CPT code 76514: Corneal pachymetry, ultrasonic thickness measurement2026 Medicare rate & RVUs in Washington, DC area

Ultrasonic pachymetry measures corneal thickness in one or both eyes, supporting evaluation of glaucoma risk, corneal conditions, and other eye-care decisions.

CMS RVU26DEffective Oct 1, 2026One payment locality419.3K Medicare services in 2024

In Washington, DC area, Medicare pays $13.15 for 76514 in the office.

$13.15Office (non-facility)
Not available in this settingHospital or facility
+12.5%vs the national office rate ($11.69)

Check a contract rate as a % of Medicare · 76514 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 76514 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 76514 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 76514 covers

This service uses an ultrasound probe to measure corneal thickness, commonly the central cornea. Ophthalmologists and optometrists may order it during evaluation of glaucoma risk or corneal conditions, or when thickness information is needed for another eye-care decision. It is performed in settings such as an ophthalmology office or outpatient eye clinic.

Report the code for the ultrasonic thickness study whether one eye or both eyes are examined; CMS prices it as bilateral, so modifier 50 does not increase payment. Documentation should identify the clinical reason, eye or eyes assessed, measurements, and interpretation. The service has professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff portion, and an unmodified claim represents the global service. When multiple ophthalmology diagnostic procedures are performed, the multiple-procedure reduction applies to the technical component.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Washington, DC area compares for 76514

Across 109 of 109 payment localities, the office rate for 76514 runs from $10.47 in Arkansas to $14.70 in San Benito County, CA. Washington, DC area pays $13.15. The RVUs are the same everywhere; the geographic indexes change the dollars.

76514 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$13.15
  2. Los Angeles, CA · California$12.82−$0.33
  3. Miami, FL · Florida$12.97−$0.18
  4. Chicago, IL · Illinois$12.62−$0.53
  5. Manhattan, NY · New York$13.41+$0.26
  6. Alaska · Alaska$14.14+$0.99
  7. Alabama · Alabama$10.61−$2.54

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

76514 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$10.47—
ArizonaArizona$11.40—
Bakersfield, CACalifornia$12.13—
Chico, CACalifornia$12.07—
El Centro, CACalifornia$12.07—
Fresno, CACalifornia$12.07—
Hanford, CACalifornia$12.07—
Madera, CACalifornia$12.07—

76514 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$10.47

$14.14

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
76514 office rate range by state
State / territoryOffice rate rangeLocalities
AK$14.141
AL$10.611
AR$10.471
AZ$11.401
CA$12.07–$14.7029
CO$12.011
CT$12.411
DC$13.151
DE$11.571
FL$11.75–$12.973
GA$11.13–$11.942
GU$12.281
HI$12.281
IA$10.751
ID$10.831
IL$11.51–$12.624
IN$10.881
KS$10.751
KY$10.931
LA$10.93–$11.412
MA$11.97–$13.042
MD$11.76–$13.153
ME$10.93–$11.392
MI$11.22–$11.932
MN$11.401
MO$10.80–$11.393
MS$10.631
MT$11.691
NC$11.021
ND$11.291
NE$10.791
NH$11.871
NJ$12.53–$13.052
NM$11.301
NV$11.591
NY$11.17–$13.765
OH$11.141
OK$10.861
OR$11.47–$12.302
PA$11.13–$12.162
PR$11.751
RI$11.921
SC$11.111
SD$11.251
TN$10.801
TX$11.07–$11.998
UT$11.241
VA$11.39–$13.152
VI$11.751
VT$11.301
WA$11.93–$13.242
WI$10.961
WV$11.151
WY$11.521

See 76514 in every payment locality

How the 76514 rate is calculated

Each of 76514’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 76514

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.14

0.14 RVUs× 1.000 GPCI

Practice expense0.19

0.19 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

0.3500

Conversion factor

$33.4009

Medicare rate

$11.69

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,718

Code
76514
Physician work
0.14
Practice expense
0.19
Malpractice
0.02

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 76514 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work0.14× 1.0540.1476
Practice expense0.19× 1.1780.2238
Malpractice0.02× 1.1130.0223
Total RVUs0.3936
Conversion factor× 33.4009

Office rate, Washington, DC area$13.15

Office: (0.14 × 1.054 + 0.19 × 1.178 + 0.02 × 1.113) × $33.4009 = $13.15

Open 76514 in the RVU calculator

Payment rules and modifiers for 76514

The CMS indicators that decide how 76514 is paid alongside other services.

CMS payment indicators · 76514

Corneal pachymetry, ultrasonic thickness measurement

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures7Diagnostic ophthalmology reduction applies to the technical component.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

76514 without 26 · national office

$11.69

Corneal pachymetry, ultrasonic thickness measurement

76514-26 · Professional component

$7.68

Pays only the interpretation and report.

When to use modifier 26

How 76514 has changed in Washington, DC area

76514 · Office / nonfacility

$13.15

Effective 2026-10-01

The base rate is $0.67 higher than on 2025-10-01, moving from $12.48 to $13.15 (5.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $12.48changed to$13.15

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.18 changed to 0.19
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $12.85changed to$12.48

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $12.64changed to$12.85

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $13.25changed to$12.64

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168
  5. January 1, 2023

    RVU23A

    $13.70changed to$13.25

    • Conversion factor 34.6062 changed to 33.8872
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $13.81changed to$13.70

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $14.15changed to$13.81

    • Conversion factor 36.0896 changed to 34.8931
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $14.87changed to$14.15

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.20 changed to 0.18
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $18.15changed to$14.87

    • Conversion factor 35.9996 changed to 36.0391
    • Work RVU 0.17 changed to 0.14
    • Practice expense RVU 0.25 changed to 0.20

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $17.69changed to$18.15

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.24 changed to 0.25
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $17.67changed to$17.69

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $17.73changed to$17.67

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $17.64changed to$17.73

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $17.59changed to$17.64

    • Conversion factor 35.8228 changed to 35.7547
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $17.43changed to$17.59

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.26 changed to 0.24
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $17.43

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$13.15Not available in this settingRVU26D
2026-07-01$13.15Not available in this settingRVU26C
2026-04-01$13.15Not available in this settingRVU26B
2026-01-01$13.15Not available in this settingRVU26A
2025-10-01$12.48Not available in this settingRVU25D
2025-07-01$12.48Not available in this settingRVU25C
2025-04-01$12.48Not available in this settingRVU25B
2025-01-01$12.48Not available in this settingRVU25A
2024-10-01$12.85Not available in this settingRVU24D
2024-07-01$12.85Not available in this settingRVU24C
2024-04-01$12.85Not available in this settingRVU24B
2024-03-09$12.85Not available in this settingRVU24AR
2024-01-01$12.64Not available in this settingRVU24A
2023-10-01$13.25Not available in this settingRVU23D
2023-07-01$13.25Not available in this settingRVU23C
2023-04-01$13.25Not available in this settingRVU23B
2023-01-01$13.25Not available in this settingRVU23A
2022-10-01$13.70Not available in this settingRVU22D
2022-07-01$13.70Not available in this settingRVU22C
2022-04-01$13.70Not available in this settingRVU22B
2022-01-01$13.70Not available in this settingRVU22A
2021-10-01$13.81Not available in this settingRVU21D
2021-07-01$13.81Not available in this settingRVU21C
2021-04-01$13.81Not available in this settingRVU21B
2021-01-01$13.81Not available in this settingRVU21A
2020-10-01$14.15Not available in this settingRVU20D
2020-07-01$14.15Not available in this settingRVU20C
2020-04-01$14.15Not available in this settingRVU20B
2020-01-01$14.15Not available in this settingRVU20A
2019-10-01$14.87Not available in this settingRVU19D
2019-07-01$14.87Not available in this settingRVU19C
2019-04-01$14.87Not available in this settingRVU19B
2019-01-01$14.87Not available in this settingRVU19A
2018-10-01$18.15Not available in this settingRVU18D
2018-07-01$18.15Not available in this settingRVU18C
2018-04-01$18.15Not available in this settingRVU18B
2018-01-01$18.15Not available in this settingRVU18AR1
2017-10-01$17.69Not available in this settingRVU17D
2017-07-01$17.69Not available in this settingRVU17C
2017-04-01$17.69Not available in this settingRVU17B
2017-01-01$17.69Not available in this settingRVU17A
2016-10-01$17.67Not available in this settingRVU16D
2016-07-01$17.67Not available in this settingRVU16C
2016-04-01$17.67Not available in this settingRVU16B
2016-01-01$17.67Not available in this settingRVU16A
2015-10-01$17.73Not available in this settingRVU15D
2015-07-01$17.73Not available in this settingRVU15C
2015-04-01$17.64Not available in this settingRVU15B
2015-01-01$17.64Not available in this settingRVU15A
2014-10-01$17.59Not available in this settingRVU14D
2014-07-01$17.59Not available in this settingRVU14C
2014-04-01$17.59Not available in this settingRVU14B
2014-01-01$17.59Not available in this settingRVU14A
2013-10-01$17.43Not available in this settingRVU13D
2013-07-01$17.43Not available in this settingRVU13C
2013-04-01$17.43Not available in this settingRVU13B
2013-01-01$17.43Not available in this settingRVU13AR

Price 76514 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

76514 billing questions

Should this code be reported for one eye or both eyes?

It covers ultrasonic corneal thickness measurement for one or both eyes. CMS prices it as bilateral, so modifier 50 does not increase payment.

How does this differ from 76513?

76514 measures corneal thickness. Code 76513 is ultrasound biomicroscopy of the anterior segment, a different diagnostic examination.

Can the professional and technical portions be billed separately?

Yes. Use modifier 26 for the interpretation and modifier TC for the equipment and staff portion. Billing without either modifier represents the global service.

Does the multiple-procedure reduction affect both components?

The ophthalmology diagnostic multiple-procedure reduction applies to the technical component.

What documentation supports reporting this service?

Document the clinical indication, the eye or eyes examined, the thickness measurements, and the interpretation.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 76514PPRRVU2026_Oct_nonQPP.csv, line 8,718 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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