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CMS RVU26D · Effective 2026-10-01

76870 in Wyoming**

Office / nonfacility

$98.10

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 76870: Scrotal ultrasound examination

Scrotal ultrasound evaluates the testes and surrounding structures for pain, swelling, masses, fluid collections, and other suspected scrotal abnormalities.

Scrotal ultrasound uses a transducer over the scrotum to image the testes and surrounding contents, including the epididymides and fluid collections. It is commonly ordered for testicular pain or swelling, a palpable mass, suspected torsion or inflammation, and evaluation of hydrocele or varicocele. Radiologists and other qualified imaging professionals perform or interpret the study in hospital and outpatient imaging settings.

Report 76870 for diagnostic sonographic assessment of scrotal contents. Documentation should identify the clinical indication, structures examined, findings, and interpretation. The service may be billed globally when one entity provides both image acquisition and interpretation, or split with modifier 26 for the professional interpretation and modifier TC for the technical service. CMS applies diagnostic imaging multiple-procedure reduction to both professional and technical components when applicable imaging services are reported together.

CMS billing rules for 76870

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 RVU0.62 · 21%
  • Practice expense (office) RVU2.28 · 77%
  • Malpractice RVU0.05 · 2%

137.2K

Medicare services in 2024 · #471 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.

76870 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

76856

Pelvic ultrasound

Complete, nonobstetric

$104.78

Choose 76856 for a complete pelvic ultrasound. Choose 76870 when the diagnostic target is the testes and scrotal contents.

76857

Pelvic ultrasound

Limited or follow-up

$50.76

76857 describes a limited pelvic ultrasound; 76870 evaluates scrotal structures rather than pelvic organs.

93975

Vascular duplex

Complete organ inflow and outflow

$258.06

93975 represents a complete arterial and venous duplex study. It is distinct from the anatomic scrotal ultrasound represented by 76870.

93976

Vascular study

No office rate

93976 represents a limited duplex study; 76870 is the scrotal ultrasound examination and is not selected solely for a limited vascular study.

The same code, a different location

How does Wyoming** compare?

76870 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $98.10

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

    $112.76

    $14.66 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $113.40

    $15.30 higher than Wyoming**

  4. Miami

    $104.21

    $6.11 higher than Wyoming**

  5. Chicago

    $101.22

    $3.12 higher than Wyoming**

  6. Manhattan

    $113.17

    $15.07 higher than Wyoming**

  7. Alaska*

    $113.09

    $14.99 higher than Wyoming**

Other payment areas listed in Wyoming 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, 76870 ranges from $86.98 in Arkansas to $133.70 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 · 76870

    Office

    $88.29

    Facility

    Unavailable

    $9.81 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 76870

    Office

    $86.98

    Facility

    Unavailable

    $11.12 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 76870

    Office

    $95.93

    Facility

    Unavailable

    $2.17 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 76870

    Office

    $105.58

    Facility

    Unavailable

    $7.48 higher than Wyoming** for the office setting.

  • Chico

    California · 76870

    Office

    $105.42

    Facility

    Unavailable

    $7.32 higher than Wyoming** for the office setting.

  • El Centro

    California · 76870

    Office

    $105.43

    Facility

    Unavailable

    $7.33 higher than Wyoming** for the office setting.

  • Fresno

    California · 76870

    Office

    $105.42

    Facility

    Unavailable

    $7.32 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 76870

    Office

    $105.42

    Facility

    Unavailable

    $7.32 higher than Wyoming** for the office setting.

  • Madera

    California · 76870

    Office

    $105.42

    Facility

    Unavailable

    $7.32 higher than Wyoming** for the office setting.

  • Merced

    California · 76870

    Office

    $105.42

    Facility

    Unavailable

    $7.32 higher than Wyoming** for the office setting.

  • Modesto

    California · 76870

    Office

    $105.42

    Facility

    Unavailable

    $7.32 higher than Wyoming** for the office setting.

  • Napa

    California · 76870

    Office

    $123.23

    Facility

    Unavailable

    $25.13 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 76870

    Office

    $112.34

    Facility

    Unavailable

    $14.24 higher than Wyoming** for the office setting.

  • Redding

    California · 76870

    Office

    $105.42

    Facility

    Unavailable

    $7.32 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 76870

    Office

    $105.42

    Facility

    Unavailable

    $7.32 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 76870

    Office

    $105.97

    Facility

    Unavailable

    $7.87 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 76870

    Office

    $110.92

    Facility

    Unavailable

    $12.82 higher than Wyoming** for the office setting.

  • Salinas

    California · 76870

    Office

    $110.51

    Facility

    Unavailable

    $12.41 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 76870

    Office

    $113.32

    Facility

    Unavailable

    $15.22 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 76870

    Office

    $130.82

    Facility

    Unavailable

    $32.72 higher than Wyoming** for the office setting.

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

    California · 76870

    Office

    $130.76

    Facility

    Unavailable

    $32.66 higher than Wyoming** for the office setting.

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

    California · 76870

    Office

    $133.70

    Facility

    Unavailable

    $35.60 higher than Wyoming** for the office setting.

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

    California · 76870

    Office

    $133.46

    Facility

    Unavailable

    $35.36 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 76870

    Office

    $108.70

    Facility

    Unavailable

    $10.60 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 76870

    Office

    $114.57

    Facility

    Unavailable

    $16.47 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 76870

    Office

    $110.98

    Facility

    Unavailable

    $12.88 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 76870

    Office

    $115.74

    Facility

    Unavailable

    $17.64 higher than Wyoming** for the office setting.

  • Stockton

    California · 76870

    Office

    $105.42

    Facility

    Unavailable

    $7.32 higher than Wyoming** for the office setting.

  • Vallejo

    California · 76870

    Office

    $123.15

    Facility

    Unavailable

    $25.05 higher than Wyoming** for the office setting.

  • Visalia

    California · 76870

    Office

    $105.42

    Facility

    Unavailable

    $7.32 higher than Wyoming** for the office setting.

  • Yuba City

    California · 76870

    Office

    $105.42

    Facility

    Unavailable

    $7.32 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 76870

    Office

    $103.29

    Facility

    Unavailable

    $5.19 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 76870

    Office

    $105.16

    Facility

    Unavailable

    $7.06 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 76870

    Office

    $97.55

    Facility

    Unavailable

    $0.55 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 76870

    Office

    $100.87

    Facility

    Unavailable

    $2.77 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 76870

    Office

    $96.02

    Facility

    Unavailable

    $2.08 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 76870

    Office

    $100.15

    Facility

    Unavailable

    $2.05 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 76870

    Office

    $90.63

    Facility

    Unavailable

    $7.47 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 76870

    Office

    $108.26

    Facility

    Unavailable

    $10.16 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 76870

    Office

    $91.05

    Facility

    Unavailable

    $7.05 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 76870

    Office

    $91.56

    Facility

    Unavailable

    $6.54 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 76870

    Office

    $94.13

    Facility

    Unavailable

    $3.97 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 76870

    Office

    $92.85

    Facility

    Unavailable

    $5.25 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 76870

    Office

    $102.02

    Facility

    Unavailable

    $3.92 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 76870

    Office

    $92.12

    Facility

    Unavailable

    $5.98 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 76870

    Office

    $90.39

    Facility

    Unavailable

    $7.71 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 76870

    Office

    $89.94

    Facility

    Unavailable

    $8.16 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 76870

    Office

    $94.27

    Facility

    Unavailable

    $3.83 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 76870

    Office

    $89.70

    Facility

    Unavailable

    $8.40 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 76870

    Office

    $113.97

    Facility

    Unavailable

    $15.87 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 76870

    Office

    $102.56

    Facility

    Unavailable

    $4.46 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 76870

    Office

    $104.82

    Facility

    Unavailable

    $6.72 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 76870

    Office

    $99.52

    Facility

    Unavailable

    $1.42 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 76870

    Office

    $91.81

    Facility

    Unavailable

    $6.29 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 76870

    Office

    $97.23

    Facility

    Unavailable

    $0.87 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 76870

    Office

    $97.01

    Facility

    Unavailable

    $1.09 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 76870

    Office

    $92.12

    Facility

    Unavailable

    $5.98 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 76870

    Office

    $99.57

    Facility

    Unavailable

    $1.47 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 76870

    Office

    $93.85

    Facility

    Unavailable

    $4.25 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 76870

    Office

    $94.88

    Facility

    Unavailable

    $3.22 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 76870

    Office

    $87.98

    Facility

    Unavailable

    $10.12 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 76870

    Office

    $87.51

    Facility

    Unavailable

    $10.59 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 76870

    Office

    $98.53

    Facility

    Unavailable

    $0.43 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 76870

    Office

    $92.83

    Facility

    Unavailable

    $5.27 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 76870

    Office

    $97.54

    Facility

    Unavailable

    $0.56 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 76870

    Office

    $91.63

    Facility

    Unavailable

    $6.47 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 76870

    Office

    $101.45

    Facility

    Unavailable

    $3.35 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 76870

    Office

    $112.14

    Facility

    Unavailable

    $14.04 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 76870

    Office

    $106.53

    Facility

    Unavailable

    $8.43 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 76870

    Office

    $92.55

    Facility

    Unavailable

    $5.55 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 76870

    Office

    $98.33

    Facility

    Unavailable

    $0.23 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 76870

    Office

    $115.68

    Facility

    Unavailable

    $17.58 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 76870

    Office

    $107.05

    Facility

    Unavailable

    $8.95 higher than Wyoming** for the office setting.

  • Queens

    New York · 76870

    Office

    $114.46

    Facility

    Unavailable

    $16.36 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 76870

    Office

    $94.23

    Facility

    Unavailable

    $3.87 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 76870

    Office

    $91.92

    Facility

    Unavailable

    $6.18 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 76870

    Office

    $90.01

    Facility

    Unavailable

    $8.09 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 76870

    Office

    $106.89

    Facility

    Unavailable

    $8.79 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 76870

    Office

    $97.73

    Facility

    Unavailable

    $0.37 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 76870

    Office

    $102.35

    Facility

    Unavailable

    $4.25 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 76870

    Office

    $92.20

    Facility

    Unavailable

    $5.90 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 76870

    Office

    $99.35

    Facility

    Unavailable

    $1.25 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 76870

    Office

    $101.26

    Facility

    Unavailable

    $3.16 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 76870

    Office

    $92.49

    Facility

    Unavailable

    $5.61 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 76870

    Office

    $97.42

    Facility

    Unavailable

    $0.68 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 76870

    Office

    $90.83

    Facility

    Unavailable

    $7.27 lower than Wyoming** for the office setting.

  • Austin

    Texas · 76870

    Office

    $102.80

    Facility

    Unavailable

    $4.70 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 76870

    Office

    $91.56

    Facility

    Unavailable

    $6.54 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 76870

    Office

    $97.65

    Facility

    Unavailable

    $0.45 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 76870

    Office

    $98.18

    Facility

    Unavailable

    $0.08 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 76870

    Office

    $97.44

    Facility

    Unavailable

    $0.66 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 76870

    Office

    $97.88

    Facility

    Unavailable

    $0.22 lower than Wyoming** for the office setting.

  • Houston

    Texas · 76870

    Office

    $98.79

    Facility

    Unavailable

    $0.69 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 76870

    Office

    $94.49

    Facility

    Unavailable

    $3.61 lower than Wyoming** for the office setting.

  • Utah

    Utah · 76870

    Office

    $93.79

    Facility

    Unavailable

    $4.31 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 76870

    Office

    $96.75

    Facility

    Unavailable

    $1.35 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 76870

    Office

    $99.35

    Facility

    Unavailable

    $1.25 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 76870

    Office

    $96.95

    Facility

    Unavailable

    $1.15 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 76870

    Office

    $102.44

    Facility

    Unavailable

    $4.34 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 76870

    Office

    $116.55

    Facility

    Unavailable

    $18.45 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 76870

    Office

    $94.18

    Facility

    Unavailable

    $3.92 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 76870

    Office

    $89.28

    Facility

    Unavailable

    $8.82 lower than Wyoming** for the office setting.

See how rates vary across the country

76870 · 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.

$86.98

$119.56

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$113.091
AL$88.291
AR$86.981
AZ$95.931
CA$105.42–$133.7029
CO$103.291
CT$105.161
DC$113.401
DE$97.551
FL$96.02–$104.213
GA$90.63–$100.152
GU$108.261
HI$108.261
IA$91.051
ID$91.561
IL$92.85–$102.024
IN$92.121
KS$90.391
KY$89.941
LA$89.70–$94.272
MA$102.56–$113.972
MD$99.52–$113.403
ME$91.81–$97.232
MI$92.12–$97.012
MN$99.571
MO$87.98–$94.883
MS$87.511
MT$98.531
NC$92.831
ND$97.541
NE$91.631
NH$101.451
NJ$106.53–$112.142
NM$92.551
NV$98.331
NY$94.23–$115.685
OH$91.921
OK$90.011
OR$97.73–$106.892
PA$92.20–$102.352
PR$99.351
RI$101.261
SC$92.491
SD$97.421
TN$90.831
TX$91.56–$102.808
UT$93.791
VA$96.75–$113.402
VI$99.351
VT$96.951
WA$102.44–$116.552
WI$94.181
WV$89.281
WY$98.101

Explore 76870 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 76870 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$107.91

$98.10 × 110% = $107.91

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 76870 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

8,832

Code
76870
Physician work
0.62
Practice expense
2.28
Malpractice
0.05

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 76870 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.62× 1.0000.6200
Practice expense2.28× 1.0002.2800
Malpractice0.05× 0.7400.0370
Total RVUs2.9370
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$98.10

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

Open 76870 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.621
Practice expense2.281
Malpractice0.050.74

(0.62 × 1 + 2.28 × 1 + 0.05 × 0.74) × $33.4009 = $98.10

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

76870 · Office / nonfacility

$98.10

Effective 2026-10-01

The base rate is $1.81 higher than on 2025-10-01, moving from $96.29 to $98.10 (1.9%).

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

    $96.29changed to$98.10

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.64 changed to 0.62
    • Practice expense RVU 2.30 changed to 2.28
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $96.29

    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$98.10Not available in this settingRVU26D
2026-07-01$98.10Not available in this settingRVU26C
2026-04-01$98.10Not available in this settingRVU26B
2026-01-01$98.10Not available in this settingRVU26A
2025-10-01$96.29Not available in this settingRVU25D
2025-07-01$96.29Not available in this settingRVU25C
2025-04-01$96.29Not available in this settingRVU25B
2025-01-01$96.29Not available in this settingRVU25A

76870 billing questions

How does 76870 differ from a pelvic ultrasound?

76870 examines the testes and scrotal contents. Codes 76856 and 76857 are for pelvic-organ imaging, not a substitute for a scrotal study.

When should modifier 26 or TC be used?

Use modifier 26 when billing only the professional interpretation, or TC for the technical service, including equipment and staff. Billing without either modifier represents the global service.

Can a duplex code be reported with 76870?

A separate duplex code may be appropriate when a distinct, medically necessary vascular duplex study is performed and documented. Color-flow images alone do not establish that a separate duplex service was performed.

How does the imaging multiple-procedure reduction affect 76870?

When applicable diagnostic imaging services are reported together, CMS applies the multiple-procedure reduction to both the technical and professional components.

What documentation supports 76870?

Document the reason for the examination, the scrotal structures evaluated, the sonographic findings, and the interpreting professional's report.

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 76870PPRRVU2026_Oct_nonQPP.csv, line 8,832 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet