# CPT 76816: Ultrasound, pregnant uterus, follow-up

Medicare CPT 76816 pays $111.22 in a non-facility setting and $111.22 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $98.88 in Arkansas to $129.66 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/76816-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $111.22 |
| National facility | $111.22 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $129.66 | $129.66 |
| District of Columbia | $127.48 | $127.48 |
| California | $126.45 | $126.45 |
| Washington | $123.20 | $123.20 |
| New Jersey | $123.10 | $123.10 |
| New York | $122.60 | $122.60 |
| Massachusetts | $121.86 | $121.86 |
| Hawaii | $121.73 | $121.73 |
| Connecticut | $118.43 | $118.43 |
| Colorado | $116.43 | $116.43 |
| Oregon | $115.36 | $115.36 |
| Maryland | $115.20 | $115.20 |
| New Hampshire | $114.37 | $114.37 |
| Rhode Island | $114.27 | $114.27 |
| Florida | $113.08 | $113.08 |
| Minnesota | $112.42 | $112.42 |
| Puerto Rico | $112.10 | $112.10 |
| Virgin Islands | $112.10 | $112.10 |
| Montana | $111.22 | $111.22 |
| Nevada | $111.03 | $111.03 |
| Wyoming | $110.79 | $110.79 |
| North Dakota | $110.23 | $110.23 |
| Delaware | $110.21 | $110.21 |
| South Dakota | $110.12 | $110.12 |
| Illinois | $110.08 | $110.08 |
| Texas | $109.99 | $109.99 |
| Pennsylvania | $109.91 | $109.91 |
| Vermont | $109.58 | $109.58 |
| Virginia | $109.34 | $109.34 |
| Arizona | $108.45 | $108.45 |
| Georgia | $107.83 | $107.83 |
| Maine | $106.96 | $106.96 |
| Michigan | $106.92 | $106.92 |
| Wisconsin | $106.63 | $106.63 |
| Utah | $106.14 | $106.14 |
| North Carolina | $105.14 | $105.14 |
| New Mexico | $104.77 | $104.77 |
| South Carolina | $104.76 | $104.76 |
| Missouri | $104.46 | $104.46 |
| Indiana | $104.39 | $104.39 |
| Louisiana | $104.18 | $104.18 |
| Ohio | $104.12 | $104.12 |
| Nebraska | $103.89 | $103.89 |
| Idaho | $103.80 | $103.80 |
| Iowa | $103.26 | $103.26 |
| Tennessee | $103.01 | $103.01 |
| Kansas | $102.54 | $102.54 |
| Oklahoma | $102.10 | $102.10 |
| Kentucky | $102.00 | $102.00 |
| West Virginia | $101.22 | $101.22 |
| Alabama | $100.27 | $100.27 |
| Mississippi | $99.41 | $99.41 |
| Arkansas | $98.88 | $98.88 |

## 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
- 76604: Ultrasound, chest, real time — https://www.med-reveal.com/rates/76604-cpt-fee-schedule
- 76641: Ultrasound, breast, unilateral, complete — https://www.med-reveal.com/rates/76641-cpt-fee-schedule

Commercial negotiated rates for 76816 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
