CPT 76805

Us Preg Uterus After 1st Trimest 1/1st Gestation

CPT 76805 pays $135.94 in a non-facility setting and $135.94 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $120.54 in Arkansas to $157.67 in Alaska, a 31% spread.

National non-facility rate

$135.94

Office and other outpatient settings

Facility rate
$135.94

Hospital and ASC settings

Highest state
$157.67

Alaska

Lowest state
$120.54

Arkansas · 31% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $135.94
CPT 76805 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $135.94, national facility $135.94.
StateRate compared visuallyNon-facilityFacility
Alaska
$157.67$157.67
District of Columbia
$155.97$155.97
California
$154.58$154.58
Washington
$150.64$150.64
New Jersey
$150.55$150.55
New York
$150.02$150.02
Massachusetts
$149.00$149.00
Hawaii
$148.82$148.82
Connecticut
$144.87$144.87
Colorado
$142.30$142.30
Oregon
$140.97$140.97
Maryland
$140.85$140.85
New Hampshire
$139.80$139.80
Rhode Island
$139.64$139.64
Florida
$138.49$138.49
Minnesota
$137.23$137.23
Puerto Rico
$137.02$137.02
Virgin Islands
$137.02$137.02
Montana
$135.94$135.94
Nevada
$135.65$135.65
Wyoming
$135.33$135.33
Illinois
$134.77$134.77
Delaware
$134.65$134.65
North Dakota
$134.55$134.55
South Dakota
$134.39$134.39
Texas
$134.38$134.38
Pennsylvania
$134.32$134.32
Vermont
$133.77$133.77
Virginia
$133.53$133.53
Arizona
$132.47$132.47
Georgia
$131.79$131.79
Michigan
$130.72$130.72
Maine
$130.56$130.56
Wisconsin
$130.07$130.07
Utah
$129.63$129.63
North Carolina
$128.32$128.32
New Mexico
$128.01$128.01
South Carolina
$127.90$127.90
Missouri
$127.57$127.57
Indiana
$127.35$127.35
Louisiana
$127.25$127.25
Ohio
$127.16$127.16
Nebraska
$126.69$126.69
Idaho
$126.61$126.61
Iowa
$125.93$125.93
Tennessee
$125.65$125.65
Kansas
$125.07$125.07
Oklahoma
$124.59$124.59
Kentucky
$124.51$124.51
West Virginia
$123.69$123.69
Alabama
$122.28$122.28
Mississippi
$121.26$121.26
Arkansas
$120.54$120.54

Billed by 2 specialties

Commercial rates for 76805

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates