# CPT 76857: Ultrasound, pelvic, limited, non-obstetric

Medicare 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.

Web page: https://www.med-reveal.com/rates/76857-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: Obstetrics & Gynecology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $51.10 |
| National facility | $51.10 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $60.86 | $60.86 |
| District of Columbia | $58.08 | $58.08 |
| California | $57.20 | $57.20 |
| New Jersey | $56.27 | $56.27 |
| New York | $56.22 | $56.22 |
| Washington | $56.02 | $56.02 |
| 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 | $49.86 | $49.86 |
| 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 |

## 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 76857 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