How much does Medicare pay for CPT 76830?

Medicare allowed an average of $88.51 per service and paid $64.33 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $309.32, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 76830?

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina. It was billed 261,386 times to 241,458 Medicare beneficiaries by 8,213 providers in 2024.

Does 76830 pay differently in an office than a hospital?

Yes. The allowed amount averaged $107.88 in an office setting and $32.40 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 76830 most?

Diagnostic Radiology, with 141,859 services from 4,630 clinicians. Next are Obstetrics & Gynecology, Independent Diagnostic Testing Facility (IDTF), Interventional Radiology.

CPT 76830

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina

$88.51Medicare-allowed amount per service, averaged across 261,386 services

Providers submitted

$309.32

Asking price, not received

Medicare allowed

$88.51

The fee schedule figure

Medicare paid

$64.33

Balance is patient coinsurance

Providers submitted an average of $309.32 for this code and Medicare allowed $88.51 — 3.5× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $64.33 (73%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $107.88
Hospital / facility: $32.40

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 194,309 services were billed in an office setting and 67,077 in a facility.

Services: 261,386
Beneficiaries: 241,458
Providers billing it: 8,213
Total allowed: $23,135,275

What Medicare pays for CPT 76830

Across 261,386 services billed by 8,213 providers to 241,458 beneficiaries, Medicare allowed an average of $88.51 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 76830

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	141,859	134,441	$69.15	4,630
Obstetrics & Gynecology	103,641	92,248	$114.29	3,073
Independent Diagnostic Testing Facility (IDTF)	7,035	6,545	$105.64	197
Interventional Radiology	3,380	3,274	$67.96	128
Nurse Practitioner	1,167	1,078	$91.56	56
Gynecological Oncology	945	825	$99.78	22
Internal Medicine	810	731	$93.03	20
Family Practice	657	593	$90.00	21
Nuclear Medicine	380	357	$67.89	14
Physician Assistant	297	277	$92.30	18
Endocrinology	262	231	$107.30	3
Urology	234	183	$96.18	6
Emergency Medicine	186	165	$92.52	6
Pediatric Medicine	144	142	$101.56	5
Undefined Physician type	88	84	$125.90	4

76830 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
New York	46,811	$116.38	$73.47	827
California	35,448	$97.68	$62.32	966
Florida	20,022	$100.11	$73.42	606
Pennsylvania	11,439	$57.61	$41.52	353
Illinois	11,427	$74.06	$52.80	387
Massachusetts	11,368	$62.35	$41.76	301
New Jersey	11,308	$108.89	$70.79	362
Texas	9,563	$84.73	$62.35	403
Maryland	8,295	$101.00	$66.96	223
Virginia	7,603	$85.98	$62.69	258
North Carolina	6,092	$82.67	$62.46	226
Ohio	6,082	$61.38	$45.83	224
Michigan	5,926	$61.73	$45.25	237
Arizona	5,259	$99.71	$72.26	158
Georgia	4,930	$90.22	$68.55	186
Tennessee	3,715	$81.10	$64.21	151
Washington	3,703	$63.19	$42.17	126
South Carolina	3,482	$87.14	$69.02	142
Minnesota	3,152	$65.80	$46.12	158
Missouri	3,133	$56.85	$42.75	147
Connecticut	3,060	$92.52	$60.28	103
Indiana	2,665	$64.96	$49.90	123
Colorado	2,424	$85.15	$58.17	114
Iowa	2,418	$60.38	$46.56	94
Wisconsin	2,262	$52.68	$38.77	115
Oregon	2,052	$58.96	$42.16	91
Kentucky	1,968	$74.01	$56.60	93
New Hampshire	1,747	$63.58	$43.26	72
Delaware	1,660	$74.22	$53.03	40
New Mexico	1,584	$76.71	$56.79	48
Oklahoma	1,583	$49.98	$38.85	73
Nevada	1,515	$86.24	$62.23	60
Alabama	1,460	$85.18	$69.06	65
Arkansas	1,426	$75.48	$62.09	62
Kansas	1,414	$63.60	$48.06	63
Rhode Island	1,283	$72.89	$50.21	38
Mississippi	1,235	$92.21	$75.21	63
District of Columbia	1,230	$97.39	$63.30	34
Louisiana	1,184	$79.74	$60.57	61
Nebraska	1,079	$60.17	$45.65	47
West Virginia	1,021	$61.08	$46.93	40
Vermont	855	$53.00	$37.38	30
Hawaii	854	$98.20	$65.46	21
South Dakota	667	$38.31	$26.49	26
Idaho	625	$49.82	$36.56	29
Montana	614	$60.68	$44.22	34
North Dakota	613	$44.28	$31.10	24
Maine	463	$41.46	$29.49	27
Puerto Rico	451	$116.17	$82.62	21
Utah	439	$60.51	$44.89	26
Alaska	405	$80.99	$48.09	13
Wyoming	272	$66.37	$46.14	16
ZZ	34	$32.44	$22.16	2
Guam	31	$81.82	$51.59	2
AP	22	$137.81	$89.58	1
XX	13	$32.87	$25.05	1

Related codes

76856Complete ultrasound scan of pelvis$80.52
76882Limited ultrasound scan of joint or other extremity structure except b$47.73
76872Ultrasound scan of pelvic region through rectum$93.36
76881Complete ultrasound scan of joint$51.91
76857Limited ultrasound scan of pelvis$43.46
76870Ultrasound scan of scrotum$55.05
76883Comprehensive ultrasound scan of entire length of nerves in extremity$67.00
76873Ultrasound scan of prostate through rectum$129.46
76800Ultrasound scan of spinal canal$160.15

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.