CPT code 76514: Corneal pachymetry, ultrasonic thickness measurement2026 Medicare rate & RVUs in North Dakota
Ultrasonic pachymetry measures corneal thickness in one or both eyes, supporting evaluation of glaucoma risk, corneal conditions, and other eye-care decisions.
In North Dakota, Medicare pays $11.29 for 76514 in the office.
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.
On this page 11 sections
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 North Dakota 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. North Dakota pays $11.29. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$11.29
- Los Angeles, CA · California$12.82+$1.53
- Washington, DC area · District of Columbia$13.15+$1.86
- Miami, FL · Florida$12.97+$1.68
- Chicago, IL · Illinois$12.62+$1.33
- Manhattan, NY · New York$13.41+$2.12
- Alaska · Alaska$14.14+$2.85
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $10.61 | — |
| 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 | — |
| Merced, CACalifornia | $12.07 | — |
| Modesto, CACalifornia | $12.07 | — |
| Napa, CACalifornia | $13.67 | — |
| Oxnard, CACalifornia | $12.72 | — |
| Redding, CACalifornia | $12.07 | — |
| Rest of CaliforniaCalifornia | $12.07 | — |
| Riverside, CACalifornia | $12.29 | — |
| Sacramento, CACalifornia | $12.58 | — |
| Salinas, CACalifornia | $12.53 | — |
| San Diego, CACalifornia | $12.77 | — |
| Marin County, CACalifornia | $14.38 | — |
| San Francisco, CACalifornia | $14.35 | — |
| San Benito County, CACalifornia | $14.70 | — |
| Santa Clara County, CACalifornia | $14.61 | — |
| San Luis Obispo, CACalifornia | $12.34 | — |
| Santa Cruz, CACalifornia | $12.84 | — |
| Santa Maria, CACalifornia | $12.56 | — |
| Santa Rosa, CACalifornia | $12.97 | — |
| Stockton, CACalifornia | $12.07 | — |
| Vallejo, CACalifornia | $13.64 | — |
| Visalia, CACalifornia | $12.07 | — |
| Yuba City, CACalifornia | $12.07 | — |
| ColoradoColorado | $12.01 | — |
| ConnecticutConnecticut | $12.41 | — |
| DelawareDelaware | $11.57 | — |
| Fort Lauderdale, FLFlorida | $12.31 | — |
| Rest of FloridaFlorida | $11.75 | — |
| Atlanta, GAGeorgia | $11.94 | — |
| Rest of GeorgiaGeorgia | $11.13 | — |
| Hawaii, Guam, HIHawaii | $12.28 | — |
| IowaIowa | $10.75 | — |
| IdahoIdaho | $10.83 | — |
| East St. Louis, ILIllinois | $11.86 | — |
| Rest of IllinoisIllinois | $11.51 | — |
| Suburban Chicago, ILIllinois | $12.41 | — |
| IndianaIndiana | $10.88 | — |
| KansasKansas | $10.75 | — |
| KentuckyKentucky | $10.93 | — |
| New Orleans, LALouisiana | $11.41 | — |
| Rest of LouisianaLouisiana | $10.93 | — |
| Metropolitan Boston, MAMassachusetts | $13.04 | — |
| Rest of MassachusettsMassachusetts | $11.97 | — |
| Baltimore area, MDMaryland | $12.39 | — |
| Rest of MarylandMaryland | $11.76 | — |
| Rest of MaineMaine | $10.93 | — |
| Southern Maine, MEMaine | $11.39 | — |
| Detroit, MIMichigan | $11.93 | — |
| Rest of MichiganMichigan | $11.22 | — |
| MinnesotaMinnesota | $11.40 | — |
| Metropolitan Kansas City, MOMissouri | $11.29 | — |
| Metropolitan St. Louis, MOMissouri | $11.39 | — |
| Rest of MissouriMissouri | $10.80 | — |
| MississippiMississippi | $10.63 | — |
| MontanaMontana | $11.69 | — |
| North CarolinaNorth Carolina | $11.02 | — |
| NebraskaNebraska | $10.79 | — |
| New HampshireNew Hampshire | $11.87 | — |
| Northern New JerseyNew Jersey | $13.05 | — |
| Rest of New JerseyNew Jersey | $12.53 | — |
| New MexicoNew Mexico | $11.30 | — |
| NevadaNevada | $11.59 | — |
| NYC suburbs and Long Island, NYNew York | $13.76 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $12.64 | — |
| Queens, NYNew York | $13.44 | — |
| Rest of New YorkNew York | $11.17 | — |
| OhioOhio | $11.14 | — |
| OklahomaOklahoma | $10.86 | — |
| Portland, OROregon | $12.30 | — |
| Rest of OregonOregon | $11.47 | — |
| Metropolitan Philadelphia, PAPennsylvania | $12.16 | — |
| Rest of PennsylvaniaPennsylvania | $11.13 | — |
| Puerto RicoPuerto Rico | $11.75 | — |
| Rhode IslandRhode Island | $11.92 | — |
| South CarolinaSouth Carolina | $11.11 | — |
| South DakotaSouth Dakota | $11.25 | — |
| TennesseeTennessee | $10.80 | — |
| Austin, TXTexas | $11.99 | — |
| Beaumont, TXTexas | $11.07 | — |
| Brazoria, TXTexas | $11.52 | — |
| Dallas, TXTexas | $11.61 | — |
| Fort Worth, TXTexas | $11.56 | — |
| Galveston, TXTexas | $11.57 | — |
| Houston, TXTexas | $11.93 | — |
| Rest of TexasTexas | $11.30 | — |
| UtahUtah | $11.24 | — |
| VirginiaVirginia | $11.39 | — |
| Virgin Islands, VIUnited States Virgin Islands | $11.75 | — |
| VermontVermont | $11.30 | — |
| Rest of WashingtonWashington | $11.93 | — |
| King County, WAWashington | $13.24 | — |
| WisconsinWisconsin | $10.96 | — |
| West VirginiaWest Virginia | $11.15 | — |
| WyomingWyoming | $11.52 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $14.14 | 1 |
| AL | $10.61 | 1 |
| AR | $10.47 | 1 |
| AZ | $11.40 | 1 |
| CA | $12.07–$14.70 | 29 |
| CO | $12.01 | 1 |
| CT | $12.41 | 1 |
| DC | $13.15 | 1 |
| DE | $11.57 | 1 |
| FL | $11.75–$12.97 | 3 |
| GA | $11.13–$11.94 | 2 |
| GU | $12.28 | 1 |
| HI | $12.28 | 1 |
| IA | $10.75 | 1 |
| ID | $10.83 | 1 |
| IL | $11.51–$12.62 | 4 |
| IN | $10.88 | 1 |
| KS | $10.75 | 1 |
| KY | $10.93 | 1 |
| LA | $10.93–$11.41 | 2 |
| MA | $11.97–$13.04 | 2 |
| MD | $11.76–$13.15 | 3 |
| ME | $10.93–$11.39 | 2 |
| MI | $11.22–$11.93 | 2 |
| MN | $11.40 | 1 |
| MO | $10.80–$11.39 | 3 |
| MS | $10.63 | 1 |
| MT | $11.69 | 1 |
| NC | $11.02 | 1 |
| ND | $11.29 | 1 |
| NE | $10.79 | 1 |
| NH | $11.87 | 1 |
| NJ | $12.53–$13.05 | 2 |
| NM | $11.30 | 1 |
| NV | $11.59 | 1 |
| NY | $11.17–$13.76 | 5 |
| OH | $11.14 | 1 |
| OK | $10.86 | 1 |
| OR | $11.47–$12.30 | 2 |
| PA | $11.13–$12.16 | 2 |
| PR | $11.75 | 1 |
| RI | $11.92 | 1 |
| SC | $11.11 | 1 |
| SD | $11.25 | 1 |
| TN | $10.80 | 1 |
| TX | $11.07–$11.99 | 8 |
| UT | $11.24 | 1 |
| VA | $11.39–$13.15 | 2 |
| VI | $11.75 | 1 |
| VT | $11.30 | 1 |
| WA | $11.93–$13.24 | 2 |
| WI | $10.96 | 1 |
| WV | $11.15 | 1 |
| WY | $11.52 | 1 |
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
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 North Dakota 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
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.14 | × 1.000 | 0.1400 |
| Practice expense | 0.19 | × 1.000 | 0.1900 |
| Malpractice | 0.02 | × 0.406 | 0.0081 |
| Total RVUs | 0.3381 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$11.29
Office: (0.14 × 1 + 0.19 × 1 + 0.02 × 0.406) × $33.4009 = $11.29
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 7 | Diagnostic ophthalmology reduction applies to the technical component. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic 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.
How 76514 has changed in North Dakota
76514 · Office / nonfacility
$11.29
Effective 2026-10-01
The base rate is $0.60 higher than on 2025-10-01, moving from $10.69 to $11.29 (5.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$10.69changed to$11.29
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.18 changed to 0.19
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$11.00changed to$10.69
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$10.82changed to$11.00
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$11.17changed to$10.82
- Conversion factor 33.8872 changed to 32.7442
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$11.37changed to$11.17
- Conversion factor 34.6062 changed to 33.8872
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$11.47changed to$11.37
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$11.90changed to$11.47
- Conversion factor 36.0896 changed to 34.8931
- Malpractice GPCI 0.485 changed to 0.431
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$12.64changed to$11.90
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.20 changed to 0.18
- Malpractice GPCI 0.540 changed to 0.485
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$15.51changed to$12.64
- 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.
January 1, 2018
RVU18AR1
$15.11changed to$15.51
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.24 changed to 0.25
- Malpractice GPCI 0.547 changed to 0.540
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$15.08changed to$15.11
- Conversion factor 35.8043 changed to 35.8887
- Malpractice GPCI 0.554 changed to 0.547
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$15.13changed to$15.08
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$15.06changed to$15.13
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$15.07changed to$15.06
- Conversion factor 35.8228 changed to 35.7547
- Malpractice GPCI 0.536 changed to 0.554
Held through RVU15B.
January 1, 2014
RVU14A
$14.98changed to$15.07
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.26 changed to 0.24
- Malpractice GPCI 0.517 changed to 0.536
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $14.98
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $11.29 | Not available in this setting | RVU26D |
| 2026-07-01 | $11.29 | Not available in this setting | RVU26C |
| 2026-04-01 | $11.29 | Not available in this setting | RVU26B |
| 2026-01-01 | $11.29 | Not available in this setting | RVU26A |
| 2025-10-01 | $10.69 | Not available in this setting | RVU25D |
| 2025-07-01 | $10.69 | Not available in this setting | RVU25C |
| 2025-04-01 | $10.69 | Not available in this setting | RVU25B |
| 2025-01-01 | $10.69 | Not available in this setting | RVU25A |
| 2024-10-01 | $11.00 | Not available in this setting | RVU24D |
| 2024-07-01 | $11.00 | Not available in this setting | RVU24C |
| 2024-04-01 | $11.00 | Not available in this setting | RVU24B |
| 2024-03-09 | $11.00 | Not available in this setting | RVU24AR |
| 2024-01-01 | $10.82 | Not available in this setting | RVU24A |
| 2023-10-01 | $11.17 | Not available in this setting | RVU23D |
| 2023-07-01 | $11.17 | Not available in this setting | RVU23C |
| 2023-04-01 | $11.17 | Not available in this setting | RVU23B |
| 2023-01-01 | $11.17 | Not available in this setting | RVU23A |
| 2022-10-01 | $11.37 | Not available in this setting | RVU22D |
| 2022-07-01 | $11.37 | Not available in this setting | RVU22C |
| 2022-04-01 | $11.37 | Not available in this setting | RVU22B |
| 2022-01-01 | $11.37 | Not available in this setting | RVU22A |
| 2021-10-01 | $11.47 | Not available in this setting | RVU21D |
| 2021-07-01 | $11.47 | Not available in this setting | RVU21C |
| 2021-04-01 | $11.47 | Not available in this setting | RVU21B |
| 2021-01-01 | $11.47 | Not available in this setting | RVU21A |
| 2020-10-01 | $11.90 | Not available in this setting | RVU20D |
| 2020-07-01 | $11.90 | Not available in this setting | RVU20C |
| 2020-04-01 | $11.90 | Not available in this setting | RVU20B |
| 2020-01-01 | $11.90 | Not available in this setting | RVU20A |
| 2019-10-01 | $12.64 | Not available in this setting | RVU19D |
| 2019-07-01 | $12.64 | Not available in this setting | RVU19C |
| 2019-04-01 | $12.64 | Not available in this setting | RVU19B |
| 2019-01-01 | $12.64 | Not available in this setting | RVU19A |
| 2018-10-01 | $15.51 | Not available in this setting | RVU18D |
| 2018-07-01 | $15.51 | Not available in this setting | RVU18C |
| 2018-04-01 | $15.51 | Not available in this setting | RVU18B |
| 2018-01-01 | $15.51 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $15.11 | Not available in this setting | RVU17D |
| 2017-07-01 | $15.11 | Not available in this setting | RVU17C |
| 2017-04-01 | $15.11 | Not available in this setting | RVU17B |
| 2017-01-01 | $15.11 | Not available in this setting | RVU17A |
| 2016-10-01 | $15.08 | Not available in this setting | RVU16D |
| 2016-07-01 | $15.08 | Not available in this setting | RVU16C |
| 2016-04-01 | $15.08 | Not available in this setting | RVU16B |
| 2016-01-01 | $15.08 | Not available in this setting | RVU16A |
| 2015-10-01 | $15.13 | Not available in this setting | RVU15D |
| 2015-07-01 | $15.13 | Not available in this setting | RVU15C |
| 2015-04-01 | $15.06 | Not available in this setting | RVU15B |
| 2015-01-01 | $15.06 | Not available in this setting | RVU15A |
| 2014-10-01 | $15.07 | Not available in this setting | RVU14D |
| 2014-07-01 | $15.07 | Not available in this setting | RVU14C |
| 2014-04-01 | $15.07 | Not available in this setting | RVU14B |
| 2014-01-01 | $15.07 | Not available in this setting | RVU14A |
| 2013-10-01 | $14.98 | Not available in this setting | RVU13D |
| 2013-07-01 | $14.98 | Not available in this setting | RVU13C |
| 2013-04-01 | $14.98 | Not available in this setting | RVU13B |
| 2013-01-01 | $14.98 | Not available in this setting | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
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
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