go back

Nebraska rates for HCPCS 76513

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

Facilitymedian $105 · 10th–90th $74$3090%20%40%10th90th$105Professionalmedian $59 · 10th–90th $28$1450%5%10%10th90th$59$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
$74.13 / $104.71 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $72.44 / $144.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $30.20 / $60.26
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $44.67 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $138.04 / $147.91
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $60.26 / $64.57
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $79.43 / $125.89
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $165.96 / $251.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $72.44 / $95.50
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $100.00 / $144.54
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $151.36 / $588.84
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $54.95 / $338.84
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $85.11 / $354.81
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $162.18 / $251.19
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $70.79 / $109.65
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $91.20 / $144.54
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $165.96 / $181.97
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $70.79 / $81.28
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $100.00 / $104.71
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $199.53 / $229.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $138.04 / $218.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $52.48 / $81.28
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $81.28 / $141.25