$97.31
76856 describes a complete transabdominal pelvic ultrasound. This code describes the transvaginal exam; both may be reported when both distinct examinations are performed.
On this page
CMS RVU26D · Effective 2026-10-01
76830 Pelvic ultrasound Medicare reimbursement rates in Iowa
Reports diagnostic pelvic ultrasound using a vaginal transducer to assess pelvic structures in a nonpregnant patient, such as for pelvic pain or abnormal bleeding. Compare 76830 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 76830 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
$108.44
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.
Radiology
About 76830: Nonobstetric transvaginal pelvic ultrasound
Reports diagnostic pelvic ultrasound using a vaginal transducer to assess pelvic structures in a nonpregnant patient, such as for pelvic pain or abnormal bleeding.
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.
CMS billing rules for 76830
- 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 RVU0.67 · 19%
- Practice expense (office) RVU2.79 · 79%
- Malpractice RVU0.06 · 2%
386K
Medicare services in 2024 · #265 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.
76830 compared with similar codes
Office rates for Iowa, from the same CMS release.
$47.46
76857 is for a limited pelvic ultrasound, generally using a transabdominal approach. Choose this code for the nonobstetric transvaginal examination.
$86.17
76817 is the transvaginal ultrasound code for an obstetric indication. Use this code when the pelvic exam is nonobstetric.
$108.39
76831 describes sonohysterography with saline introduced into the uterine cavity. This code is for transvaginal pelvic imaging without that procedure.
Compare 76830 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
$108.44
Facility
Unavailable
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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 76830 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
8,820
- Code
- 76830
- Physician work
- 0.67
- Practice expense
- 2.79
- Malpractice
- 0.06
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.67 | × 1.000 | 0.6700 |
| Practice expense | 2.79 | × 0.915 | 2.5529 |
| Malpractice | 0.06 | × 0.397 | 0.0238 |
| Total RVUs | 3.2467 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$108.44
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.67 | 1 |
| Practice expense | 2.79 | 0.915 |
| Malpractice | 0.06 | 0.397 |
(0.67 × 1 + 2.79 × 0.915 + 0.06 × 0.397) × $33.4009 = $108.44
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.
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 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.
8,81776828,,Echo exam of fetal heart,A,,0.55,0.90,,0.90,NA,0.03,1.48,1.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.38,3.38,0.07
8,81876828,26,Echo exam of fetal heart,A,,0.55,0.23,,0.23,,0.02,0.80,0.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,81976828,TC,Echo exam of fetal heart,A,,0.00,0.67,,0.67,NA,0.01,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.15,3.15,0.05
8,82076830,,Transvaginal us non-ob,A,,0.67,2.79,,2.79,NA,0.06,3.52,3.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.43,3.43,0.07
8,82176830,26,Transvaginal us non-ob,A,,0.67,0.26,,0.26,,0.04,0.97,0.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,82276830,TC,Transvaginal us non-ob,A,,0.00,2.53,,2.53,NA,0.02,2.55,2.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.17,3.17,0.03
8,82376831,,Echo exam uterus,A,,0.70,2.76,,2.76,NA,0.05,3.51,3.51,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,7.57,7.57,0.07
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