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Wisconsin rates for HCPCS 76514

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

Facilitymedian $26 · 10th–90th $11$1290%10%10th90th$26Professionalmedian $13 · 10th–90th $4$470%5%10%10th90th$13$2.0$10.0$50.0$200.0$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
Typical Low / Median / Typical High
$15.85 / $109.65 / $134.90
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.96 / $10.96 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $17.78 / $69.18
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.03 / $8.91 / $24.55
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.02 / $3.98 / $8.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $17.38 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.41 / $11.75 / $39.81
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$16.22 / $26.30 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.31 / $6.03 / $18.62
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $12.30 / $18.62
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $9.77 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $33.88 / $53.70
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.95 / $22.91 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $33.11 / $45.71
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $22.39 / $30.90
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.98 / $10.23 / $14.13
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $23.44 / $120.23
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $23.44 / $33.88
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $15.85 / $22.91
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$6.31 / $7.24 / $10.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $18.20 / $63.10
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $23.44 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.71 / $16.98 / $1,288.25
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.72 / $7.59 / $977.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $33.11 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $30.20
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $23.44 / $44.67
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $15.49 / $27.54
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$4.57 / $7.94 / $15.14
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $27.54 / $48.98
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $79.43 / $79.43
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$17.78 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $57.54 / $1,412.54
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $39.81 / $1,288.25
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$4.57 / $17.78 / $977.24
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $52.48 / $85.11
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $28.18 / $46.77
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.02 / $14.45 / $20.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $28.84 / $102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $19.05 / $44.67
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $12.02 / $29.51
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.63 / $6.31 / $13.18