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CMS RVU26D · Effective 2026-10-01

76981 in Delaware

Office / nonfacility

$111.42

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 ultrasound

About 76981: Parenchymal ultrasound elastography

Ultrasound elastography evaluates tissue stiffness across an organ’s parenchyma, commonly the liver, and is reported with imaging documentation and interpretation.

This service uses ultrasound elastography to assess tissue stiffness across an organ’s parenchyma rather than a discrete mass. A common clinical use is evaluating liver stiffness in a patient with chronic liver disease. Radiologists and clinicians in specialties such as hepatology or gastroenterology may perform or interpret the study in office or facility settings. The code includes imaging documentation, interpretation, and a report.

Select this code when the study evaluates parenchymal tissue; focal target-lesion elastography is coded separately. Documentation should identify the organ or tissue examined, support the parenchymal assessment, and include the findings and interpretation. The service has professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and billing without either modifier represents the global service. CMS’s diagnostic imaging multiple-procedure reduction applies to both components when applicable.

CMS billing rules for 76981

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 RVU0.58 · 17%
  • Practice expense (office) RVU2.75 · 82%
  • Malpractice RVU0.04 · 1%

81.1K

Medicare services in 2024 · #625 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.

76981 compared with similar codes

Office rates for Delaware, from the same CMS release.

76982

Ultrasound elastography

First target lesion

$91.62

76981 assesses parenchymal tissue, commonly the liver; 76982 evaluates a discrete target lesion.

76983

Ultrasound elastography

Each additional target lesion

$60.20

76983 reports an additional target lesion in the 76982 lesion-elastography service, not another parenchymal assessment under 76981.

76978

Contrast ultrasound

First target lesion

$169.89

76978 uses contrast-enhanced ultrasound to assess a lesion; 76981 evaluates stiffness across parenchymal tissue.

The same code, a different location

How does Delaware compare?

76981 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $111.42

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

    $129.72

    $18.30 higher than Delaware

  3. Dc + Md/Va Suburbs

    $130.11

    $18.69 higher than Delaware

  4. Miami

    $118.37

    $6.95 higher than Delaware

  5. Chicago

    $114.89

    $3.47 higher than Delaware

  6. Manhattan

    $129.46

    $18.04 higher than Delaware

  7. Alaska*

    $127.62

    $16.20 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, 76981 ranges from $98.96 in Arkansas to $154.67 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 · 76981

    Office

    $100.50

    Facility

    Unavailable

    $10.92 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 76981

    Office

    $98.96

    Facility

    Unavailable

    $12.46 lower than Delaware for the office setting.

  • Arizona

    Arizona · 76981

    Office

    $109.52

    Facility

    Unavailable

    $1.90 lower than Delaware for the office setting.

  • Bakersfield

    California · 76981

    Office

    $121.22

    Facility

    Unavailable

    $9.80 higher than Delaware for the office setting.

  • Chico

    California · 76981

    Office

    $121.09

    Facility

    Unavailable

    $9.67 higher than Delaware for the office setting.

  • El Centro

    California · 76981

    Office

    $121.09

    Facility

    Unavailable

    $9.67 higher than Delaware for the office setting.

  • Fresno

    California · 76981

    Office

    $121.09

    Facility

    Unavailable

    $9.67 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 76981

    Office

    $121.09

    Facility

    Unavailable

    $9.67 higher than Delaware for the office setting.

  • Madera

    California · 76981

    Office

    $121.09

    Facility

    Unavailable

    $9.67 higher than Delaware for the office setting.

  • Merced

    California · 76981

    Office

    $121.09

    Facility

    Unavailable

    $9.67 higher than Delaware for the office setting.

  • Modesto

    California · 76981

    Office

    $121.09

    Facility

    Unavailable

    $9.67 higher than Delaware for the office setting.

  • Napa

    California · 76981

    Office

    $142.33

    Facility

    Unavailable

    $30.91 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 76981

    Office

    $129.32

    Facility

    Unavailable

    $17.90 higher than Delaware for the office setting.

  • Redding

    California · 76981

    Office

    $121.09

    Facility

    Unavailable

    $9.67 higher than Delaware for the office setting.

  • Rest Of California

    California · 76981

    Office

    $121.09

    Facility

    Unavailable

    $9.67 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 76981

    Office

    $121.53

    Facility

    Unavailable

    $10.11 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 76981

    Office

    $127.61

    Facility

    Unavailable

    $16.19 higher than Delaware for the office setting.

  • Salinas

    California · 76981

    Office

    $127.15

    Facility

    Unavailable

    $15.73 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 76981

    Office

    $130.53

    Facility

    Unavailable

    $19.11 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 76981

    Office

    $151.34

    Facility

    Unavailable

    $39.92 higher than Delaware for the office setting.

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

    California · 76981

    Office

    $151.29

    Facility

    Unavailable

    $39.87 higher than Delaware for the office setting.

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

    California · 76981

    Office

    $154.67

    Facility

    Unavailable

    $43.25 higher than Delaware for the office setting.

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

    California · 76981

    Office

    $154.49

    Facility

    Unavailable

    $43.07 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 76981

    Office

    $125.04

    Facility

    Unavailable

    $13.62 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 76981

    Office

    $132.10

    Facility

    Unavailable

    $20.68 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 76981

    Office

    $127.73

    Facility

    Unavailable

    $16.31 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 76981

    Office

    $133.46

    Facility

    Unavailable

    $22.04 higher than Delaware for the office setting.

  • Stockton

    California · 76981

    Office

    $121.09

    Facility

    Unavailable

    $9.67 higher than Delaware for the office setting.

  • Vallejo

    California · 76981

    Office

    $142.27

    Facility

    Unavailable

    $30.85 higher than Delaware for the office setting.

  • Visalia

    California · 76981

    Office

    $121.09

    Facility

    Unavailable

    $9.67 higher than Delaware for the office setting.

  • Yuba City

    California · 76981

    Office

    $121.09

    Facility

    Unavailable

    $9.67 higher than Delaware for the office setting.

  • Colorado

    Colorado · 76981

    Office

    $118.38

    Facility

    Unavailable

    $6.96 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 76981

    Office

    $120.30

    Facility

    Unavailable

    $8.88 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 76981

    Office

    $114.83

    Facility

    Unavailable

    $3.41 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 76981

    Office

    $109.19

    Facility

    Unavailable

    $2.23 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 76981

    Office

    $114.36

    Facility

    Unavailable

    $2.94 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 76981

    Office

    $102.90

    Facility

    Unavailable

    $8.52 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 76981

    Office

    $124.58

    Facility

    Unavailable

    $13.16 higher than Delaware for the office setting.

  • Iowa

    Iowa · 76981

    Office

    $103.95

    Facility

    Unavailable

    $7.47 lower than Delaware for the office setting.

  • Idaho

    Idaho · 76981

    Office

    $104.51

    Facility

    Unavailable

    $6.91 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 76981

    Office

    $106.57

    Facility

    Unavailable

    $4.85 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 76981

    Office

    $105.32

    Facility

    Unavailable

    $6.10 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 76981

    Office

    $116.21

    Facility

    Unavailable

    $4.79 higher than Delaware for the office setting.

  • Indiana

    Indiana · 76981

    Office

    $105.17

    Facility

    Unavailable

    $6.25 lower than Delaware for the office setting.

  • Kansas

    Kansas · 76981

    Office

    $103.08

    Facility

    Unavailable

    $8.34 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 76981

    Office

    $102.25

    Facility

    Unavailable

    $9.17 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 76981

    Office

    $107.32

    Facility

    Unavailable

    $4.10 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 76981

    Office

    $101.94

    Facility

    Unavailable

    $9.48 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 76981

    Office

    $131.03

    Facility

    Unavailable

    $19.61 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 76981

    Office

    $117.47

    Facility

    Unavailable

    $6.05 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 76981

    Office

    $119.89

    Facility

    Unavailable

    $8.47 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 76981

    Office

    $113.75

    Facility

    Unavailable

    $2.33 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 76981

    Office

    $104.71

    Facility

    Unavailable

    $6.71 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 76981

    Office

    $111.24

    Facility

    Unavailable

    $0.18 lower than Delaware for the office setting.

  • Detroit

    Michigan · 76981

    Office

    $110.26

    Facility

    Unavailable

    $1.16 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 76981

    Office

    $104.74

    Facility

    Unavailable

    $6.68 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 76981

    Office

    $114.28

    Facility

    Unavailable

    $2.86 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 76981

    Office

    $106.93

    Facility

    Unavailable

    $4.49 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 76981

    Office

    $108.15

    Facility

    Unavailable

    $3.27 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 76981

    Office

    $99.85

    Facility

    Unavailable

    $11.57 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 76981

    Office

    $99.44

    Facility

    Unavailable

    $11.98 lower than Delaware for the office setting.

  • Montana**

    Montana · 76981

    Office

    $112.56

    Facility

    Unavailable

    $1.14 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 76981

    Office

    $105.92

    Facility

    Unavailable

    $5.50 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 76981

    Office

    $111.77

    Facility

    Unavailable

    $0.35 higher than Delaware for the office setting.

  • Nebraska

    Nebraska · 76981

    Office

    $104.66

    Facility

    Unavailable

    $6.76 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 76981

    Office

    $116.16

    Facility

    Unavailable

    $4.74 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 76981

    Office

    $128.57

    Facility

    Unavailable

    $17.15 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 76981

    Office

    $121.92

    Facility

    Unavailable

    $10.50 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 76981

    Office

    $105.21

    Facility

    Unavailable

    $6.21 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 76981

    Office

    $112.43

    Facility

    Unavailable

    $1.01 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 76981

    Office

    $132.31

    Facility

    Unavailable

    $20.89 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 76981

    Office

    $122.44

    Facility

    Unavailable

    $11.02 higher than Delaware for the office setting.

  • Queens

    New York · 76981

    Office

    $131.11

    Facility

    Unavailable

    $19.69 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 76981

    Office

    $107.57

    Facility

    Unavailable

    $3.85 lower than Delaware for the office setting.

  • Ohio

    Ohio · 76981

    Office

    $104.58

    Facility

    Unavailable

    $6.84 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 76981

    Office

    $102.43

    Facility

    Unavailable

    $8.99 lower than Delaware for the office setting.

  • Portland

    Oregon · 76981

    Office

    $122.72

    Facility

    Unavailable

    $11.30 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 76981

    Office

    $111.80

    Facility

    Unavailable

    $0.38 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 76981

    Office

    $116.93

    Facility

    Unavailable

    $5.51 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 76981

    Office

    $104.96

    Facility

    Unavailable

    $6.46 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 76981

    Office

    $113.55

    Facility

    Unavailable

    $2.13 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 76981

    Office

    $115.82

    Facility

    Unavailable

    $4.40 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 76981

    Office

    $105.38

    Facility

    Unavailable

    $6.04 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 76981

    Office

    $111.67

    Facility

    Unavailable

    $0.25 higher than Delaware for the office setting.

  • Tennessee

    Tennessee · 76981

    Office

    $103.58

    Facility

    Unavailable

    $7.84 lower than Delaware for the office setting.

  • Austin

    Texas · 76981

    Office

    $117.77

    Facility

    Unavailable

    $6.35 higher than Delaware for the office setting.

  • Beaumont

    Texas · 76981

    Office

    $104.20

    Facility

    Unavailable

    $7.22 lower than Delaware for the office setting.

  • Brazoria

    Texas · 76981

    Office

    $111.60

    Facility

    Unavailable

    $0.18 higher than Delaware for the office setting.

  • Dallas

    Texas · 76981

    Office

    $112.18

    Facility

    Unavailable

    $0.76 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 76981

    Office

    $111.28

    Facility

    Unavailable

    $0.14 lower than Delaware for the office setting.

  • Galveston

    Texas · 76981

    Office

    $111.84

    Facility

    Unavailable

    $0.42 higher than Delaware for the office setting.

  • Houston

    Texas · 76981

    Office

    $112.58

    Facility

    Unavailable

    $1.16 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 76981

    Office

    $107.75

    Facility

    Unavailable

    $3.67 lower than Delaware for the office setting.

  • Utah

    Utah · 76981

    Office

    $106.91

    Facility

    Unavailable

    $4.51 lower than Delaware for the office setting.

  • Virginia

    Virginia · 76981

    Office

    $110.61

    Facility

    Unavailable

    $0.81 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 76981

    Office

    $113.55

    Facility

    Unavailable

    $2.13 higher than Delaware for the office setting.

  • Vermont

    Vermont · 76981

    Office

    $110.98

    Facility

    Unavailable

    $0.44 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 76981

    Office

    $117.36

    Facility

    Unavailable

    $5.94 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 76981

    Office

    $134.14

    Facility

    Unavailable

    $22.72 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 76981

    Office

    $107.78

    Facility

    Unavailable

    $3.64 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 76981

    Office

    $101.10

    Facility

    Unavailable

    $10.32 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 76981

    Office

    $112.21

    Facility

    Unavailable

    $0.79 higher than Delaware for the office setting.

See how rates vary across the country

76981 · 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.

$98.96

$137.88

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$127.621
AL$100.501
AR$98.961
AZ$109.521
CA$121.09–$154.6729
CO$118.381
CT$120.301
DC$130.111
DE$111.421
FL$109.19–$118.373
GA$102.90–$114.362
GU$124.581
HI$124.581
IA$103.951
ID$104.511
IL$105.32–$116.214
IN$105.171
KS$103.081
KY$102.251
LA$101.94–$107.322
MA$117.47–$131.032
MD$113.75–$130.113
ME$104.71–$111.242
MI$104.74–$110.262
MN$114.281
MO$99.85–$108.153
MS$99.441
MT$112.561
NC$105.921
ND$111.771
NE$104.661
NH$116.161
NJ$121.92–$128.572
NM$105.211
NV$112.431
NY$107.57–$132.315
OH$104.581
OK$102.431
OR$111.80–$122.722
PA$104.96–$116.932
PR$113.551
RI$115.821
SC$105.381
SD$111.671
TN$103.581
TX$104.20–$117.778
UT$106.911
VA$110.61–$130.112
VI$113.551
VT$110.981
WA$117.36–$134.142
WI$107.781
WV$101.101
WY$112.211

Explore 76981 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 76981 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$122.56

$111.42 × 110% = $122.56

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.

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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 76981 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

8,898

Code
76981
Physician work
0.58
Practice expense
2.75
Malpractice
0.04

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 76981 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.58× 1.0050.5829
Practice expense2.75× 0.9882.7170
Malpractice0.04× 0.8990.0360
Total RVUs3.3359
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$111.42

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

Open 76981 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.581.005
Practice expense2.750.988
Malpractice0.040.899

(0.58 × 1.005 + 2.75 × 0.988 + 0.04 × 0.899) × $33.4009 = $111.42

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

76981 · Office / nonfacility

$111.42

Effective 2026-10-01

The base rate is $9.45 higher than on 2025-10-01, moving from $101.97 to $111.42 (9.3%).

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

    $101.97changed to$111.42

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.59 changed to 0.58
    • Practice expense RVU 2.53 changed to 2.75
    • Malpractice RVU 0.05 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: $101.97

    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$111.42Not available in this settingRVU26D
2026-07-01$111.42Not available in this settingRVU26C
2026-04-01$111.42Not available in this settingRVU26B
2026-01-01$111.42Not available in this settingRVU26A
2025-10-01$101.97Not available in this settingRVU25D
2025-07-01$101.97Not available in this settingRVU25C
2025-04-01$101.97Not available in this settingRVU25B
2025-01-01$101.97Not available in this settingRVU25A

76981 billing questions

When should 76981 be selected instead of 76982?

Use 76981 for elastography of parenchymal tissue, such as liver tissue. Use 76982 when the examination targets a discrete lesion.

Can 76983 be added to 76981 for another area?

No. Code 76983 is the additional-lesion code associated with 76982, not an add-on to parenchymal elastography.

How are the professional and technical services reported?

Report modifier 26 for the professional interpretation or TC for the technical service. Without either modifier, the claim represents the global service.

Does the multiple-procedure reduction affect both components?

Yes. CMS applies the diagnostic imaging multiple-procedure reduction to both the professional and technical components when applicable.

What should the report document?

Document the parenchymal tissue examined and the elastography findings, with the interpretation and report supporting that the study assessed tissue rather than a discrete target lesion.

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 76981PPRRVU2026_Oct_nonQPP.csv, line 8,898 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet