Imaging

76805 - RVUs & Medicare payment (2026)

Obstetric ultrasound, after first trimester.

Component	Non-facility	Facility
Work RVU	0.97	0.97
Practice expense RVU	3.03	3.03
Malpractice RVU	0.07	0.07
Total RVUs	4.07	4.07
National payment (CF $33.4009)	$135.94	$135.94
Qualifying APM payment (CF $33.5675)	$136.62	$136.62

How 76805 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 76805 ranges from $120.54 in Arkansas (AR) to $183.15 in San Jose-Sunnyvale-Santa Clara (CA); calculate 76805 for your locality.

San Jose-Sunnyvale-Santa Clara (CA) $183.15 San Jose-Sunnyvale-Santa Clara (CA) $182.83 San Francisco-Oakland-Berkeley (CA) $179.25 San Francisco-Oakland-Berkeley (CA) $179.17 Napa (CA) $169.02 Vallejo (CA) $168.90 Seattle (WA) $160.11 NYC Suburbs/Long Island (NY) $159.15 National average $135.94 … 97 more localities between … Alabama (AL) $122.28 Rest Of Missouri (MO) $121.91 Mississippi (MS) $121.26 Arkansas (AR) $120.54

Non-facility payment for 76805 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: XXX

No global period: the global surgery concept does not apply to this code.

Professional / technical split

76805 can be billed globally or split: modifier 26 for the professional component (interpretation) and TC for the technical component (equipment and staff).

Billing	Total RVUs (non-facility)	National payment
76805-26	1.41	$47.10
76805-TC	2.66	$88.85

Related codes - imaging

71045 · chest x-ray, single view
71046 · chest x-ray, 2 views
70450 · ct head/brain without contrast
70553 · mri brain without and with contrast
72100 · lumbar spine x-ray, 2-3 views
72148 · mri lumbar spine without contrast
73030 · shoulder x-ray, complete
73721 · mri lower-extremity joint without contrast
74177 · ct abdomen and pelvis with contrast
76700 · ultrasound, abdomen, complete
76856 · pelvic ultrasound, complete
77067 · screening mammography, bilateral
77066 · diagnostic mammography, bilateral

Frequently asked questions

How much does Medicare pay for 76805 in 2026?

The national non-facility payment is $135.94 and the facility payment is $135.94, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 76805?

The 2026 work RVU for 76805 is 0.97. Total RVUs are 4.07 in the non-facility setting and 4.07 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.