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Illinois rates for HCPCS 76513

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

Facilitymedian $60 · 10th–90th $29$950%10%20%10th90th$60Professionalmedian $65 · 10th–90th $30$1660%5%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.84 / $60.26 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $87.10 / $208.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $33.11 / $102.33
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$144.54 / $204.17 / $741.31
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $46.77 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $58.88 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $87.10 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $112.20 / $169.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $45.71 / $67.61
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $66.07 / $112.20
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $162.18 / $346.74
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $60.26 / $151.36
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $75.86 / $204.17
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $91.20 / $95.50
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $39.81 / $41.69
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $51.29 / $54.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $112.20 / $173.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $40.74 / $64.57
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $69.18 / $109.65