FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

76811 in Merced

Office / nonfacility

$192.57

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 76811: Detailed single-gestation fetal anatomy ultrasound

Detailed obstetric ultrasound evaluates fetal anatomy and maternal-fetal status in a single gestation, typically when a comprehensive structural survey is indicated.

This transabdominal ultrasound provides a detailed survey of fetal anatomy along with maternal and fetal evaluation. It is commonly performed in the mid-trimester when a structural anomaly is suspected, a prior pregnancy involved a fetal anomaly, or screening findings support a comprehensive anatomic assessment. Obstetric sonographers acquire and document the images; an obstetrician, maternal-fetal medicine specialist, or radiologist interprets the study and reports the findings.

Select this code for a detailed anatomic examination of one gestation, rather than a routine complete survey, a limited study, or a follow-up scan. The report should document the examination performed, image findings, and clinical reason for the detailed assessment. CMS recognizes professional and technical components: append modifier 26 for interpretation only, modifier TC for equipment and staff only, or bill without either modifier for the global service when both components are furnished. For multiple gestations, 76812 describes the detailed examination of an additional fetus.

CMS billing rules for 76811

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 RVU1.85 · 34%
  • Practice expense (office) RVU3.49 · 64%
  • Malpractice RVU0.11 · 2%

2.8K

Medicare services in 2024 · #2224 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.

76811 compared with similar codes

Office rates for Merced, from the same CMS release.

76805

Obstetric ultrasound

Single fetus, 14 weeks or later

$145.12

76805 is the routine complete survey at or after 14 weeks; 76811 is selected when a detailed fetal anatomic examination is performed.

76812

Detailed OB ultrasound

Each additional fetus

$206.59

76811 covers the detailed examination for one gestation; 76812 is used for each additional fetus in a multiple gestation.

76816

Obstetric ultrasound

Follow-up, each fetus

$118.78

76816 is for a follow-up study, such as reassessing growth or a finding. It does not represent the detailed anatomic survey described by 76811.

76813

Nuchal translucency

Single or first gestation

$122.32

76813 measures nuchal translucency as part of a first-trimester screening examination; 76811 is a detailed fetal anatomy study.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 76811 is $192.96—$0.39 higher than the $192.57 rate in Merced. Both use the same code, release and participation basis.

76811 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $192.57

  2. Bakersfield

    $192.96

    $0.39 higher than Merced

  3. Chico

    $192.57

    The same base rate than Merced

  4. El Centro

    $192.59

    $0.02 higher than Merced

  5. Fresno

    $192.57

    The same base rate than Merced

  6. Hanford-Corcoran

    $192.57

    The same base rate than Merced

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

    $204.67

    $12.10 higher than Merced

Other payment areas listed in California 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, 76811 ranges from $163.82 in Arkansas to $238.65 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

  • Madera

    California · 76811

    Office

    $192.57

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Modesto

    California · 76811

    Office

    $192.57

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Napa

    California · 76811

    Office

    $221.19

    Facility

    Unavailable

    $28.62 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 76811

    Office

    $203.60

    Facility

    Unavailable

    $11.03 higher than Merced for the office setting.

  • Redding

    California · 76811

    Office

    $192.57

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 76811

    Office

    $192.57

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 76811

    Office

    $193.80

    Facility

    Unavailable

    $1.23 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 76811

    Office

    $201.56

    Facility

    Unavailable

    $8.99 higher than Merced for the office setting.

  • Salinas

    California · 76811

    Office

    $200.78

    Facility

    Unavailable

    $8.21 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 76811

    Office

    $205.05

    Facility

    Unavailable

    $12.48 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 76811

    Office

    $233.71

    Facility

    Unavailable

    $41.14 higher than Merced for the office setting.

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

    California · 76811

    Office

    $233.59

    Facility

    Unavailable

    $41.02 higher than Merced for the office setting.

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

    California · 76811

    Office

    $238.65

    Facility

    Unavailable

    $46.08 higher than Merced for the office setting.

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

    California · 76811

    Office

    $238.14

    Facility

    Unavailable

    $45.57 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 76811

    Office

    $197.58

    Facility

    Unavailable

    $5.01 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 76811

    Office

    $206.69

    Facility

    Unavailable

    $14.12 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 76811

    Office

    $201.41

    Facility

    Unavailable

    $8.84 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 76811

    Office

    $208.76

    Facility

    Unavailable

    $16.19 higher than Merced for the office setting.

  • Stockton

    California · 76811

    Office

    $192.57

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 76811

    Office

    $221.01

    Facility

    Unavailable

    $28.44 higher than Merced for the office setting.

  • Visalia

    California · 76811

    Office

    $192.57

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 76811

    Office

    $192.57

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 76811

    Office

    $206.54

    Facility

    Unavailable

    $13.97 higher than Merced for the office setting.

  • Miami

    Florida · 76811

    Office

    $192.43

    Facility

    Unavailable

    $0.14 lower than Merced for the office setting.

  • Chicago

    Illinois · 76811

    Office

    $187.81

    Facility

    Unavailable

    $4.76 lower than Merced for the office setting.

  • Manhattan

    New York · 76811

    Office

    $207.03

    Facility

    Unavailable

    $14.46 higher than Merced for the office setting.

  • Alaska*

    Alaska · 76811

    Office

    $218.86

    Facility

    Unavailable

    $26.29 higher than Merced for the office setting.

  • Alabama

    Alabama · 76811

    Office

    $165.87

    Facility

    Unavailable

    $26.70 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 76811

    Office

    $163.82

    Facility

    Unavailable

    $28.75 lower than Merced for the office setting.

  • Arizona

    Arizona · 76811

    Office

    $177.89

    Facility

    Unavailable

    $14.68 lower than Merced for the office setting.

  • Colorado

    Colorado · 76811

    Office

    $189.43

    Facility

    Unavailable

    $3.14 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 76811

    Office

    $193.02

    Facility

    Unavailable

    $0.45 higher than Merced for the office setting.

  • Delaware

    Delaware · 76811

    Office

    $180.57

    Facility

    Unavailable

    $12.00 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 76811

    Office

    $186.52

    Facility

    Unavailable

    $6.05 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 76811

    Office

    $178.75

    Facility

    Unavailable

    $13.82 lower than Merced for the office setting.

  • Atlanta

    Georgia · 76811

    Office

    $184.82

    Facility

    Unavailable

    $7.75 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 76811

    Office

    $170.15

    Facility

    Unavailable

    $22.42 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 76811

    Office

    $196.46

    Facility

    Unavailable

    $3.89 higher than Merced for the office setting.

  • Iowa

    Iowa · 76811

    Office

    $169.91

    Facility

    Unavailable

    $22.66 lower than Merced for the office setting.

  • Idaho

    Idaho · 76811

    Office

    $170.77

    Facility

    Unavailable

    $21.80 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 76811

    Office

    $176.43

    Facility

    Unavailable

    $16.14 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 76811

    Office

    $173.96

    Facility

    Unavailable

    $18.61 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 76811

    Office

    $188.45

    Facility

    Unavailable

    $4.12 lower than Merced for the office setting.

  • Indiana

    Indiana · 76811

    Office

    $171.64

    Facility

    Unavailable

    $20.93 lower than Merced for the office setting.

  • Kansas

    Kansas · 76811

    Office

    $169.02

    Facility

    Unavailable

    $23.55 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 76811

    Office

    $168.78

    Facility

    Unavailable

    $23.79 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 76811

    Office

    $175.66

    Facility

    Unavailable

    $16.91 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 76811

    Office

    $168.48

    Facility

    Unavailable

    $24.09 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 76811

    Office

    $206.78

    Facility

    Unavailable

    $14.21 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 76811

    Office

    $188.46

    Facility

    Unavailable

    $4.11 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 76811

    Office

    $192.40

    Facility

    Unavailable

    $0.17 lower than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 76811

    Office

    $183.75

    Facility

    Unavailable

    $8.82 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 76811

    Office

    $171.32

    Facility

    Unavailable

    $21.25 lower than Merced for the office setting.

  • Southern Maine

    Maine · 76811

    Office

    $179.63

    Facility

    Unavailable

    $12.94 lower than Merced for the office setting.

  • Detroit

    Michigan · 76811

    Office

    $180.48

    Facility

    Unavailable

    $12.09 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 76811

    Office

    $172.37

    Facility

    Unavailable

    $20.20 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 76811

    Office

    $182.83

    Facility

    Unavailable

    $9.74 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 76811

    Office

    $174.84

    Facility

    Unavailable

    $17.73 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 76811

    Office

    $176.45

    Facility

    Unavailable

    $16.12 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 76811

    Office

    $165.85

    Facility

    Unavailable

    $26.72 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 76811

    Office

    $164.87

    Facility

    Unavailable

    $27.70 lower than Merced for the office setting.

  • Montana**

    Montana · 76811

    Office

    $182.03

    Facility

    Unavailable

    $10.54 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 76811

    Office

    $172.90

    Facility

    Unavailable

    $19.67 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 76811

    Office

    $179.85

    Facility

    Unavailable

    $12.72 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 76811

    Office

    $170.77

    Facility

    Unavailable

    $21.80 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 76811

    Office

    $186.35

    Facility

    Unavailable

    $6.22 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 76811

    Office

    $204.83

    Facility

    Unavailable

    $12.26 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 76811

    Office

    $195.59

    Facility

    Unavailable

    $3.02 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 76811

    Office

    $173.10

    Facility

    Unavailable

    $19.47 lower than Merced for the office setting.

  • Nevada**

    Nevada · 76811

    Office

    $181.54

    Facility

    Unavailable

    $11.03 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 76811

    Office

    $211.17

    Facility

    Unavailable

    $18.60 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 76811

    Office

    $196.66

    Facility

    Unavailable

    $4.09 higher than Merced for the office setting.

  • Queens

    New York · 76811

    Office

    $208.83

    Facility

    Unavailable

    $16.26 higher than Merced for the office setting.

  • Rest Of New York

    New York · 76811

    Office

    $175.12

    Facility

    Unavailable

    $17.45 lower than Merced for the office setting.

  • Ohio

    Ohio · 76811

    Office

    $171.92

    Facility

    Unavailable

    $20.65 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 76811

    Office

    $168.74

    Facility

    Unavailable

    $23.83 lower than Merced for the office setting.

  • Portland

    Oregon · 76811

    Office

    $195.02

    Facility

    Unavailable

    $2.45 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 76811

    Office

    $180.48

    Facility

    Unavailable

    $12.09 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 76811

    Office

    $188.64

    Facility

    Unavailable

    $3.93 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 76811

    Office

    $172.27

    Facility

    Unavailable

    $20.30 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 76811

    Office

    $183.26

    Facility

    Unavailable

    $9.31 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 76811

    Office

    $186.66

    Facility

    Unavailable

    $5.91 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 76811

    Office

    $172.62

    Facility

    Unavailable

    $19.95 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 76811

    Office

    $179.60

    Facility

    Unavailable

    $12.97 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 76811

    Office

    $169.73

    Facility

    Unavailable

    $22.84 lower than Merced for the office setting.

  • Austin

    Texas · 76811

    Office

    $188.50

    Facility

    Unavailable

    $4.07 lower than Merced for the office setting.

  • Beaumont

    Texas · 76811

    Office

    $171.28

    Facility

    Unavailable

    $21.29 lower than Merced for the office setting.

  • Brazoria

    Texas · 76811

    Office

    $180.67

    Facility

    Unavailable

    $11.90 lower than Merced for the office setting.

  • Dallas

    Texas · 76811

    Office

    $181.60

    Facility

    Unavailable

    $10.97 lower than Merced for the office setting.

  • Fort Worth

    Texas · 76811

    Office

    $180.49

    Facility

    Unavailable

    $12.08 lower than Merced for the office setting.

  • Galveston

    Texas · 76811

    Office

    $181.08

    Facility

    Unavailable

    $11.49 lower than Merced for the office setting.

  • Houston

    Texas · 76811

    Office

    $183.09

    Facility

    Unavailable

    $9.48 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 76811

    Office

    $175.73

    Facility

    Unavailable

    $16.84 lower than Merced for the office setting.

  • Utah

    Utah · 76811

    Office

    $174.67

    Facility

    Unavailable

    $17.90 lower than Merced for the office setting.

  • Virginia

    Virginia · 76811

    Office

    $178.97

    Facility

    Unavailable

    $13.60 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 76811

    Office

    $183.26

    Facility

    Unavailable

    $9.31 lower than Merced for the office setting.

  • Vermont

    Vermont · 76811

    Office

    $179.05

    Facility

    Unavailable

    $13.52 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 76811

    Office

    $188.14

    Facility

    Unavailable

    $4.43 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 76811

    Office

    $210.91

    Facility

    Unavailable

    $18.34 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 76811

    Office

    $174.60

    Facility

    Unavailable

    $17.97 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 76811

    Office

    $168.35

    Facility

    Unavailable

    $24.22 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 76811

    Office

    $181.08

    Facility

    Unavailable

    $11.49 lower than Merced for the office setting.

See how rates vary across the country

76811 · 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.

$163.82

$218.86

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$218.861
AL$165.871
AR$163.821
AZ$177.891
CA$192.57–$238.6529
CO$189.431
CT$193.021
DC$206.541
DE$180.571
FL$178.75–$192.433
GA$170.15–$184.822
GU$196.461
HI$196.461
IA$169.911
ID$170.771
IL$173.96–$188.454
IN$171.641
KS$169.021
KY$168.781
LA$168.48–$175.662
MA$188.46–$206.782
MD$183.75–$206.543
ME$171.32–$179.632
MI$172.37–$180.482
MN$182.831
MO$165.85–$176.453
MS$164.871
MT$182.031
NC$172.901
ND$179.851
NE$170.771
NH$186.351
NJ$195.59–$204.832
NM$173.101
NV$181.541
NY$175.12–$211.175
OH$171.921
OK$168.741
OR$180.48–$195.022
PA$172.27–$188.642
PR$183.261
RI$186.661
SC$172.621
SD$179.601
TN$169.731
TX$171.28–$188.508
UT$174.671
VA$178.97–$206.542
VI$183.261
VT$179.051
WA$188.14–$210.912
WI$174.601
WV$168.351
WY$181.081

Explore 76811 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 cities and communities in California, 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 California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 76811 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$211.83

$192.57 × 110% = $211.83

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 76811 in Merced.

PPRRVU2026_Oct_nonQPP.csv

8,775

Code
76811
Physician work
1.85
Practice expense
3.49
Malpractice
0.11

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 76811 in Merced
ComponentRVULocality factorAdjusted
Physician work1.85× 1.0171.8814
Practice expense3.49× 1.0963.8250
Malpractice0.11× 0.5360.0590
Total RVUs5.7655
Conversion factor× 33.4009

Office / nonfacility rate, Merced$192.57

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

Open 76811 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.851.017
Practice expense3.491.096
Malpractice0.110.536

(1.85 × 1.017 + 3.49 × 1.096 + 0.11 × 0.536) × $33.4009 = $192.57

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

76811 · Office / nonfacility

$192.57

Effective 2026-10-01

The base rate is $10.54 higher than on 2025-10-01, moving from $182.03 to $192.57 (5.8%).

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

    $182.03changed to$192.57

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.90 changed to 1.85
    • Practice expense RVU 3.35 changed to 3.49
    • Malpractice RVU 0.07 changed to 0.11
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $182.03

    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$192.57Not available in this settingRVU26D
2026-07-01$192.57Not available in this settingRVU26C
2026-04-01$192.57Not available in this settingRVU26B
2026-01-01$192.57Not available in this settingRVU26A
2025-10-01$182.03Not available in this settingRVU25D
2025-07-01$182.03Not available in this settingRVU25C
2025-04-01$182.03Not available in this settingRVU25B
2025-01-01$182.03Not available in this settingRVU25A

76811 billing questions

How does this differ from 76805?

Use 76811 for a detailed fetal anatomic survey of a single gestation. Code 76805 describes a routine complete obstetric ultrasound at or after 14 weeks.

Can 76811 and 76805 be reported for the same examination?

Do not report both codes to describe the same complete examination. Choose the code that matches the documented scope: detailed anatomic assessment or routine complete survey.

How are the professional and technical services reported?

Report modifier 26 for the interpretation, modifier TC for the technical service, or neither modifier when billing the global service.

What code applies to an additional fetus in a multiple gestation?

Code 76812 describes the detailed anatomic examination for an additional fetus when 76811 is reported for the primary fetus.

What documentation supports selecting 76811?

Document the clinical reason for a detailed survey, the fetal anatomy evaluated, image findings, and the number of gestations examined.

When is 76816 a better fit?

Use 76816 for a follow-up obstetric ultrasound, such as reassessment of growth or previously evaluated findings, rather than a detailed anatomic survey.

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 76811PPRRVU2026_Oct_nonQPP.csv, line 8,775 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet