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 76513 Fee Schedule
CPT 76513 is classified under Radiology Procedures, in the Diagnostic Ultrasound Procedures subgroup.
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
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Ultrasound Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76513 |
| Medicaid Fee Schedule | $61.995 median of the 8 states in the free preview · View Medicaid rates for 76513 |
National average reimbursement for CPT 76513 by major payers:
$111.76
BCBS / Anthem
$111.81
UnitedHealthcare
$100.03
Aetna
$122.05
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 76513.
CPT 76513
5 of 25 sample ratesHigher to lower in this preview
Robert Mcleroy
Northern Arizona Healthcare Corporation
$139.19Published rateBaycare Home Care, Inc., Dba Sarasota Memorial Home Care
Baycare Home Care Inc
$111.59Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$68.87Published rateJonathan Weiser
Northern Arizona Healthcare Corporation
$55.20Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$24.18Published 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 76513 vs. Other Diagnostic Ultrasound Procedures Codes
The table lists codes related to 76513. Select one to see its fee schedule.
| 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 76513. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76513 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 76513) and we'll show you how you compare in 15 minutes or less.