# CPT 76604: Ultrasound, chest, real time

Medicare CPT 76604 pays $61.12 in a non-facility setting and $61.12 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $54.66 in Arkansas to $72.67 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/76604-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: Emergency Medicine, Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $61.12 |
| National facility | $61.12 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $72.67 | $72.67 |
| District of Columbia | $69.49 | $69.49 |
| California | $68.40 | $68.40 |
| New Jersey | $67.31 | $67.31 |
| New York | $67.28 | $67.28 |
| Washington | $67.00 | $67.00 |
| Massachusetts | $66.37 | $66.37 |
| Hawaii | $65.91 | $65.91 |
| Connecticut | $64.95 | $64.95 |
| Colorado | $63.56 | $63.56 |
| Maryland | $63.21 | $63.21 |
| Oregon | $62.97 | $62.97 |
| Florida | $62.84 | $62.84 |
| Rhode Island | $62.63 | $62.63 |
| New Hampshire | $62.56 | $62.56 |
| Puerto Rico | $61.54 | $61.54 |
| Virgin Islands | $61.54 | $61.54 |
| Illinois | $61.36 | $61.36 |
| Montana | $61.12 | $61.12 |
| Minnesota | $61.11 | $61.11 |
| Nevada | $60.88 | $60.88 |
| Wyoming | $60.69 | $60.69 |
| Pennsylvania | $60.60 | $60.60 |
| Delaware | $60.57 | $60.57 |
| Texas | $60.49 | $60.49 |
| North Dakota | $60.13 | $60.13 |
| South Dakota | $60.01 | $60.01 |
| Virginia | $59.95 | $59.95 |
| Vermont | $59.90 | $59.90 |
| Arizona | $59.64 | $59.64 |
| Georgia | $59.64 | $59.64 |
| Michigan | $59.36 | $59.36 |
| Maine | $58.72 | $58.72 |
| Utah | $58.55 | $58.55 |
| Wisconsin | $58.28 | $58.28 |
| New Mexico | $58.13 | $58.13 |
| North Carolina | $57.84 | $57.84 |
| South Carolina | $57.83 | $57.83 |
| Missouri | $57.80 | $57.80 |
| Louisiana | $57.72 | $57.72 |
| Ohio | $57.65 | $57.65 |
| Indiana | $57.34 | $57.34 |
| Idaho | $57.04 | $57.04 |
| Nebraska | $57.00 | $57.00 |
| Iowa | $56.71 | $56.71 |
| Tennessee | $56.70 | $56.70 |
| West Virginia | $56.59 | $56.59 |
| Kentucky | $56.53 | $56.53 |
| Oklahoma | $56.46 | $56.46 |
| Kansas | $56.45 | $56.45 |
| Alabama | $55.39 | $55.39 |
| Mississippi | $55.12 | $55.12 |
| Arkansas | $54.66 | $54.66 |

## Related codes

- 76506: Ultrasound, brain, in infant, real time with image documentation — https://www.med-reveal.com/rates/76506-cpt-fee-schedule
- 76512: Ophthalmic ultrasound, B-scan — https://www.med-reveal.com/rates/76512-cpt-fee-schedule
- 76513: Ophthalmic ultrasound, anterior segment — https://www.med-reveal.com/rates/76513-cpt-fee-schedule
- 76514: Ophthalmic ultrasound, corneal pachymetry — https://www.med-reveal.com/rates/76514-cpt-fee-schedule
- 76516: Ophthalmic biometry by ultrasound echography, A-scan — https://www.med-reveal.com/rates/76516-cpt-fee-schedule
- 76536: Ultrasound, soft tissue of head and neck (thyroid, parotid) — https://www.med-reveal.com/rates/76536-cpt-fee-schedule
- 76641: Ultrasound, breast, unilateral, complete — https://www.med-reveal.com/rates/76641-cpt-fee-schedule
- 76642: Ultrasound, breast, unilateral, limited — https://www.med-reveal.com/rates/76642-cpt-fee-schedule

Commercial negotiated rates for 76604 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules