Pelvic ultrasound: how much does Medicare pay?

Nationally, the Q3 2026 Physician Fee Schedule pays $105.21 in an office (non-facility) setting and $105.21 in a facility setting for 76856. Your local amount differs — the national figure applies geographic index values of 1.000, and Medicare then pays 80% of the allowed amount after the deductible is met.

Procedure · Updated Aug 1, 2026

Pelvic ultrasound: CPT code and Medicare rate

An ultrasound of the pelvic organs outside of pregnancy, used to work up abnormal bleeding, pelvic pain, fibroids, or ovarian cysts. 76856 is the complete transabdominal study; 76830 is the transvaginal approach.

Also called: transvaginal ultrasound, pelvic scan, gynecological ultrasound.

Usually billed as

76856 Complete Pelvic Ultrasound, Non-Pregnancy

Office (non-facility): $105.21
Facility: $105.21

National amounts for the Q3 2026 release (July 1 – September 30, 2026), using geographic index values of 1.000. Your local rate differs — open the code page for the locality breakdown.

Obstetric ultrasound performed during pregnancy is a different family of codes and is not covered here.

Related codes

Codes worth checking before you settle on 76856.

Code	What it covers	Office	Facility
76830	Transvaginal Pelvic Ultrasound	$117.57	$117.57

A dash means the code has no national amount in this release — it may be carrier-priced, bundled, or not separately payable. That is never the same as $0.

Common questions

Pelvic ultrasound: which code is it?: 76856 — Complete Pelvic Ultrasound, Non-Pregnancy. An ultrasound of the pelvic organs outside of pregnancy, used to work up abnormal bleeding, pelvic pain, fibroids, or ovarian cysts. 76856 is the complete transabdominal study; 76830 is the transvaginal approach.
Pelvic ultrasound: how much does Medicare pay?: Nationally, the Q3 2026 Physician Fee Schedule pays $105.21 in an office (non-facility) setting and $105.21 in a facility setting for 76856. Your local amount differs — the national figure applies geographic index values of 1.000, and Medicare then pays 80% of the allowed amount after the deductible is met.
Pelvic ultrasound: what else affects the billing?: Obstetric ultrasound performed during pregnancy is a different family of codes and is not covered here.

Need the rate where you practice?

Every code page carries the full locality breakdown, the RVU and GPCI inputs, and the release that answered.

Open the code page

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This page maps everyday language to the code a claim normally carries. It is general information about how Medicare prices a service, not coding advice for a specific claim — the correct code always depends on what was actually documented and performed.

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