.611
IL$128.45–$140.714
IN$127.351
KS$125.071
KY$124.511
LA$124.20–$130.292
MA$141.35–$156.652
MD$137.29–$155.973
ME$126.96–$134.172
MI$127.44–$134.002
MN$137.231
MO$121.91–$131.093
MS$121.261
MT$135.941
NC$128.321
ND$134.551
NE$126.691
NH$139.801
NJ$146.78–$154.332
NM$128.011
NV$135.651
NY$130.19–$159.155
OH$127.161
OK$124.591
OR$134.84–$147.102
PA$127.51–$141.132
PR$137.021
RI$139.641
SC$127.901
SD$134.391
TN$125.651
TX$126.67–$141.618
UT$129.631
VA$133.53–$155.972
VI$137.021
VT$133.771
WA$141.17–$160.112
WI$130.071
WV$123.691
WY$135.331

Explore 76805 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 76805 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$155.77

$141.61 × 110% = $155.77

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 76805 in Austin.

PPRRVU2026_Oct_nonQPP.csv

8,769

Code
76805
Physician work
0.97
Practice expense
3.03
Malpractice
0.07

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 76805 in Austin
ComponentRVULocality factorAdjusted
Physician work0.97× 1.0020.9719
Practice expense3.03× 1.0583.2057
Malpractice0.07× 0.8860.0620
Total RVUs4.2397
Conversion factor× 33.4009

Office / nonfacility rate, Austin$141.61

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 76805 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.971.002
Practice expense3.031.058
Malpractice0.070.886

(0.97 × 1.002 + 3.03 × 1.058 + 0.07 × 0.886) × $33.4009 = $141.61

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

76805 · Office / nonfacility

$141.61

Effective 2026-10-01

The base rate is $7.32 higher than on 2025-10-01, moving from $134.29 to $141.61 (5.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $134.29changed to$141.61

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.99 changed to 0.97
    • Practice expense RVU 2.97 changed to 3.03
    • Malpractice RVU 0.06 changed to 0.07
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $134.29

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$141.61Not available in this settingRVU26D
2026-07-01$141.61Not available in this settingRVU26C
2026-04-01$141.61Not available in this settingRVU26B
2026-01-01$141.61Not available in this settingRVU26A
2025-10-01$134.29Not available in this settingRVU25D
2025-07-01$134.29Not available in this settingRVU25C
2025-04-01$134.29Not available in this settingRVU25B
2025-01-01$134.29Not available in this settingRVU25A

76805 billing questions

When should 76805 be used instead of 76801?

Use 76805 for a standard obstetric ultrasound at 14 weeks or later. Code 76801 is for the corresponding standard examination before 14 weeks.

How is an additional fetus reported?

Report 76805 for the first fetus and 76810 for each additional fetus evaluated. Documentation should identify the gestation and findings for each fetus.

When is 76811 more appropriate?

Use 76811 when a detailed fetal anatomic examination is performed, rather than the standard evaluation represented by 76805. The examination performed and documented determines the code.

How should the professional and technical work be billed?

Use modifier 26 for the professional interpretation and modifier TC for the technical service. Billing without either modifier represents the global service.

What documentation supports 76805?

The record should support gestational age, the single-fetus evaluation, the reason for the study, and the findings and images from the examination, such as fetal measurements and relevant maternal and fetal observations.

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.

RVUs for 76805PPRRVU2026_Oct_nonQPP.csv, line 8,769 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet