go back

Wisconsin rates for HCPCS 76513

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

Facilitymedian $68 · 10th–90th $48$1450%20%10th90th$68Professionalmedian $72 · 10th–90th $32$2400%5%10th90th$72$20.0$50.0$100.0$200.0$500.0$1.0K

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
$47.86 / $56.23 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $85.11 / $177.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $33.11 / $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 / $48.98 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $134.90 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $50.12 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$109.65 / $204.17 / $616.60
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $77.62 / $234.42
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$85.11 / $100.00 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $229.09 / $309.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $91.20 / $131.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $138.04 / $173.78
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $154.88 / $223.87
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $67.61 / $91.20
DeanCare
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$204.17 / $234.42 / $338.84
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $87.10 / $125.89
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
$97.72 / $181.97 / $588.84
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $67.61 / $338.84
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $112.20 / $354.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $102.33
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $147.91 / $302.00
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $56.23 / $125.89
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $93.33 / $177.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $186.21 / $331.13
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $199.53 / $199.53
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $489.78 / $602.56
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $177.83 / $338.84
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $302.00 / $363.08
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $346.74 / $549.54
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $104.71 / $190.55
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $169.82 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $134.90 / $354.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $50.12 / $131.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $83.18 / $223.87