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CMS RVU26D · Effective 2026-10-01

76857 in Delaware

Office / nonfacility

$50.65

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.

Diagnostic imaging

About 76857: Limited nonobstetric pelvic ultrasound

Reports a focused, nonobstetric pelvic ultrasound with image documentation, such as a targeted assessment or follow-up of a known pelvic finding.

This code represents a focused real-time ultrasound examination of the nonpregnant pelvis, with images documented. It may be used when the clinical question calls for assessment of selected pelvic structures, such as a known ovarian cyst or pelvic fluid, rather than a complete survey. A sonographer commonly acquires the images in an imaging department or office; a radiologist or other qualified physician interprets the study and documents the findings.

Choose the limited code when the examination is focused or performed as follow-up, and use the complete pelvic study code when a complete examination is documented. The report should identify the clinical indication, structures assessed, images obtained, and interpretation. The global service includes both the technical and professional work; modifier 26 identifies the interpretation, while modifier TC identifies the equipment and staff service. The diagnostic imaging multiple-procedure reduction applies to both the technical and professional components when applicable.

CMS billing rules for 76857

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 RVU0.49 · 32%
  • Practice expense (office) RVU1.00 · 65%
  • Malpractice RVU0.04 · 3%

210.6K

Medicare services in 2024 · #375 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.

76857 compared with similar codes

Office rates for Delaware, from the same CMS release.

76856

Pelvic ultrasound

Complete, nonobstetric

$104.18

76856 represents a complete nonobstetric pelvic examination. Choose 76857 when the documented study is focused or performed for follow-up.

76830

Pelvic ultrasound

Transvaginal, nonobstetric

$116.36

76830 is for a nonobstetric transvaginal ultrasound. 76857 identifies a limited or follow-up pelvic examination, not that specific transvaginal approach.

76815

Obstetric ultrasound

Limited assessment

$80.73

76815 is a limited obstetric ultrasound in a pregnancy. 76857 is for a nonobstetric pelvic examination.

The same code, a different location

How does Delaware compare?

76857 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $50.65

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $57.44

    $6.79 higher than Delaware

  3. Dc + Md/Va Suburbs

    $58.08

    $7.43 higher than Delaware

  4. Miami

    $54.52

    $3.87 higher than Delaware

  5. Chicago

    $53.12

    $2.47 higher than Delaware

  6. Manhattan

    $58.34

    $7.69 higher than Delaware

  7. Alaska*

    $60.86

    $10.21 higher than Delaware

Other payment areas listed in Delaware 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, 76857 ranges from $45.75 in Arkansas to $67.05 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

  • Alabama

    Alabama · 76857

    Office

    $46.35

    Facility

    Unavailable

    $4.30 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 76857

    Office

    $45.75

    Facility

    Unavailable

    $4.90 lower than Delaware for the office setting.

  • Arizona

    Arizona · 76857

    Office

    $49.88

    Facility

    Unavailable

    $0.77 lower than Delaware for the office setting.

  • Bakersfield

    California · 76857

    Office

    $54.10

    Facility

    Unavailable

    $3.45 higher than Delaware for the office setting.

  • Chico

    California · 76857

    Office

    $53.97

    Facility

    Unavailable

    $3.32 higher than Delaware for the office setting.

  • El Centro

    California · 76857

    Office

    $53.97

    Facility

    Unavailable

    $3.32 higher than Delaware for the office setting.

  • Fresno

    California · 76857

    Office

    $53.97

    Facility

    Unavailable

    $3.32 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 76857

    Office

    $53.97

    Facility

    Unavailable

    $3.32 higher than Delaware for the office setting.

  • Madera

    California · 76857

    Office

    $53.97

    Facility

    Unavailable

    $3.32 higher than Delaware for the office setting.

  • Merced

    California · 76857

    Office

    $53.97

    Facility

    Unavailable

    $3.32 higher than Delaware for the office setting.

  • Modesto

    California · 76857

    Office

    $53.97

    Facility

    Unavailable

    $3.32 higher than Delaware for the office setting.

  • Napa

    California · 76857

    Office

    $62.10

    Facility

    Unavailable

    $11.45 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 76857

    Office

    $57.14

    Facility

    Unavailable

    $6.49 higher than Delaware for the office setting.

  • Redding

    California · 76857

    Office

    $53.97

    Facility

    Unavailable

    $3.32 higher than Delaware for the office setting.

  • Rest Of California

    California · 76857

    Office

    $53.97

    Facility

    Unavailable

    $3.32 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 76857

    Office

    $54.41

    Facility

    Unavailable

    $3.76 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 76857

    Office

    $56.52

    Facility

    Unavailable

    $5.87 higher than Delaware for the office setting.

  • Salinas

    California · 76857

    Office

    $56.30

    Facility

    Unavailable

    $5.65 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 76857

    Office

    $57.53

    Facility

    Unavailable

    $6.88 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 76857

    Office

    $65.63

    Facility

    Unavailable

    $14.98 higher than Delaware for the office setting.

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

    California · 76857

    Office

    $65.58

    Facility

    Unavailable

    $14.93 higher than Delaware for the office setting.

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

    California · 76857

    Office

    $67.05

    Facility

    Unavailable

    $16.40 higher than Delaware for the office setting.

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

    California · 76857

    Office

    $66.86

    Facility

    Unavailable

    $16.21 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 76857

    Office

    $55.40

    Facility

    Unavailable

    $4.75 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 76857

    Office

    $58.01

    Facility

    Unavailable

    $7.36 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 76857

    Office

    $56.49

    Facility

    Unavailable

    $5.84 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 76857

    Office

    $58.59

    Facility

    Unavailable

    $7.94 higher than Delaware for the office setting.

  • Stockton

    California · 76857

    Office

    $53.97

    Facility

    Unavailable

    $3.32 higher than Delaware for the office setting.

  • Vallejo

    California · 76857

    Office

    $62.03

    Facility

    Unavailable

    $11.38 higher than Delaware for the office setting.

  • Visalia

    California · 76857

    Office

    $53.97

    Facility

    Unavailable

    $3.32 higher than Delaware for the office setting.

  • Yuba City

    California · 76857

    Office

    $53.97

    Facility

    Unavailable

    $3.32 higher than Delaware for the office setting.

  • Colorado

    Colorado · 76857

    Office

    $53.14

    Facility

    Unavailable

    $2.49 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 76857

    Office

    $54.28

    Facility

    Unavailable

    $3.63 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 76857

    Office

    $52.62

    Facility

    Unavailable

    $1.97 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 76857

    Office

    $50.31

    Facility

    Unavailable

    $0.34 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 76857

    Office

    $51.96

    Facility

    Unavailable

    $1.31 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 76857

    Office

    $47.75

    Facility

    Unavailable

    $2.90 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 76857

    Office

    $55.12

    Facility

    Unavailable

    $4.47 higher than Delaware for the office setting.

  • Iowa

    Iowa · 76857

    Office

    $47.46

    Facility

    Unavailable

    $3.19 lower than Delaware for the office setting.

  • Idaho

    Idaho · 76857

    Office

    $47.73

    Facility

    Unavailable

    $2.92 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 76857

    Office

    $49.79

    Facility

    Unavailable

    $0.86 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 76857

    Office

    $48.95

    Facility

    Unavailable

    $1.70 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 76857

    Office

    $53.15

    Facility

    Unavailable

    $2.50 higher than Delaware for the office setting.

  • Indiana

    Indiana · 76857

    Office

    $47.98

    Facility

    Unavailable

    $2.67 lower than Delaware for the office setting.

  • Kansas

    Kansas · 76857

    Office

    $47.23

    Facility

    Unavailable

    $3.42 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 76857

    Office

    $47.28

    Facility

    Unavailable

    $3.37 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 76857

    Office

    $49.31

    Facility

    Unavailable

    $1.34 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 76857

    Office

    $47.21

    Facility

    Unavailable

    $3.44 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 76857

    Office

    $58.11

    Facility

    Unavailable

    $7.46 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 76857

    Office

    $52.86

    Facility

    Unavailable

    $2.21 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 76857

    Office

    $54.12

    Facility

    Unavailable

    $3.47 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 76857

    Office

    $51.56

    Facility

    Unavailable

    $0.91 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 76857

    Office

    $47.93

    Facility

    Unavailable

    $2.72 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 76857

    Office

    $50.31

    Facility

    Unavailable

    $0.34 lower than Delaware for the office setting.

  • Detroit

    Michigan · 76857

    Office

    $50.85

    Facility

    Unavailable

    $0.20 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 76857

    Office

    $48.37

    Facility

    Unavailable

    $2.28 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 76857

    Office

    $51.13

    Facility

    Unavailable

    $0.48 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 76857

    Office

    $49.04

    Facility

    Unavailable

    $1.61 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 76857

    Office

    $49.50

    Facility

    Unavailable

    $1.15 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 76857

    Office

    $46.46

    Facility

    Unavailable

    $4.19 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 76857

    Office

    $46.11

    Facility

    Unavailable

    $4.54 lower than Delaware for the office setting.

  • Montana**

    Montana · 76857

    Office

    $51.10

    Facility

    Unavailable

    $0.45 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 76857

    Office

    $48.38

    Facility

    Unavailable

    $2.27 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 76857

    Office

    $50.31

    Facility

    Unavailable

    $0.34 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 76857

    Office

    $47.70

    Facility

    Unavailable

    $2.95 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 76857

    Office

    $52.31

    Facility

    Unavailable

    $1.66 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 76857

    Office

    $57.57

    Facility

    Unavailable

    $6.92 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 76857

    Office

    $54.96

    Facility

    Unavailable

    $4.31 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 76857

    Office

    $48.60

    Facility

    Unavailable

    $2.05 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 76857

    Office

    $50.91

    Facility

    Unavailable

    $0.26 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 76857

    Office

    $59.61

    Facility

    Unavailable

    $8.96 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 76857

    Office

    $55.29

    Facility

    Unavailable

    $4.64 higher than Delaware for the office setting.

  • Queens

    New York · 76857

    Office

    $58.82

    Facility

    Unavailable

    $8.17 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 76857

    Office

    $49.04

    Facility

    Unavailable

    $1.61 lower than Delaware for the office setting.

  • Ohio

    Ohio · 76857

    Office

    $48.21

    Facility

    Unavailable

    $2.44 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 76857

    Office

    $47.23

    Facility

    Unavailable

    $3.42 lower than Delaware for the office setting.

  • Portland

    Oregon · 76857

    Office

    $54.73

    Facility

    Unavailable

    $4.08 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 76857

    Office

    $50.57

    Facility

    Unavailable

    $0.08 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 76857

    Office

    $53.03

    Facility

    Unavailable

    $2.38 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 76857

    Office

    $48.29

    Facility

    Unavailable

    $2.36 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 76857

    Office

    $51.45

    Facility

    Unavailable

    $0.80 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 76857

    Office

    $52.37

    Facility

    Unavailable

    $1.72 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 76857

    Office

    $48.36

    Facility

    Unavailable

    $2.29 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 76857

    Office

    $50.22

    Facility

    Unavailable

    $0.43 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 76857

    Office

    $47.45

    Facility

    Unavailable

    $3.20 lower than Delaware for the office setting.

  • Austin

    Texas · 76857

    Office

    $52.92

    Facility

    Unavailable

    $2.27 higher than Delaware for the office setting.

  • Beaumont

    Texas · 76857

    Office

    $48.00

    Facility

    Unavailable

    $2.65 lower than Delaware for the office setting.

  • Brazoria

    Texas · 76857

    Office

    $50.64

    Facility

    Unavailable

    $0.01 lower than Delaware for the office setting.

  • Dallas

    Texas · 76857

    Office

    $50.93

    Facility

    Unavailable

    $0.28 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 76857

    Office

    $50.61

    Facility

    Unavailable

    $0.04 lower than Delaware for the office setting.

  • Galveston

    Texas · 76857

    Office

    $50.77

    Facility

    Unavailable

    $0.12 higher than Delaware for the office setting.

  • Houston

    Texas · 76857

    Office

    $51.50

    Facility

    Unavailable

    $0.85 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 76857

    Office

    $49.27

    Facility

    Unavailable

    $1.38 lower than Delaware for the office setting.

  • Utah

    Utah · 76857

    Office

    $48.96

    Facility

    Unavailable

    $1.69 lower than Delaware for the office setting.

  • Virginia

    Virginia · 76857

    Office

    $50.14

    Facility

    Unavailable

    $0.51 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 76857

    Office

    $51.45

    Facility

    Unavailable

    $0.80 higher than Delaware for the office setting.

  • Vermont

    Vermont · 76857

    Office

    $50.11

    Facility

    Unavailable

    $0.54 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 76857

    Office

    $52.77

    Facility

    Unavailable

    $2.12 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 76857

    Office

    $59.26

    Facility

    Unavailable

    $8.61 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 76857

    Office

    $48.78

    Facility

    Unavailable

    $1.87 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 76857

    Office

    $47.30

    Facility

    Unavailable

    $3.35 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 76857

    Office

    $50.76

    Facility

    Unavailable

    $0.11 higher than Delaware for the office setting.

See how rates vary across the country

76857 · 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.

$45.75

$60.86

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$60.861
AL$46.351
AR$45.751
AZ$49.881
CA$53.97–$67.0529
CO$53.141
CT$54.281
DC$58.081
DE$50.651
FL$50.31–$54.523
GA$47.75–$51.962
GU$55.121
HI$55.121
IA$47.461
ID$47.731
IL$48.95–$53.154
IN$47.981
KS$47.231
KY$47.281
LA$47.21–$49.312
MA$52.86–$58.112
MD$51.56–$58.083
ME$47.93–$50.312
MI$48.37–$50.852
MN$51.131
MO$46.46–$49.503
MS$46.111
MT$51.101
NC$48.381
ND$50.311
NE$47.701
NH$52.311
NJ$54.96–$57.572
NM$48.601
NV$50.911
NY$49.04–$59.615
OH$48.211
OK$47.231
OR$50.57–$54.732
PA$48.29–$53.032
PR$51.451
RI$52.371
SC$48.361
SD$50.221
TN$47.451
TX$48.00–$52.928
UT$48.961
VA$50.14–$58.082
VI$51.451
VT$50.111
WA$52.77–$59.262
WI$48.781
WV$47.301
WY$50.761

Explore 76857 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 Delaware →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 76857 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$55.72

$50.65 × 110% = $55.72

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 76857 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

8,829

Code
76857
Physician work
0.49
Practice expense
1.00
Malpractice
0.04

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 76857 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.49× 1.0050.4924
Practice expense1.00× 0.9880.9880
Malpractice0.04× 0.8990.0360
Total RVUs1.5164
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$50.65

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

Open 76857 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.491.005
Practice expense10.988
Malpractice0.040.899

(0.49 × 1.005 + 1 × 0.988 + 0.04 × 0.899) × $33.4009 = $50.65

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

76857 · Office / nonfacility

$50.65

Effective 2026-10-01

The base rate is $2.29 higher than on 2025-10-01, moving from $48.36 to $50.65 (4.7%).

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

    $48.36changed to$50.65

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.50 changed to 0.49
    • Practice expense RVU 0.97 changed to 1.00
    • Malpractice RVU 0.03 changed to 0.04
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $48.36

    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$50.65Not available in this settingRVU26D
2026-07-01$50.65Not available in this settingRVU26C
2026-04-01$50.65Not available in this settingRVU26B
2026-01-01$50.65Not available in this settingRVU26A
2025-10-01$48.36Not available in this settingRVU25D
2025-07-01$48.36Not available in this settingRVU25C
2025-04-01$48.36Not available in this settingRVU25B
2025-01-01$48.36Not available in this settingRVU25A

76857 billing questions

How does 76857 differ from a complete pelvic ultrasound?

Use 76857 for a focused or follow-up examination. A documented complete pelvic survey is reported with 76856.

When should modifier 26 or TC be used?

Use modifier 26 for the professional interpretation and report, and modifier TC for the technical service. Without either modifier, the code represents the global service.

Can a limited and complete pelvic ultrasound be reported for the same examination?

Select the code that matches the documented scope of the examination; do not divide one study into limited and complete services.

What documentation supports a limited study?

Document the clinical question, the structures examined, the images obtained, and the interpretation. The record should show why the examination was focused or performed for follow-up.

Does the multiple-procedure reduction affect only the technical service?

No. The CMS diagnostic imaging multiple-procedure 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 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 76857PPRRVU2026_Oct_nonQPP.csv, line 8,829 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet