CPT 76857

Us Pelvic Nonobstetric Image Dcmtn Limited/F/U

CPT 76857 pays $51.10 in a non-facility setting and $51.10 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $45.75 in Arkansas to $60.86 in Alaska, a 33% spread.

National non-facility rate

$51.10

Office and other outpatient settings

Facility rate
$51.10

Hospital and ASC settings

Highest state
$60.86

Alaska

Lowest state
$45.75

Arkansas · 33% 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 $51.10
CPT 76857 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $51.10, national facility $51.10.
StateRate compared visuallyNon-facilityFacility
Alaska
$60.86$60.86
District of Columbia
$58.08$58.08
California
$57.20$57.20
New Jersey
$56.26$56.26
New York
$56.22$56.22
Washington
$56.01$56.01
Massachusetts
$55.49$55.49
Hawaii
$55.12$55.12
Connecticut
$54.28$54.28
Colorado
$53.14$53.14
Maryland
$52.84$52.84
Oregon
$52.65$52.65
Florida
$52.48$52.48
Rhode Island
$52.37$52.37
New Hampshire
$52.31$52.31
Puerto Rico
$51.45$51.45
Virgin Islands
$51.45$51.45
Illinois
$51.25$51.25
Minnesota
$51.13$51.13
Montana
$51.10$51.10
Nevada
$50.91$50.91
Wyoming
$50.76$50.76
Pennsylvania
$50.66$50.66
Delaware
$50.65$50.65
Texas
$50.58$50.58
North Dakota
$50.31$50.31
South Dakota
$50.22$50.22
Virginia
$50.14$50.14
Vermont
$50.11$50.11
Arizona
$49.88$49.88
Georgia
$49.85$49.85
Michigan
$49.61$49.61
Maine
$49.12$49.12
Utah
$48.96$48.96
Wisconsin
$48.78$48.78
New Mexico
$48.60$48.60
North Carolina
$48.38$48.38
South Carolina
$48.36$48.36
Missouri
$48.33$48.33
Louisiana
$48.26$48.26
Ohio
$48.21$48.21
Indiana
$47.98$47.98
Idaho
$47.73$47.73
Nebraska
$47.70$47.70
Iowa
$47.46$47.46
Tennessee
$47.45$47.45
West Virginia
$47.30$47.30
Kentucky
$47.28$47.28
Kansas
$47.23$47.23
Oklahoma
$47.23$47.23
Alabama
$46.35$46.35
Mississippi
$46.11$46.11
Arkansas
$45.75$45.75

Billed by 1 specialties

Commercial rates for 76857

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

See negotiated rates