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CMS RVU26D · Effective 2026-10-01

76641 in Manhattan

Office / nonfacility

$114.82

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 76641: Complete breast ultrasound examination

Reports a complete diagnostic ultrasound examination of a breast, covering all breast regions and the axilla when performed, for a focal finding or symptom.

A complete breast ultrasound evaluates all four quadrants and the retroareolar region of the breast; the axilla is included when examined. It is commonly used to assess a palpable lump, focal pain, or a finding seen on mammography. A sonographer may acquire the images, while a radiologist or other qualified physician interprets them and documents the findings in an imaging report. The examination may be performed in a hospital imaging department or an outpatient imaging center.

Select this code when the documented study is complete rather than limited to one or more specific areas. Report it for each breast examined; for a bilateral study, use modifier 50, which CMS pays at 150%. The service may be billed globally, or split into the professional interpretation with modifier 26 and the technical portion with modifier TC. The report and image documentation should support the examination's extent and the interpretation.

CMS billing rules for 76641

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.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.

Where the value comes from

  • Work RVU0.71 · 24%
  • Practice expense (office) RVU2.24 · 75%
  • Malpractice RVU0.05 · 2%

400.8K

Medicare services in 2024 · #257 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.

76641 compared with similar codes

Office rates for Manhattan, from the same CMS release.

76642

Breast ultrasound

Limited, unilateral

$95.58

76641 represents evaluation of all four quadrants and the retroareolar region; 76642 is for a limited examination of selected areas.

77065

Diagnostic mammogram

One breast, CAD included

$142.26

77065 is unilateral diagnostic mammography, which uses mammographic imaging rather than ultrasound.

77066

Diagnostic mammogram

Bilateral, including CAD

$180.34

77066 is bilateral diagnostic mammography. It may be performed with breast ultrasound, but it describes a separate imaging modality.

The same code, a different location

How does Manhattan compare?

In Nyc Suburbs/Long Island, the office rate for 76641 is $117.29—$2.47 higher than the $114.82 rate in Manhattan. Both use the same code, release and participation basis.

76641 across payment areas

Same release and payment basis · bars start at $0

  1. Manhattan · This locality

    $114.82

  2. Nyc Suburbs/Long Island

    $117.29

    $2.47 higher than Manhattan

  3. Poughkpsie/N Nyc Suburbs

    $108.73

    $6.09 lower than Manhattan

  4. Queens

    $116.08

    $1.26 higher than Manhattan

  5. Rest Of New York

    $95.97

    $18.85 lower than Manhattan

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

    $114.31

    $0.51 lower than Manhattan

  7. Dc + Md/Va Suburbs

    $114.99

    $0.17 higher than Manhattan

Other payment areas listed in New York 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, 76641 ranges from $88.84 in Arkansas to $135.11 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

  • Miami

    Florida · 76641

    Office

    $105.82

    Facility

    Unavailable

    $9.00 lower than Manhattan for the office setting.

  • Chicago

    Illinois · 76641

    Office

    $102.91

    Facility

    Unavailable

    $11.91 lower than Manhattan for the office setting.

  • Alaska*

    Alaska · 76641

    Office

    $116.17

    Facility

    Unavailable

    $1.35 higher than Manhattan for the office setting.

  • Alabama

    Alabama · 76641

    Office

    $90.13

    Facility

    Unavailable

    $24.69 lower than Manhattan for the office setting.

  • Arkansas

    Arkansas · 76641

    Office

    $88.84

    Facility

    Unavailable

    $25.98 lower than Manhattan for the office setting.

  • Arizona

    Arizona · 76641

    Office

    $97.64

    Facility

    Unavailable

    $17.18 lower than Manhattan for the office setting.

  • Bakersfield

    California · 76641

    Office

    $107.18

    Facility

    Unavailable

    $7.64 lower than Manhattan for the office setting.

  • Chico

    California · 76641

    Office

    $107.01

    Facility

    Unavailable

    $7.81 lower than Manhattan for the office setting.

  • El Centro

    California · 76641

    Office

    $107.02

    Facility

    Unavailable

    $7.80 lower than Manhattan for the office setting.

  • Fresno

    California · 76641

    Office

    $107.01

    Facility

    Unavailable

    $7.81 lower than Manhattan for the office setting.

  • Hanford-Corcoran

    California · 76641

    Office

    $107.01

    Facility

    Unavailable

    $7.81 lower than Manhattan for the office setting.

  • Madera

    California · 76641

    Office

    $107.01

    Facility

    Unavailable

    $7.81 lower than Manhattan for the office setting.

  • Merced

    California · 76641

    Office

    $107.01

    Facility

    Unavailable

    $7.81 lower than Manhattan for the office setting.

  • Modesto

    California · 76641

    Office

    $107.01

    Facility

    Unavailable

    $7.81 lower than Manhattan for the office setting.

  • Napa

    California · 76641

    Office

    $124.67

    Facility

    Unavailable

    $9.85 higher than Manhattan for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 76641

    Office

    $113.85

    Facility

    Unavailable

    $0.97 lower than Manhattan for the office setting.

  • Redding

    California · 76641

    Office

    $107.01

    Facility

    Unavailable

    $7.81 lower than Manhattan for the office setting.

  • Rest Of California

    California · 76641

    Office

    $107.01

    Facility

    Unavailable

    $7.81 lower than Manhattan for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 76641

    Office

    $107.57

    Facility

    Unavailable

    $7.25 lower than Manhattan for the office setting.

  • Sacramento-Roseville-Folsom

    California · 76641

    Office

    $112.48

    Facility

    Unavailable

    $2.34 lower than Manhattan for the office setting.

  • Salinas

    California · 76641

    Office

    $112.06

    Facility

    Unavailable

    $2.76 lower than Manhattan for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 76641

    Office

    $114.81

    Facility

    Unavailable

    $0.01 lower than Manhattan for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 76641

    Office

    $132.23

    Facility

    Unavailable

    $17.41 higher than Manhattan for the office setting.

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

    California · 76641

    Office

    $132.17

    Facility

    Unavailable

    $17.35 higher than Manhattan for the office setting.

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

    California · 76641

    Office

    $135.11

    Facility

    Unavailable

    $20.29 higher than Manhattan for the office setting.

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

    California · 76641

    Office

    $134.87

    Facility

    Unavailable

    $20.05 higher than Manhattan for the office setting.

  • San Luis Obispo-Paso Robles

    California · 76641

    Office

    $110.23

    Facility

    Unavailable

    $4.59 lower than Manhattan for the office setting.

  • Santa Cruz-Watsonville

    California · 76641

    Office

    $116.01

    Facility

    Unavailable

    $1.19 higher than Manhattan for the office setting.

  • Santa Maria-Santa Barbara

    California · 76641

    Office

    $112.51

    Facility

    Unavailable

    $2.31 lower than Manhattan for the office setting.

  • Santa Rosa-Petaluma

    California · 76641

    Office

    $117.20

    Facility

    Unavailable

    $2.38 higher than Manhattan for the office setting.

  • Stockton

    California · 76641

    Office

    $107.01

    Facility

    Unavailable

    $7.81 lower than Manhattan for the office setting.

  • Vallejo

    California · 76641

    Office

    $124.59

    Facility

    Unavailable

    $9.77 higher than Manhattan for the office setting.

  • Visalia

    California · 76641

    Office

    $107.01

    Facility

    Unavailable

    $7.81 lower than Manhattan for the office setting.

  • Yuba City

    California · 76641

    Office

    $107.01

    Facility

    Unavailable

    $7.81 lower than Manhattan for the office setting.

  • Colorado

    Colorado · 76641

    Office

    $104.91

    Facility

    Unavailable

    $9.91 lower than Manhattan for the office setting.

  • Connecticut

    Connecticut · 76641

    Office

    $106.79

    Facility

    Unavailable

    $8.03 lower than Manhattan for the office setting.

  • Delaware

    Delaware · 76641

    Office

    $99.25

    Facility

    Unavailable

    $15.57 lower than Manhattan for the office setting.

  • Fort Lauderdale

    Florida · 76641

    Office

    $102.52

    Facility

    Unavailable

    $12.30 lower than Manhattan for the office setting.

  • Rest Of Florida

    Florida · 76641

    Office

    $97.75

    Facility

    Unavailable

    $17.07 lower than Manhattan for the office setting.

  • Atlanta

    Georgia · 76641

    Office

    $101.81

    Facility

    Unavailable

    $13.01 lower than Manhattan for the office setting.

  • Rest Of Georgia

    Georgia · 76641

    Office

    $92.44

    Facility

    Unavailable

    $22.38 lower than Manhattan for the office setting.

  • Hawaii, Guam

    Hawaii · 76641

    Office

    $109.75

    Facility

    Unavailable

    $5.07 lower than Manhattan for the office setting.

  • Iowa

    Iowa · 76641

    Office

    $92.84

    Facility

    Unavailable

    $21.98 lower than Manhattan for the office setting.

  • Idaho

    Idaho · 76641

    Office

    $93.34

    Facility

    Unavailable

    $21.48 lower than Manhattan for the office setting.

  • East St. Louis

    Illinois · 76641

    Office

    $95.91

    Facility

    Unavailable

    $18.91 lower than Manhattan for the office setting.

  • Rest Of Illinois

    Illinois · 76641

    Office

    $94.63

    Facility

    Unavailable

    $20.19 lower than Manhattan for the office setting.

  • Suburban Chicago

    Illinois · 76641

    Office

    $103.68

    Facility

    Unavailable

    $11.14 lower than Manhattan for the office setting.

  • Indiana

    Indiana · 76641

    Office

    $93.88

    Facility

    Unavailable

    $20.94 lower than Manhattan for the office setting.

  • Kansas

    Kansas · 76641

    Office

    $92.19

    Facility

    Unavailable

    $22.63 lower than Manhattan for the office setting.

  • Kentucky

    Kentucky · 76641

    Office

    $91.76

    Facility

    Unavailable

    $23.06 lower than Manhattan for the office setting.

  • New Orleans

    Louisiana · 76641

    Office

    $96.02

    Facility

    Unavailable

    $18.80 lower than Manhattan for the office setting.

  • Rest Of Louisiana

    Louisiana · 76641

    Office

    $91.53

    Facility

    Unavailable

    $23.29 lower than Manhattan for the office setting.

  • Metropolitan Boston

    Massachusetts · 76641

    Office

    $115.51

    Facility

    Unavailable

    $0.69 higher than Manhattan for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 76641

    Office

    $104.21

    Facility

    Unavailable

    $10.61 lower than Manhattan for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 76641

    Office

    $106.44

    Facility

    Unavailable

    $8.38 lower than Manhattan for the office setting.

  • Rest Of Maryland

    Maryland · 76641

    Office

    $101.20

    Facility

    Unavailable

    $13.62 lower than Manhattan for the office setting.

  • Rest Of Maine

    Maine · 76641

    Office

    $93.59

    Facility

    Unavailable

    $21.23 lower than Manhattan for the office setting.

  • Southern Maine

    Maine · 76641

    Office

    $98.91

    Facility

    Unavailable

    $15.91 lower than Manhattan for the office setting.

  • Detroit

    Michigan · 76641

    Office

    $98.73

    Facility

    Unavailable

    $16.09 lower than Manhattan for the office setting.

  • Rest Of Michigan

    Michigan · 76641

    Office

    $93.91

    Facility

    Unavailable

    $20.91 lower than Manhattan for the office setting.

  • Minnesota

    Minnesota · 76641

    Office

    $101.20

    Facility

    Unavailable

    $13.62 lower than Manhattan for the office setting.

  • Metropolitan Kansas City

    Missouri · 76641

    Office

    $95.60

    Facility

    Unavailable

    $19.22 lower than Manhattan for the office setting.

  • Metropolitan St. Louis

    Missouri · 76641

    Office

    $96.61

    Facility

    Unavailable

    $18.21 lower than Manhattan for the office setting.

  • Rest Of Missouri

    Missouri · 76641

    Office

    $89.83

    Facility

    Unavailable

    $24.99 lower than Manhattan for the office setting.

  • Mississippi

    Mississippi · 76641

    Office

    $89.37

    Facility

    Unavailable

    $25.45 lower than Manhattan for the office setting.

  • Montana**

    Montana · 76641

    Office

    $100.20

    Facility

    Unavailable

    $14.62 lower than Manhattan for the office setting.

  • North Carolina

    North Carolina · 76641

    Office

    $94.59

    Facility

    Unavailable

    $20.23 lower than Manhattan for the office setting.

  • North Dakota**

    North Dakota · 76641

    Office

    $99.21

    Facility

    Unavailable

    $15.61 lower than Manhattan for the office setting.

  • Nebraska

    Nebraska · 76641

    Office

    $93.40

    Facility

    Unavailable

    $21.42 lower than Manhattan for the office setting.

  • New Hampshire

    New Hampshire · 76641

    Office

    $103.06

    Facility

    Unavailable

    $11.76 lower than Manhattan for the office setting.

  • Northern Nj

    New Jersey · 76641

    Office

    $113.78

    Facility

    Unavailable

    $1.04 lower than Manhattan for the office setting.

  • Rest Of New Jersey

    New Jersey · 76641

    Office

    $108.20

    Facility

    Unavailable

    $6.62 lower than Manhattan for the office setting.

  • New Mexico

    New Mexico · 76641

    Office

    $94.33

    Facility

    Unavailable

    $20.49 lower than Manhattan for the office setting.

  • Nevada**

    Nevada · 76641

    Office

    $100.00

    Facility

    Unavailable

    $14.82 lower than Manhattan for the office setting.

  • Ohio

    Ohio · 76641

    Office

    $93.71

    Facility

    Unavailable

    $21.11 lower than Manhattan for the office setting.

  • Oklahoma

    Oklahoma · 76641

    Office

    $91.82

    Facility

    Unavailable

    $23.00 lower than Manhattan for the office setting.

  • Portland

    Oregon · 76641

    Office

    $108.46

    Facility

    Unavailable

    $6.36 lower than Manhattan for the office setting.

  • Rest Of Oregon

    Oregon · 76641

    Office

    $99.41

    Facility

    Unavailable

    $15.41 lower than Manhattan for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 76641

    Office

    $104.02

    Facility

    Unavailable

    $10.80 lower than Manhattan for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 76641

    Office

    $93.98

    Facility

    Unavailable

    $20.84 lower than Manhattan for the office setting.

  • Puerto Rico

    Puerto Rico · 76641

    Office

    $101.00

    Facility

    Unavailable

    $13.82 lower than Manhattan for the office setting.

  • Rhode Island

    Rhode Island · 76641

    Office

    $102.94

    Facility

    Unavailable

    $11.88 lower than Manhattan for the office setting.

  • South Carolina

    South Carolina · 76641

    Office

    $94.27

    Facility

    Unavailable

    $20.55 lower than Manhattan for the office setting.

  • South Dakota**

    South Dakota · 76641

    Office

    $99.09

    Facility

    Unavailable

    $15.73 lower than Manhattan for the office setting.

  • Tennessee

    Tennessee · 76641

    Office

    $92.62

    Facility

    Unavailable

    $22.20 lower than Manhattan for the office setting.

  • Austin

    Texas · 76641

    Office

    $104.40

    Facility

    Unavailable

    $10.42 lower than Manhattan for the office setting.

  • Beaumont

    Texas · 76641

    Office

    $93.35

    Facility

    Unavailable

    $21.47 lower than Manhattan for the office setting.

  • Brazoria

    Texas · 76641

    Office

    $99.35

    Facility

    Unavailable

    $15.47 lower than Manhattan for the office setting.

  • Dallas

    Texas · 76641

    Office

    $99.88

    Facility

    Unavailable

    $14.94 lower than Manhattan for the office setting.

  • Fort Worth

    Texas · 76641

    Office

    $99.15

    Facility

    Unavailable

    $15.67 lower than Manhattan for the office setting.

  • Galveston

    Texas · 76641

    Office

    $99.58

    Facility

    Unavailable

    $15.24 lower than Manhattan for the office setting.

  • Houston

    Texas · 76641

    Office

    $100.50

    Facility

    Unavailable

    $14.32 lower than Manhattan for the office setting.

  • Rest Of Texas

    Texas · 76641

    Office

    $96.22

    Facility

    Unavailable

    $18.60 lower than Manhattan for the office setting.

  • Utah

    Utah · 76641

    Office

    $95.54

    Facility

    Unavailable

    $19.28 lower than Manhattan for the office setting.

  • Virginia

    Virginia · 76641

    Office

    $98.44

    Facility

    Unavailable

    $16.38 lower than Manhattan for the office setting.

  • Virgin Islands

    United States Virgin Islands · 76641

    Office

    $101.00

    Facility

    Unavailable

    $13.82 lower than Manhattan for the office setting.

  • Vermont

    Vermont · 76641

    Office

    $98.63

    Facility

    Unavailable

    $16.19 lower than Manhattan for the office setting.

  • Rest Of Washington

    Washington · 76641

    Office

    $104.08

    Facility

    Unavailable

    $10.74 lower than Manhattan for the office setting.

  • Seattle (King Cnty)

    Washington · 76641

    Office

    $118.07

    Facility

    Unavailable

    $3.25 higher than Manhattan for the office setting.

  • Wisconsin

    Wisconsin · 76641

    Office

    $95.90

    Facility

    Unavailable

    $18.92 lower than Manhattan for the office setting.

  • West Virginia

    West Virginia · 76641

    Office

    $91.12

    Facility

    Unavailable

    $23.70 lower than Manhattan for the office setting.

  • Wyoming**

    Wyoming · 76641

    Office

    $99.77

    Facility

    Unavailable

    $15.05 lower than Manhattan for the office setting.

See how rates vary across the country

76641 · 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.

$88.84

$121.06

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$116.171
AL$90.131
AR$88.841
AZ$97.641
CA$107.01–$135.1129
CO$104.911
CT$106.791
DC$114.991
DE$99.251
FL$97.75–$105.823
GA$92.44–$101.812
GU$109.751
HI$109.751
IA$92.841
ID$93.341
IL$94.63–$103.684
IN$93.881
KS$92.191
KY$91.761
LA$91.53–$96.022
MA$104.21–$115.512
MD$101.20–$114.993
ME$93.59–$98.912
MI$93.91–$98.732
MN$101.201
MO$89.83–$96.613
MS$89.371
MT$100.201
NC$94.591
ND$99.211
NE$93.401
NH$103.061
NJ$108.20–$113.782
NM$94.331
NV$100.001
NY$95.97–$117.295
OH$93.711
OK$91.821
OR$99.41–$108.462
PA$93.98–$104.022
PR$101.001
RI$102.941
SC$94.271
SD$99.091
TN$92.621
TX$93.35–$104.408
UT$95.541
VA$98.44–$114.992
VI$101.001
VT$98.631
WA$104.08–$118.072
WI$95.901
WV$91.121
WY$99.771

Explore 76641 on the national rate map →

Where does this rate apply?

Manhattan is a Medicare payment area. Our Census mapping connects it to 1 cities and communities in New York, 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 New York →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 76641 in Manhattan. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$126.30

$114.82 × 110% = $126.30

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 76641 in Manhattan.

PPRRVU2026_Oct_nonQPP.csv

8,736

Code
76641
Physician work
0.71
Practice expense
2.24
Malpractice
0.05

GPCI2026.csv

78

Locality
Manhattan
Physician work
1.064
Practice expense
1.162
Malpractice
1.586
Office / nonfacility calculation for 76641 in Manhattan
ComponentRVULocality factorAdjusted
Physician work0.71× 1.0640.7554
Practice expense2.24× 1.1622.6029
Malpractice0.05× 1.5860.0793
Total RVUs3.4376
Conversion factor× 33.4009

Office / nonfacility rate, Manhattan$114.82

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

Open 76641 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.711.064
Practice expense2.241.162
Malpractice0.051.586

(0.71 × 1.064 + 2.24 × 1.162 + 0.05 × 1.586) × $33.4009 = $114.82

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

76641 · Office / nonfacility

$114.82

Effective 2026-10-01

The base rate is $1.00 higher than on 2025-10-01, moving from $113.82 to $114.82 (0.9%).

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

    $113.82changed to$114.82

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.73 changed to 0.71
    • Practice expense RVU 2.28 changed to 2.24
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.166 changed to 1.162
    • Malpractice GPCI 1.656 changed to 1.586

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $113.82

    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$114.82Not available in this settingRVU26D
2026-07-01$114.82Not available in this settingRVU26C
2026-04-01$114.82Not available in this settingRVU26B
2026-01-01$114.82Not available in this settingRVU26A
2025-10-01$113.82Not available in this settingRVU25D
2025-07-01$113.82Not available in this settingRVU25C
2025-04-01$113.82Not available in this settingRVU25B
2025-01-01$113.82Not available in this settingRVU25A

76641 billing questions

When should 76641 be selected instead of 76642?

Use 76641 when the examination covers all four quadrants and the retroareolar region. A study limited to one or more areas, but not the complete breast, is reported with 76642.

How is a bilateral complete breast ultrasound reported?

Report the bilateral service with modifier 50. CMS pays the bilateral procedure at 150%.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion. Without either modifier, the claim represents the global service.

What documentation supports a complete examination?

The imaging report should identify the breast examined, document evaluation of all four quadrants and the retroareolar region, and include the findings and interpretation. Document axillary evaluation when performed.

Can diagnostic mammography be reported on the same date?

Diagnostic mammography may be performed during the same encounter when clinically indicated, such as evaluation of a breast symptom or imaging finding. The mammography report should document that separate examination.

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 76641PPRRVU2026_Oct_nonQPP.csv, line 8,736 (RVU26D)
Geographic factors for ManhattanGPCI2026.csv, line 78 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet