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Idaho rates for HCPCS 76513

Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy, unilateral or bilateral

Facilitymedian $87 · 10th–90th $87$2140%50%90th$87Professionalmedian $65 · 10th–90th $30$1350%5%10%10th90th$65$20.0$50.0$100.0$200.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $87.10 / $165.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $31.62 / $67.61
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$144.54 / $144.54 / $741.31
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $56.23 / $85.11
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $138.04 / $173.78
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $61.66 / $69.18
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $75.86 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $117.49 / $213.80
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $48.98 / $83.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $70.79 / $141.25
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $309.03
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $109.65 / $109.65
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $77.62 / $218.78
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $138.04 / $194.98
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $58.88 / $72.44
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $79.43 / $102.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $48.98
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $154.88 / $181.97
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $64.57 / $69.18
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $89.13 / $107.15
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $169.82
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $30.90 / $67.61
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $41.69 / $218.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $102.33 / $181.97
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $37.15 / $69.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $64.57 / $120.23