go back

Missouri rates for HCPCS 76512

Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan)

Facilitymedian $81 · 10th–90th $37$2000%10%10th90th$81Professionalmedian $55 · 10th–90th $19$1820%5%10th90th$55$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $109.65 / $234.42
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.84 / $52.48 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $83.18 / $204.17
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $38.90 / $131.83
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$70.79 / $158.49 / $316.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.88 / $19.05 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $69.18 / $81.28
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $50.12 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $75.86 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $44.67 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$85.11 / $114.82 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $30.20 / $85.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $77.62 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $54.95 / $112.20
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $33.88 / $66.07
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $19.95 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $100.00 / $457.09
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.24 / $33.88 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $89.13 / $162.18
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $50.12 / $95.50
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.49 / $36.31 / $81.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $81.28 / $257.04
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$70.79 / $199.53 / $199.53
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $93.33 / $660.69
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $50.12 / $338.84
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $39.81 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $114.82 / $213.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $67.61 / $123.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $39.81 / $66.07
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $26.92 / $56.23