$108.68
76801 is a first-trimester transabdominal obstetric examination. Choose 76817 for the transvaginal examination; both can be appropriate when both approaches are performed and documented.
On this page
CMS RVU26D · Effective 2026-10-01
76817 OB ultrasound Medicare reimbursement rates in Iowa
Reports real-time obstetric ultrasound performed through the vagina to evaluate a pregnancy, including early pregnancy location or viability when clinically indicated. Compare 76817 office and facility rates across CMS payment localities in Iowa.
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.
What does Medicare pay for 76817 in Iowa?
Iowa has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$86.17
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Obstetric imaging
About 76817: Obstetric transvaginal ultrasound
Reports real-time obstetric ultrasound performed through the vagina to evaluate a pregnancy, including early pregnancy location or viability when clinically indicated.
This service uses an endovaginal ultrasound transducer to obtain real-time images of the pregnant uterus and related structures. It is commonly performed in an obstetric or gynecologic office, emergency department, or hospital imaging setting, often when early pregnancy structures are not adequately assessed abdominally or when a closer view is needed. A sonographer may acquire the images, with a qualified practitioner interpreting the study and documenting the findings.
Report 76817 when the documented obstetric examination uses the transvaginal route; the approach and clinical question should be clear in the record and supported by the images and interpretation. It may be reported with a transabdominal obstetric study when both distinct examinations are performed and documented. CMS recognizes professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no modifier represents the global service.
CMS billing rules for 76817
- 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 RVU0.73 · 26%
- Practice expense (office) RVU2.00 · 72%
- Malpractice RVU0.05 · 2%
7.4K
Medicare services in 2024 · #1629 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.
76817 compared with similar codes
Office rates for Iowa, from the same CMS release.
$108.44
76830 describes transvaginal pelvic ultrasound outside an obstetric examination. Use 76817 when the study evaluates a pregnancy.
$75.49
76815 is selected for a limited obstetric ultrasound. 76817 identifies an obstetric examination performed transvaginally, not simply a limited study.
$103.26
76816 describes follow-up obstetric ultrasound assessment per fetus. 76817 is distinguished by its transvaginal approach, not by follow-up status.
Compare 76817 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Iowa →
Office / nonfacility
$86.17
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 76817 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
8,793
- Code
- 76817
- Physician work
- 0.73
- Practice expense
- 2.00
- Malpractice
- 0.05
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.73 | × 1.000 | 0.7300 |
| Practice expense | 2.00 | × 0.915 | 1.8300 |
| Malpractice | 0.05 | × 0.397 | 0.0199 |
| Total RVUs | 2.5798 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$86.17
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.73 | 1 |
| Practice expense | 2 | 0.915 |
| Malpractice | 0.05 | 0.397 |
(0.73 × 1 + 2 × 0.915 + 0.05 × 0.397) × $33.4009 = $86.17
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.
76817 billing questions
How is 76817 different from 76801?
76817 identifies an obstetric examination performed transvaginally. 76801 is a first-trimester transabdominal obstetric examination; both may be reported when both approaches are performed and documented.
Can 76817 be reported with a transabdominal obstetric ultrasound?
Yes, when the transabdominal and transvaginal examinations are both medically indicated, actually performed, and separately supported by the record. Document the approach and findings for each.
Which modifiers identify the components?
Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
When should 76830 be used instead?
76830 is for a transvaginal pelvic ultrasound in a non-obstetric context. Use 76817 when the transvaginal examination is an obstetric study of a pregnancy.
What documentation supports 76817?
The record should identify the pregnancy-related reason for the examination, the transvaginal approach, and the findings in the interpretation. Retain the study images and 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.
8,79076816,,Ob us follow-up per fetus,A,,0.83,2.45,,2.45,NA,0.05,3.33,3.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.53,3.53,0.06
8,79176816,26,Ob us follow-up per fetus,A,,0.83,0.35,,0.35,,0.04,1.22,1.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,79276816,TC,Ob us follow-up per fetus,A,,0.00,2.10,,2.10,NA,0.01,2.11,2.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.18,3.18,0.02
8,79376817,,Transvaginal us obstetric,A,,0.73,2.00,,2.00,NA,0.05,2.78,2.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.47,3.47,0.06
8,79476817,26,Transvaginal us obstetric,A,,0.73,0.29,,0.29,,0.04,1.06,1.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,79576817,TC,Transvaginal us obstetric,A,,0.00,1.71,,1.71,NA,0.01,1.72,1.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.18,3.18,0.02
8,79676818,,Fetal biophys profile w/nst,A,,1.02,2.56,,2.56,NA,0.07,3.65,3.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.60,3.60,0.08
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136