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Utah rates for HCPCS 76514

Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness)

Facilitymedian $45 · 10th–90th $10$5750%10%20%10th90th$45Professionalmedian $12 · 10th–90th $4$280%5%10%10th90th$12$2.0$10.0$50.0$200.0

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
Typical Low / Median / Typical High
$10.00 / $48.98 / $575.44
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.49 / $38.90
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $7.94 / $25.70
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.02 / $3.98 / $8.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $31.62 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $17.38 / $25.70
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.71 / $12.02 / $17.38
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.31 / $5.62 / $8.51
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $57.54 / $83.18
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $22.91 / $31.62
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $15.49 / $20.89
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$5.13 / $7.41 / $10.72
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $17.78 / $26.30
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.41 / $12.02 / $18.20
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.72 / $5.50 / $8.13
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $10.96 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $13.18 / $20.42
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.76 / $9.12 / $13.80
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.63 / $4.17 / $6.61