Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 76510 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Oph Us Dx B Scan Quan A Scan, Ophthalmic Ultrasound Diagnostic B Scan And Quantitative A Scan Performed During The Same Patient Encounter
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Ultrasound Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76510 |
| Medicaid Fee Schedule | View Medicaid rates for 76510 |
National average reimbursement for CPT 76510 by major payers:
$118.73
$144.42
$124.81
$158.20
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 76510.
CPT 76510
5 of 25 sample ratesHigher to lower in this preview
Ralph Pickard
$316.41Published rateJuliana Rosenblat
Vitalmd Group Holding, LLC
$135.92Published rateVhs San Antonio Partners, LLC
$111.94Published rateDanial Mir
$99.83Published rateChristus Health Ark-La-Tex, Christus St. Michael Health System
Christus Health Arklatex
$38.68Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 76510 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76510 code is part of the Radiology Procedures services used for Diagnostic Ultrasound Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 76510 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 76510-CPT | Low | Oph Us Dx B Scan Quan A Scan, Ophthalmic Ultrasound Diagnostic B Scan And Quantitative A Scan Performed During The Same Patient Encounter |
| 76511-CPT | Low | Ophthalmic Ultrasound Echogra, Ophthalmic Ultrasound Echography Diagnostic A-Scan Only With Amplitude Quantification |
| 76512-CPT | Low | Ophthalmic Ultrasound Echogra, Ophthalmic Ultrasound Echography Diagnostic Contactb-Scan (With Or Without Simultaneous A-Scan) |
| 76513-CPT | Low | Oph Us Dx Ant Sgm Us Uni Bi, Ophthalmic Ultrasound Diagnostic Anterior Segment Ultrasound Immersion Water Bath B Scan Or High Resolution Biomicroscopy Unilateral Or Bilateral |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76510. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76510 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 76510) and we'll show you how you compare in 15 minutes or less.