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Tennessee rates for HCPCS 76513

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

Facilitymedian $195 · 10th–90th $50$2000%20%40%10th90th$195Professionalmedian $58 · 10th–90th $28$1450%5%10%10th90th$58$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
$50.12 / $186.21 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $79.43 / $208.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $30.90 / $64.57
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 / $42.66 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $89.13 / $158.49
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $46.77 / $72.44
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $63.10 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $104.71 / $181.97
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $42.66 / $72.44
Cigna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $61.66 / $112.20
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $616.60 / $616.60
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $107.15 / $177.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $40.74 / $66.07
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $64.57 / $107.15