Billing code 76830: Pelvic ultrasoundMedicare rate & RVUs in Florida
Reports diagnostic pelvic ultrasound using a vaginal transducer to assess pelvic structures in a nonpregnant patient, such as for pelvic pain or abnormal bleeding.
Medicare pays $114.48–$124.46 for 76830 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 76830 covers
This diagnostic exam uses a vaginal transducer to obtain images of pelvic structures, commonly the uterus, endometrium, and ovaries. It is used in nonpregnant patients when a closer view is needed to evaluate concerns such as pelvic pain, abnormal uterine bleeding, or an adnexal finding. A sonographer may acquire the images, with a qualified practitioner interpreting the study; the service is commonly performed in imaging departments and gynecology offices.
Report the code for the nonobstetric transvaginal exam performed, and retain documentation of the indication, transvaginal approach, findings, and interpretation. CMS recognizes a professional component for interpretation, reported with modifier 26, and a technical component for equipment and staff, reported with modifier TC. Reporting without either modifier represents the global service, including both components.
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.
Where 76830 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$114.48 to $124.46
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $120.40 | Unavailable |
| Miami | $124.46 | Unavailable |
| Rest Of Florida | $114.48 | Unavailable |
How the 76830 rate is calculated
Each of 76830’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 76830
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.67Practice expense 2.79Malpractice 0.06
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 76830
The CMS indicators that decide how 76830 is paid alongside other services.
CMS payment indicators · 76830
Pelvic ultrasound
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
76830 without 26 · national office
$117.57
Pelvic ultrasound
76830-26 · Professional component
$32.40
Pays only the interpretation and report.
76830 compared with similar codes
Compare codes
76830 vs 76856 vs 76857 vs 76817 vs 76831: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 76856Pelvic ultrasound
- 76856 describes a complete transabdominal pelvic ultrasound. This code describes the transvaginal exam; both may be reported when both distinct examinations are performed.
- 76857Pelvic ultrasound
- 76857 is for a limited pelvic ultrasound, generally using a transabdominal approach. Choose this code for the nonobstetric transvaginal examination.
- 76817OB ultrasound
- 76817 is the transvaginal ultrasound code for an obstetric indication. Use this code when the pelvic exam is nonobstetric.
- 76831Sonohysterography
- 76831 describes sonohysterography with saline introduced into the uterine cavity. This code is for transvaginal pelvic imaging without that procedure.
76830 billing questions
How does this differ from 76817?
This code is for a nonobstetric pelvic exam. Use 76817 for a transvaginal ultrasound performed for an obstetric indication.
Can 76830 be reported with 76856?
They may be reported together when both a complete transabdominal pelvic exam and a transvaginal exam are performed and documented. The record should support each distinct examination.
Which modifier applies to the interpretation?
Report modifier 26 for the professional interpretation. Modifier TC represents the technical portion, including equipment and staff; reporting without either modifier represents the global service.
Is the code reported once for each ovary?
No. The code reports the transvaginal pelvic examination, not a separate service for each structure imaged.
When is 76831 a better fit?
Use 76831 for sonohysterography, in which saline is introduced into the uterine cavity to help assess it. This code describes transvaginal pelvic imaging without that cavity-distension procedure.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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