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CMS RVU26D · Effective 2026-10-01

76831 Sonohysterography Medicare reimbursement rates in Oregon

Reports ultrasound evaluation of the uterine cavity during saline infusion, commonly used to investigate abnormal bleeding or suspected intracavitary lesions. Compare 76831 office and facility rates across CMS payment localities in Oregon.

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 76831 in Oregon?

Oregon has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

$116.37–$127.42

2 of 2 localities have a supported rate.

Lowest: Rest Of Oregon

Highest: Portland

A spread of $11.05 per service.

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.

Find 76831 in your payment locality →

Ultrasound imaging

About 76831: Saline infusion uterine cavity ultrasound

Reports ultrasound evaluation of the uterine cavity during saline infusion, commonly used to investigate abnormal bleeding or suspected intracavitary lesions.

During saline infusion sonohysterography, a clinician passes a catheter through the cervix and introduces sterile saline while ultrasound images show the distended uterine cavity. The added fluid helps reveal findings such as an endometrial polyp or submucosal fibroid. Gynecologists commonly perform the procedure in an office or imaging setting; radiology teams may provide the imaging and interpretation. It is used in evaluations of abnormal uterine bleeding and selected infertility workups.

Report 76831 for the ultrasound imaging and interpretation of the cavity during saline infusion. Documentation should support the clinical indication, the infusion and imaging performed, and the findings. Catheterization and saline introduction are represented by 58340 when separately reportable; that code describes the procedural step rather than the ultrasound interpretation. Billing 76831 without a component modifier represents the global service. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service. When multiple diagnostic imaging procedures are reported, the applicable multiple procedure reduction applies to both the professional and technical components.

CMS billing rules for 76831

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 RVU0.70 · 20%
  • Practice expense (office) RVU2.76 · 79%
  • Malpractice RVU0.05 · 1%

3.2K

Medicare services in 2024 · #2125 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.

76831 compared with similar codes

Office rates for Oregon, from the same CMS release.

76830

Pelvic ultrasound

Transvaginal, nonobstetric

$116.60–$127.76

76830 describes transvaginal pelvic ultrasound without saline distention of the uterine cavity. Choose 76831 for ultrasound imaging performed during saline infusion.

76856

Pelvic ultrasound

Complete, nonobstetric

$104.39–$114.15

76856 is a complete pelvic ultrasound examination, not a saline-infusion study focused on delineating the uterine cavity.

58340

Uterine catheterization

For hysterosalpingography or sonohysterography

$234.61–$258.65

58340 represents catheterization and saline introduction; 76831 represents the ultrasound imaging and interpretation during the study.

Compare 76831 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.

2 of 2 payment localities

Office and facility base rates · shared scale starting at $0

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76831 billing questions

Can catheter placement and saline introduction be reported separately?

Code 58340 represents catheterization and introduction of saline for sonohysterography when separately reportable. Code 76831 represents the ultrasound imaging and interpretation.

How are the professional and technical services billed?

Report 76831 without a component modifier for the global service. Use modifier 26 for the professional interpretation or modifier TC for the technical service.

Does a multiple-procedure reduction affect 76831?

Yes. The diagnostic imaging multiple procedure reduction applies to the technical and professional components when applicable.

What documentation supports reporting 76831?

Document the clinical reason for the study, the saline infusion and ultrasound imaging performed, and the findings in the uterine cavity.

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 76831PPRRVU2026_Oct_nonQPP.csv, line 8,823 (RVU26D)