$126.69
76805 reports the primary standard obstetric ultrasound at 14 weeks or later; 76810 adds evaluation of each additional fetus.
On this page
CMS RVU26D · Effective 2026-10-01
76810 Obstetric ultrasound Medicare reimbursement rates in Nebraska
Reports the standard obstetric ultrasound evaluation for each additional fetus in a pregnancy at 14 weeks or later, alongside the primary study. Compare 76810 office and facility rates across CMS payment localities in Nebraska.
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 76810 in Nebraska?
Nebraska 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
$83.07
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 76810: Additional-fetus obstetric ultrasound
Reports the standard obstetric ultrasound evaluation for each additional fetus in a pregnancy at 14 weeks or later, alongside the primary study.
This add-on covers the standard obstetric ultrasound evaluation of an additional fetus at 14 weeks or later. It is used in multiple gestations when the primary study evaluates one fetus and the examination also requires evaluation of another. A sonographer typically acquires the images in an office or hospital imaging department; a physician interprets the study and documents the findings. The additional-fetus evaluation is distinct from a detailed fetal anatomic examination.
Report 76810 with the qualifying primary obstetric ultrasound, not as a stand-alone service. Documentation should identify the gestational age and number of fetuses and support the evaluation of each additional fetus. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and no component modifier represents the global service. CMS treats this add-on payment within the primary procedure’s global period.
CMS billing rules for 76810
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- 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 RVU0.96 · 36%
- Practice expense (office) RVU1.63 · 62%
- Malpractice RVU0.06 · 2%
47
Medicare services in 2024 · #5396 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.
76810 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$57.16
76802 is the standard additional-fetus code for an examination before 14 weeks. Use 76810 for the corresponding additional-fetus evaluation at 14 weeks or later.
$182.08
76812 is for an additional fetus in a detailed obstetric examination; 76810 is for the standard examination.
$103.89
76816 reports a follow-up obstetric ultrasound on a per-fetus basis. Code 76810 adds an additional fetus to a standard obstetric study at 14 weeks or later.
Compare 76810 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
Nebraska →
Office / nonfacility
$83.07
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 76810 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
8,772
- Code
- 76810
- Physician work
- 0.96
- Practice expense
- 1.63
- Malpractice
- 0.06
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.96 | × 1.000 | 0.9600 |
| Practice expense | 1.63 | × 0.923 | 1.5045 |
| Malpractice | 0.06 | × 0.378 | 0.0227 |
| Total RVUs | 2.4872 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$83.07
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.96 | 1 |
| Practice expense | 1.63 | 0.923 |
| Malpractice | 0.06 | 0.378 |
(0.96 × 1 + 1.63 × 0.923 + 0.06 × 0.378) × $33.4009 = $83.07
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.
76810 billing questions
Which primary code is paired with 76810?
Pair it with 76805 when the standard obstetric ultrasound is performed at 14 weeks or later and evaluates an additional fetus.
How is 76810 different from 76812?
Use 76810 for the standard additional-fetus evaluation. Code 76812 is for an additional fetus in a detailed obstetric ultrasound.
How many units should be reported?
Report one unit for each additional fetus evaluated beyond the fetus represented by the primary study. Documentation should make the number of fetuses and the additional evaluation clear.
Can 76810 be billed by itself?
No. It is an add-on code and must be reported with its qualifying primary obstetric ultrasound.
How are the professional and technical services reported?
Use modifier 26 for the physician’s interpretation or TC for the technical service. Without either modifier, the claim represents the global service.
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.
8,76976805,,Ob us >/= 14 wks sngl fetus,A,,0.97,3.03,,3.03,NA,0.07,4.07,4.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.56,3.56,0.07
8,77076805,26,Ob us >/= 14 wks sngl fetus,A,,0.97,0.39,,0.39,,0.05,1.41,1.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,77176805,TC,Ob us >/= 14 wks sngl fetus,A,,0.00,2.64,,2.64,NA,0.02,2.66,2.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.17,3.17,0.02
8,77276810,,Ob us >/= 14 wks addl fetus,A,,0.96,1.63,,1.63,NA,0.06,2.65,2.65,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,77376810,26,Ob us >/= 14 wks addl fetus,A,,0.96,0.40,,0.40,,0.05,1.41,1.41,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,77476810,TC,Ob us >/= 14 wks addl fetus,A,,0.00,1.23,,1.23,NA,0.01,1.24,1.24,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
8,77576811,,Ob us detailed sngl fetus,A,,1.85,3.49,,3.49,NA,0.11,5.45,5.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,8.00,8.00,0.16
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068