CPT 76819

Fetal Biophysical Profile W/O Non-Stress Testing

CPT 76819 pays $87.84 in a non-facility setting and $87.84 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $78.30 in Arkansas to $103.42 in Alaska, a 32% spread.

National non-facility rate

$87.84

Office and other outpatient settings

Facility rate
$87.84

Hospital and ASC settings

Highest state
$103.42

Alaska

Lowest state
$78.30

Arkansas · 32% 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 $87.84
CPT 76819 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $87.84, national facility $87.84.
StateRate compared visuallyNon-facilityFacility
Alaska
$103.42$103.42
District of Columbia
$100.24$100.24
California
$98.97$98.97
New Jersey
$96.96$96.96
New York
$96.78$96.78
Washington
$96.72$96.72
Massachusetts
$95.75$95.75
Hawaii
$95.33$95.33
Connecticut
$93.45$93.45
Colorado
$91.60$91.60
Maryland
$90.91$90.91
Oregon
$90.74$90.74
Rhode Island
$90.11$90.11
New Hampshire
$90.09$90.09
Florida
$89.94$89.94
Puerto Rico
$88.48$88.48
Virgin Islands
$88.48$88.48
Minnesota
$88.20$88.20
Montana
$87.84$87.84
Illinois
$87.71$87.71
Nevada
$87.57$87.57
Wyoming
$87.32$87.32
Delaware
$87.04$87.04
Pennsylvania
$86.96$86.96
Texas
$86.90$86.90
North Dakota
$86.65$86.65
South Dakota
$86.51$86.51
Vermont
$86.25$86.25
Virginia
$86.22$86.22
Arizona
$85.67$85.67
Georgia
$85.48$85.48
Michigan
$84.95$84.95
Maine
$84.39$84.39
Utah
$83.99$83.99
Wisconsin
$83.90$83.90
New Mexico
$83.20$83.20
North Carolina
$83.05$83.05
South Carolina
$82.92$82.92
Missouri
$82.81$82.81
Louisiana
$82.65$82.65
Ohio
$82.57$82.57
Indiana
$82.38$82.38
Idaho
$81.93$81.93
Nebraska
$81.92$81.92
Iowa
$81.47$81.47
Tennessee
$81.38$81.38
Kansas
$81.01$81.01
Kentucky
$80.93$80.93
Oklahoma
$80.89$80.89
West Virginia
$80.74$80.74
Alabama
$79.38$79.38
Mississippi
$78.87$78.87
Arkansas
$78.30$78.30

Billed by 1 specialties

Commercial rates for 76819

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

See negotiated rates