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Texas rates for HCPCS 76513

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

Facilitymedian $26 · 10th–90th $20$2000%20%10th90th$26Professionalmedian $54 · 10th–90th $26$1380%5%10th90th$54$10.0$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
$19.95 / $22.91 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $72.44 / $165.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $30.20 / $61.66
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$173.78 / $204.17 / $407.38
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $40.74 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $58.88 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $56.23 / $67.61
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $30.20 / $31.62
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.76 / $36.31 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $95.50 / $186.21
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $37.15 / $70.79
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $57.54 / $114.82
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
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$21.88 / $28.84 / $42.66
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $89.13 / $173.78
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $37.15 / $69.18
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$173.78 / $204.17 / $407.38
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $52.48 / $102.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $33.11 / $63.10
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $204.17 / $234.42
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$8.13 / $38.02 / $53.70
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $93.33 / $186.21
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $34.67 / $64.57
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $56.23 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $97.72 / $158.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $37.15 / $58.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $63.10 / $100.00
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $75.86 / $91.20
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $32.36 / $39.81
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $43.65 / $52.48