CPT 76815

Us Pregnant Uterus Limited 1/> Fetuses

CPT 76815 pays $81.50 in a non-facility setting and $81.50 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $72.40 in Arkansas to $95.09 in Alaska, a 31% spread.

National non-facility rate

$81.50

Office and other outpatient settings

Facility rate
$81.50

Hospital and ASC settings

Highest state
$95.09

Alaska

Lowest state
$72.40

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 $81.50
CPT 76815 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $81.50, national facility $81.50.
StateRate compared visuallyNon-facilityFacility
Alaska
$95.09$95.09
District of Columbia
$93.29$93.29
California
$92.26$92.26
New Jersey
$90.13$90.13
Washington
$90.04$90.04
New York
$89.89$89.89
Massachusetts
$89.10$89.10
Hawaii
$88.85$88.85
Connecticut
$86.80$86.80
Colorado
$85.15$85.15
Maryland
$84.40$84.40
Oregon
$84.35$84.35
New Hampshire
$83.70$83.70
Rhode Island
$83.66$83.66
Florida
$83.28$83.28
Puerto Rico
$82.12$82.12
Virgin Islands
$82.12$82.12
Minnesota
$82.03$82.03
Montana
$81.49$81.49
Nevada
$81.28$81.28
Illinois
$81.11$81.11
Wyoming
$81.06$81.06
Delaware
$80.73$80.73
Pennsylvania
$80.60$80.60
Texas
$80.58$80.58
North Dakota
$80.51$80.51
South Dakota
$80.39$80.39
Vermont
$80.09$80.09
Virginia
$80.01$80.01
Arizona
$79.44$79.44
Georgia
$79.15$79.15
Michigan
$78.59$78.59
Maine
$78.26$78.26
Wisconsin
$77.87$77.87
Utah
$77.80$77.80
North Carolina
$76.96$76.96
New Mexico
$76.95$76.95
South Carolina
$76.78$76.78
Missouri
$76.63$76.63
Louisiana
$76.46$76.46
Ohio
$76.40$76.40
Indiana
$76.35$76.35
Nebraska
$75.93$75.93
Idaho
$75.92$75.92
Iowa
$75.49$75.49
Tennessee
$75.38$75.38
Kansas
$75.03$75.03
Oklahoma
$74.84$74.84
Kentucky
$74.83$74.83
West Virginia
$74.52$74.52
Alabama
$73.43$73.43
Mississippi
$72.89$72.89
Arkansas
$72.40$72.40

Billed by 2 specialties

Commercial rates for 76815

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

See negotiated rates