76982 assesses a focal target lesion; 76981 assesses parenchyma, such as liver tissue, rather than a specific lesion.
On this page
CMS RVU26D · Effective 2026-10-01
76982 in Merced
Office / nonfacility
$99.12
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.
Ultrasound imaging
About 76982: Targeted lesion ultrasound elastography
Reports ultrasound elastography of the first focal target lesion, assessing tissue stiffness in settings such as breast or liver imaging.
This service uses ultrasound elastography to assess the stiffness of a specific focal lesion, such as a breast or liver lesion. The sonographic acquisition and physician interpretation may occur in a hospital imaging department or an outpatient imaging practice. It is distinct from elastography directed at diffuse organ parenchyma: this code identifies the first target lesion examined.
Report 76982 for the first target lesion; report 76983 for each additional target lesion when performed. Documentation should identify the lesion assessed and support the elastography findings with the imaging record and interpretation. The service may be billed globally or split: modifier 26 represents the professional interpretation, while modifier TC represents the technical service, including equipment and staff. Diagnostic imaging multiple procedure reduction applies to both the professional and technical components.
CMS billing rules for 76982
- 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 · 21%
- Practice expense (office) RVU2.15 · 78%
- Malpractice RVU0.04 · 1%
5.3K
Medicare services in 2024 · #1836 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.
76982 compared with similar codes
Office rates for Merced, from the same CMS release.
76982 is reported for the first target lesion. 76983 is the add-on for each additional target lesion.
76982 measures tissue stiffness with elastography. 76978 uses microbubble contrast to assess lesion enhancement.
The same code, a different location
How does Merced compare?
In Bakersfield, the office rate for 76982 is $99.26—$0.14 higher than the $99.12 rate in Merced. Both use the same code, release and participation basis.
76982 across payment areas
Same release and payment basis · bars start at $0
Merced · This locality
$99.12
$99.26
$0.14 higher than Merced
$99.12
The same base rate than Merced
$99.13
$0.01 higher than Merced
$99.12
The same base rate than Merced
$99.12
The same base rate than Merced
$6.89 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, 76982 ranges from $81.75 in Arkansas to $125.77 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 · 76982
Office
$99.12
Facility
Unavailable
The same base rate than Merced for the office setting.
Modesto
California · 76982
Office
$99.12
Facility
Unavailable
The same base rate than Merced for the office setting.
Napa
California · 76982
Office
$115.92
Facility
Unavailable
$16.80 higher than Merced for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 76982
Office
$105.63
Facility
Unavailable
$6.51 higher than Merced for the office setting.
Redding
California · 76982
Office
$99.12
Facility
Unavailable
The same base rate than Merced for the office setting.
Rest Of California
California · 76982
Office
$99.12
Facility
Unavailable
The same base rate than Merced for the office setting.
Riverside-San Bernardino-Ontario
California · 76982
Office
$99.57
Facility
Unavailable
$0.45 higher than Merced for the office setting.
Sacramento-Roseville-Folsom
California · 76982
Office
$104.30
Facility
Unavailable
$5.18 higher than Merced for the office setting.
Salinas
California · 76982
Office
$103.92
Facility
Unavailable
$4.80 higher than Merced for the office setting.
San Diego-Chula Vista-Carlsbad
California · 76982
Office
$106.56
Facility
Unavailable
$7.44 higher than Merced for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 76982
Office
$123.08
Facility
Unavailable
$23.96 higher than Merced for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 76982
Office
$123.04
Facility
Unavailable
$23.92 higher than Merced for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 76982
Office
$125.77
Facility
Unavailable
$26.65 higher than Merced for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 76982
Office
$125.59
Facility
Unavailable
$26.47 higher than Merced for the office setting.
San Luis Obispo-Paso Robles
California · 76982
Office
$102.21
Facility
Unavailable
$3.09 higher than Merced for the office setting.
Santa Cruz-Watsonville
California · 76982
Office
$107.75
Facility
Unavailable
$8.63 higher than Merced for the office setting.
Santa Maria-Santa Barbara
California · 76982
Office
$104.36
Facility
Unavailable
$5.24 higher than Merced for the office setting.
Santa Rosa-Petaluma
California · 76982
Office
$108.85
Facility
Unavailable
$9.73 higher than Merced for the office setting.
Stockton
California · 76982
Office
$99.12
Facility
Unavailable
The same base rate than Merced for the office setting.
Vallejo
California · 76982
Office
$115.85
Facility
Unavailable
$16.73 higher than Merced for the office setting.
Visalia
California · 76982
Office
$99.12
Facility
Unavailable
The same base rate than Merced for the office setting.
Yuba City
California · 76982
Office
$99.12
Facility
Unavailable
The same base rate than Merced for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 76982
Office
$106.50
Facility
Unavailable
$7.38 higher than Merced for the office setting.
Miami
Florida · 76982
Office
$97.51
Facility
Unavailable
$1.61 lower than Merced for the office setting.
Chicago
Illinois · 76982
Office
$94.75
Facility
Unavailable
$4.37 lower than Merced for the office setting.
Manhattan
New York · 76982
Office
$106.18
Facility
Unavailable
$7.06 higher than Merced for the office setting.
Alaska*
Alaska · 76982
Office
$106.27
Facility
Unavailable
$7.15 higher than Merced for the office setting.
Alabama
Alabama · 76982
Office
$82.96
Facility
Unavailable
$16.16 lower than Merced for the office setting.
Arkansas
Arkansas · 76982
Office
$81.75
Facility
Unavailable
$17.37 lower than Merced for the office setting.
Arizona
Arizona · 76982
Office
$90.10
Facility
Unavailable
$9.02 lower than Merced for the office setting.
Colorado
Colorado · 76982
Office
$97.06
Facility
Unavailable
$2.06 lower than Merced for the office setting.
Connecticut
Connecticut · 76982
Office
$98.72
Facility
Unavailable
$0.40 lower than Merced for the office setting.
Delaware
Delaware · 76982
Office
$91.62
Facility
Unavailable
$7.50 lower than Merced for the office setting.
Fort Lauderdale
Florida · 76982
Office
$94.53
Facility
Unavailable
$4.59 lower than Merced for the office setting.
Rest Of Florida
Florida · 76982
Office
$90.03
Facility
Unavailable
$9.09 lower than Merced for the office setting.
Atlanta
Georgia · 76982
Office
$94.00
Facility
Unavailable
$5.12 lower than Merced for the office setting.
Rest Of Georgia
Georgia · 76982
Office
$85.02
Facility
Unavailable
$14.10 lower than Merced for the office setting.
Hawaii, Guam
Hawaii · 76982
Office
$101.80
Facility
Unavailable
$2.68 higher than Merced for the office setting.
Iowa
Iowa · 76982
Office
$85.61
Facility
Unavailable
$13.51 lower than Merced for the office setting.
Idaho
Idaho · 76982
Office
$86.07
Facility
Unavailable
$13.05 lower than Merced for the office setting.
East St. Louis
Illinois · 76982
Office
$88.13
Facility
Unavailable
$10.99 lower than Merced for the office setting.
Rest Of Illinois
Illinois · 76982
Office
$87.03
Facility
Unavailable
$12.09 lower than Merced for the office setting.
Suburban Chicago
Illinois · 76982
Office
$95.63
Facility
Unavailable
$3.49 lower than Merced for the office setting.
Indiana
Indiana · 76982
Office
$86.59
Facility
Unavailable
$12.53 lower than Merced for the office setting.
Kansas
Kansas · 76982
Office
$84.96
Facility
Unavailable
$14.16 lower than Merced for the office setting.
Kentucky
Kentucky · 76982
Office
$84.44
Facility
Unavailable
$14.68 lower than Merced for the office setting.
New Orleans
Louisiana · 76982
Office
$88.47
Facility
Unavailable
$10.65 lower than Merced for the office setting.
Rest Of Louisiana
Louisiana · 76982
Office
$84.21
Facility
Unavailable
$14.91 lower than Merced for the office setting.
Metropolitan Boston
Massachusetts · 76982
Office
$107.10
Facility
Unavailable
$7.98 higher than Merced for the office setting.
Rest Of Massachusetts
Massachusetts · 76982
Office
$96.37
Facility
Unavailable
$2.75 lower than Merced for the office setting.
Baltimore/Surr. Cntys
Maryland · 76982
Office
$98.39
Facility
Unavailable
$0.73 lower than Merced for the office setting.
Rest Of Maryland
Maryland · 76982
Office
$93.47
Facility
Unavailable
$5.65 lower than Merced for the office setting.
Rest Of Maine
Maine · 76982
Office
$86.27
Facility
Unavailable
$12.85 lower than Merced for the office setting.
Southern Maine
Maine · 76982
Office
$91.38
Facility
Unavailable
$7.74 lower than Merced for the office setting.
Detroit
Michigan · 76982
Office
$90.92
Facility
Unavailable
$8.20 lower than Merced for the office setting.
Rest Of Michigan
Michigan · 76982
Office
$86.45
Facility
Unavailable
$12.67 lower than Merced for the office setting.
Minnesota
Minnesota · 76982
Office
$93.66
Facility
Unavailable
$5.46 lower than Merced for the office setting.
Metropolitan Kansas City
Missouri · 76982
Office
$88.11
Facility
Unavailable
$11.01 lower than Merced for the office setting.
Metropolitan St. Louis
Missouri · 76982
Office
$89.08
Facility
Unavailable
$10.04 lower than Merced for the office setting.
Rest Of Missouri
Missouri · 76982
Office
$82.58
Facility
Unavailable
$16.54 lower than Merced for the office setting.
Mississippi
Mississippi · 76982
Office
$82.19
Facility
Unavailable
$16.93 lower than Merced for the office setting.
Montana**
Montana · 76982
Office
$92.52
Facility
Unavailable
$6.60 lower than Merced for the office setting.
North Carolina
North Carolina · 76982
Office
$87.23
Facility
Unavailable
$11.89 lower than Merced for the office setting.
North Dakota**
North Dakota · 76982
Office
$91.73
Facility
Unavailable
$7.39 lower than Merced for the office setting.
Nebraska
Nebraska · 76982
Office
$86.16
Facility
Unavailable
$12.96 lower than Merced for the office setting.
New Hampshire
New Hampshire · 76982
Office
$95.30
Facility
Unavailable
$3.82 lower than Merced for the office setting.
Northern Nj
New Jersey · 76982
Office
$105.32
Facility
Unavailable
$6.20 higher than Merced for the office setting.
Rest Of New Jersey
New Jersey · 76982
Office
$100.03
Facility
Unavailable
$0.91 higher than Merced for the office setting.
New Mexico
New Mexico · 76982
Office
$86.83
Facility
Unavailable
$12.29 lower than Merced for the office setting.
Nevada**
Nevada · 76982
Office
$92.37
Facility
Unavailable
$6.75 lower than Merced for the office setting.
Nyc Suburbs/Long Island
New York · 76982
Office
$108.48
Facility
Unavailable
$9.36 higher than Merced for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 76982
Office
$100.49
Facility
Unavailable
$1.37 higher than Merced for the office setting.
Queens
New York · 76982
Office
$107.42
Facility
Unavailable
$8.30 higher than Merced for the office setting.
Rest Of New York
New York · 76982
Office
$88.53
Facility
Unavailable
$10.59 lower than Merced for the office setting.
Ohio
Ohio · 76982
Office
$86.28
Facility
Unavailable
$12.84 lower than Merced for the office setting.
Oklahoma
Oklahoma · 76982
Office
$84.54
Facility
Unavailable
$14.58 lower than Merced for the office setting.
Portland
Oregon · 76982
Office
$100.46
Facility
Unavailable
$1.34 higher than Merced for the office setting.
Rest Of Oregon
Oregon · 76982
Office
$91.84
Facility
Unavailable
$7.28 lower than Merced for the office setting.
Metropolitan Philadelphia
Pennsylvania · 76982
Office
$96.07
Facility
Unavailable
$3.05 lower than Merced for the office setting.
Rest Of Pennsylvania
Pennsylvania · 76982
Office
$86.56
Facility
Unavailable
$12.56 lower than Merced for the office setting.
Puerto Rico
Puerto Rico · 76982
Office
$93.29
Facility
Unavailable
$5.83 lower than Merced for the office setting.
Rhode Island
Rhode Island · 76982
Office
$95.11
Facility
Unavailable
$4.01 lower than Merced for the office setting.
South Carolina
South Carolina · 76982
Office
$86.86
Facility
Unavailable
$12.26 lower than Merced for the office setting.
South Dakota**
South Dakota · 76982
Office
$91.63
Facility
Unavailable
$7.49 lower than Merced for the office setting.
Tennessee
Tennessee · 76982
Office
$85.37
Facility
Unavailable
$13.75 lower than Merced for the office setting.
Austin
Texas · 76982
Office
$96.57
Facility
Unavailable
$2.55 lower than Merced for the office setting.
Beaumont
Texas · 76982
Office
$85.96
Facility
Unavailable
$13.16 lower than Merced for the office setting.
Brazoria
Texas · 76982
Office
$91.74
Facility
Unavailable
$7.38 lower than Merced for the office setting.
Dallas
Texas · 76982
Office
$92.22
Facility
Unavailable
$6.90 lower than Merced for the office setting.
Fort Worth
Texas · 76982
Office
$91.52
Facility
Unavailable
$7.60 lower than Merced for the office setting.
Galveston
Texas · 76982
Office
$91.94
Facility
Unavailable
$7.18 lower than Merced for the office setting.
Houston
Texas · 76982
Office
$92.68
Facility
Unavailable
$6.44 lower than Merced for the office setting.
Rest Of Texas
Texas · 76982
Office
$88.73
Facility
Unavailable
$10.39 lower than Merced for the office setting.
Utah
Utah · 76982
Office
$88.08
Facility
Unavailable
$11.04 lower than Merced for the office setting.
Virginia
Virginia · 76982
Office
$90.91
Facility
Unavailable
$8.21 lower than Merced for the office setting.
Virgin Islands
United States Virgin Islands · 76982
Office
$93.29
Facility
Unavailable
$5.83 lower than Merced for the office setting.
Vermont
Vermont · 76982
Office
$91.14
Facility
Unavailable
$7.98 lower than Merced for the office setting.
Rest Of Washington
Washington · 76982
Office
$96.26
Facility
Unavailable
$2.86 lower than Merced for the office setting.
Seattle (King Cnty)
Washington · 76982
Office
$109.55
Facility
Unavailable
$10.43 higher than Merced for the office setting.
Wisconsin
Wisconsin · 76982
Office
$88.58
Facility
Unavailable
$10.54 lower than Merced for the office setting.
West Virginia
West Virginia · 76982
Office
$83.69
Facility
Unavailable
$15.43 lower than Merced for the office setting.
Wyoming**
Wyoming · 76982
Office
$92.17
Facility
Unavailable
$6.95 lower than Merced for the office setting.
See how rates vary across the country
76982 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$81.75
$112.45
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $106.27 | 1 |
| AL | $82.96 | 1 |
| AR | $81.75 | 1 |
| AZ | $90.10 | 1 |
| CA | $99.12–$125.77 | 29 |
| CO | $97.06 | 1 |
| CT | $98.72 | 1 |
| DC | $106.50 | 1 |
| DE | $91.62 | 1 |
| FL | $90.03–$97.51 | 3 |
| GA | $85.02–$94.00 | 2 |
| GU | $101.80 | 1 |
| HI | $101.80 | 1 |
| IA | $85.61 | 1 |
| ID | $86.07 | 1 |
| IL | $87.03–$95.63 | 4 |
| IN | $86.59 | 1 |
| KS | $84.96 | 1 |
| KY | $84.44 | 1 |
| LA | $84.21–$88.47 | 2 |
| MA | $96.37–$107.10 | 2 |
| MD | $93.47–$106.50 | 3 |
| ME | $86.27–$91.38 | 2 |
| MI | $86.45–$90.92 | 2 |
| MN | $93.66 | 1 |
| MO | $82.58–$89.08 | 3 |
| MS | $82.19 | 1 |
| MT | $92.52 | 1 |
| NC | $87.23 | 1 |
| ND | $91.73 | 1 |
| NE | $86.16 | 1 |
| NH | $95.30 | 1 |
| NJ | $100.03–$105.32 | 2 |
| NM | $86.83 | 1 |
| NV | $92.37 | 1 |
| NY | $88.53–$108.48 | 5 |
| OH | $86.28 | 1 |
| OK | $84.54 | 1 |
| OR | $91.84–$100.46 | 2 |
| PA | $86.56–$96.07 | 2 |
| PR | $93.29 | 1 |
| RI | $95.11 | 1 |
| SC | $86.86 | 1 |
| SD | $91.63 | 1 |
| TN | $85.37 | 1 |
| TX | $85.96–$96.57 | 8 |
| UT | $88.08 | 1 |
| VA | $90.91–$106.50 | 2 |
| VI | $93.29 | 1 |
| VT | $91.14 | 1 |
| WA | $96.26–$109.55 | 2 |
| WI | $88.58 | 1 |
| WV | $83.69 | 1 |
| WY | $92.17 | 1 |
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 76982 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$109.03
$99.12 × 110% = $109.03
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.
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 76982 in Merced.
PPRRVU2026_Oct_nonQPP.csv
8,901
- Code
- 76982
- Physician work
- 0.58
- Practice expense
- 2.15
- Malpractice
- 0.04
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.58 | × 1.017 | 0.5899 |
| Practice expense | 2.15 | × 1.096 | 2.3564 |
| Malpractice | 0.04 | × 0.536 | 0.0214 |
| Total RVUs | 2.9677 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Merced$99.12
Open 76982 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.58 | 1.017 |
| Practice expense | 2.15 | 1.096 |
| Malpractice | 0.04 | 0.536 |
(0.58 × 1.017 + 2.15 × 1.096 + 0.04 × 0.536) × $33.4009 = $99.12
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
76982 · Office / nonfacility
$99.12
Effective 2026-10-01
The base rate is $3.38 higher than on 2025-10-01, moving from $95.74 to $99.12 (3.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$95.74changed to$99.12
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.59 changed to 0.58
- Practice expense RVU 2.14 changed to 2.15
- 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.
January 1, 2025
RVU25A
Earliest loaded release: $95.74
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $99.12 | Not available in this setting | RVU26D |
| 2026-07-01 | $99.12 | Not available in this setting | RVU26C |
| 2026-04-01 | $99.12 | Not available in this setting | RVU26B |
| 2026-01-01 | $99.12 | Not available in this setting | RVU26A |
| 2025-10-01 | $95.74 | Not available in this setting | RVU25D |
| 2025-07-01 | $95.74 | Not available in this setting | RVU25C |
| 2025-04-01 | $95.74 | Not available in this setting | RVU25B |
| 2025-01-01 | $95.74 | Not available in this setting | RVU25A |
76982 billing questions
When should 76982 be selected instead of 76981?
Use 76982 for elastography of a focal target lesion. Use 76981 when the examination assesses organ parenchyma rather than a specific lesion.
How is a second target lesion reported?
Report 76982 for the first lesion and 76983 for each additional target lesion examined in the same service.
Can the professional and technical services be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Billing without either modifier represents the global service.
What documentation supports reporting this code?
Document the target lesion evaluated, the elastography imaging, and the physician's interpretation and findings. The record should distinguish a focal lesion assessment from parenchymal elastography.
Does multiple procedure reduction affect this service?
Yes. 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.
