$44.25–$63.62
Choose 76513 for anterior-segment imaging; choose 76512 for B-scan evaluation of the posterior segment.
On this page
CMS RVU26D · Effective 2026-10-01
76513 Eye ultrasound Medicare reimbursement rates
Reports diagnostic ultrasound of the eye’s anterior segment, often used to assess structures such as the iris, angle, or ciliary body. Compare 76513 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 76513?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$68.25–$103.15
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $34.90 per service.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 76513 pays more and less
109 payment localities
$68.25 to $103.15
Ophthalmology
About 76513: Anterior segment eye ultrasound
Reports diagnostic ultrasound of the eye’s anterior segment, often used to assess structures such as the iris, angle, or ciliary body.
This diagnostic study uses ultrasound to image the front portion of the eye, including structures that may be difficult to assess through the cornea or with routine examination. It is commonly performed in ophthalmology practices by trained imaging staff, with the ophthalmologist interpreting the images and documenting the findings. Ultrasound biomicroscopy is a familiar application when detailed anterior-segment imaging is needed, such as evaluating the angle or ciliary body.
Report the service when the study and interpretation address the anterior segment, rather than posterior-segment imaging, corneal thickness, or ocular biometry. Documentation should identify the clinical reason, eye examined, imaging findings, and interpretation. The code may be billed globally or as a professional component with modifier 26 or a technical component with modifier TC. For bilateral studies, CMS pays each side separately at 100%. When multiple ophthalmology diagnostic procedures are performed, the multiple-procedure reduction applies to the technical component.
CMS billing rules for 76513
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Ophthalmology diagnostic multiple procedure reduction applies to the technical component.
- Bilateral procedures
- Each side is paid separately at 100% when performed bilaterally.
Where the value comes from
- Work RVU0.59 · 26%
- Practice expense (office) RVU1.68 · 73%
- Malpractice RVU0.02 · 1%
11K
Medicare services in 2024 · #1429 by national volume
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.
76513 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$62.08–$91.07
76510 combines B-scan and quantitative A-scan components. It is not the anterior-segment study reported with 76513.
$10.47–$14.70
76514 measures eye thickness, while 76513 images anterior-segment structures such as the angle or ciliary body.
$42.64–$63.94
76516 is used for ocular biometry; 76513 evaluates the anterior segment rather than measuring the eye for biometry.
See how rates vary across the country
76513 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$68.25
$92.53
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $89.69 | 1 |
| AL | $69.18 | 1 |
| AR | $68.25 | 1 |
| AZ | $74.65 | 1 |
| CA | $81.90–$103.15 | 29 |
| CO | $80.17 | 1 |
| CT | $81.34 | 1 |
| DC | $87.62 | 1 |
| DE | $75.85 | 1 |
| FL | $74.36–$79.81 | 3 |
| GA | $70.56–$77.58 | 2 |
| GU | $83.89 | 1 |
| HI | $83.89 | 1 |
| IA | $71.32 | 1 |
| ID | $71.65 | 1 |
| IL | $71.98–$78.66 | 4 |
| IN | $72.05 | 1 |
| KS | $70.77 | 1 |
| KY | $70.20 | 1 |
| LA | $70.01–$73.27 | 2 |
| MA | $79.64–$88.11 | 2 |
| MD | $77.30–$87.62 | 3 |
| ME | $71.75–$75.74 | 2 |
| MI | $71.69–$74.98 | 2 |
| MN | $77.65 | 1 |
| MO | $68.73–$73.80 | 3 |
| MS | $68.51 | 1 |
| MT | $76.49 | 1 |
| NC | $72.49 | 1 |
| ND | $76.09 | 1 |
| NE | $71.75 | 1 |
| NH | $78.71 | 1 |
| NJ | $82.50–$86.75 | 2 |
| NM | $71.96 | 1 |
| NV | $76.43 | 1 |
| NY | $73.48–$88.93 | 5 |
| OH | $71.61 | 1 |
| OK | $70.33 | 1 |
| OR | $76.07–$82.86 | 2 |
| PA | $71.85–$79.27 | 2 |
| PR | $77.10 | 1 |
| RI | $78.64 | 1 |
| SC | $72.12 | 1 |
| SD | $76.04 | 1 |
| TN | $71.07 | 1 |
| TX | $71.39–$79.71 | 8 |
| UT | $73.05 | 1 |
| VA | $75.34–$87.62 | 2 |
| VI | $77.10 | 1 |
| VT | $75.60 | 1 |
| WA | $79.56–$90.09 | 2 |
| WI | $73.67 | 1 |
| WV | $69.43 | 1 |
| WY | $76.31 | 1 |
Compare 76513 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $69.18 | Facility Unavailable |
| Alaska* | Office $89.69 | Facility Unavailable |
| Arizona | Office $74.65 | Facility Unavailable |
| Arkansas | Office $68.25 | Facility Unavailable |
| Atlanta | Office $77.58 | Facility Unavailable |
| Austin | Office $79.71 | Facility Unavailable |
| Bakersfield | Office $81.99 | Facility Unavailable |
| Baltimore/Surr. Cntys | Office $81.06 | Facility Unavailable |
| Beaumont | Office $71.39 | Facility Unavailable |
| Brazoria | Office $75.99 | Facility Unavailable |
| Chicago | Office $77.77 | Facility Unavailable |
| Chico | Office $81.90 | Facility Unavailable |
| Colorado | Office $80.17 | Facility Unavailable |
| Connecticut | Office $81.34 | Facility Unavailable |
| Dallas | Office $76.35 | Facility Unavailable |
| Dc + Md/Va Suburbs | Office $87.62 | Facility Unavailable |
| Delaware | Office $75.85 | Facility Unavailable |
| Detroit | Office $74.98 | Facility Unavailable |
| East St. Louis | Office $72.68 | Facility Unavailable |
| El Centro | Office $81.90 | Facility Unavailable |
| Fort Lauderdale | Office $77.76 | Facility Unavailable |
| Fort Worth | Office $75.79 | Facility Unavailable |
| Fresno | Office $81.90 | Facility Unavailable |
| Galveston | Office $76.14 | Facility Unavailable |
| Hanford-Corcoran | Office $81.90 | Facility Unavailable |
| Hawaii, Guam | Office $83.89 | Facility Unavailable |
| Houston | Office $76.50 | Facility Unavailable |
| Idaho | Office $71.65 | Facility Unavailable |
| Indiana | Office $72.05 | Facility Unavailable |
| Iowa | Office $71.32 | Facility Unavailable |
| Kansas | Office $70.77 | Facility Unavailable |
| Kentucky | Office $70.20 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $87.34 | Facility Unavailable |
| Madera | Office $81.90 | Facility Unavailable |
| Manhattan | Office $87.23 | Facility Unavailable |
| Merced | Office $81.90 | Facility Unavailable |
| Metropolitan Boston | Office $88.11 | Facility Unavailable |
| Metropolitan Kansas City | Office $73.05 | Facility Unavailable |
| Metropolitan Philadelphia | Office $79.27 | Facility Unavailable |
| Metropolitan St. Louis | Office $73.80 | Facility Unavailable |
| Miami | Office $79.81 | Facility Unavailable |
| Minnesota | Office $77.65 | Facility Unavailable |
| Mississippi | Office $68.51 | Facility Unavailable |
| Modesto | Office $81.90 | Facility Unavailable |
| Montana** | Office $76.49 | Facility Unavailable |
| Napa | Office $95.25 | Facility Unavailable |
| Nebraska | Office $71.75 | Facility Unavailable |
| Nevada** | Office $76.43 | Facility Unavailable |
| New Hampshire | Office $78.71 | Facility Unavailable |
| New Mexico | Office $71.96 | Facility Unavailable |
| New Orleans | Office $73.27 | Facility Unavailable |
| North Carolina | Office $72.49 | Facility Unavailable |
| North Dakota** | Office $76.09 | Facility Unavailable |
| Northern Nj | Office $86.75 | Facility Unavailable |
| Nyc Suburbs/Long Island | Office $88.93 | Facility Unavailable |
| Ohio | Office $71.61 | Facility Unavailable |
| Oklahoma | Office $70.33 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $87.00 | Facility Unavailable |
| Portland | Office $82.86 | Facility Unavailable |
| Poughkpsie/N Nyc Suburbs | Office $82.85 | Facility Unavailable |
| Puerto Rico | Office $77.10 | Facility Unavailable |
| Queens | Office $88.26 | Facility Unavailable |
| Redding | Office $81.90 | Facility Unavailable |
| Rest Of California | Office $81.90 | Facility Unavailable |
| Rest Of Florida | Office $74.36 | Facility Unavailable |
| Rest Of Georgia | Office $70.56 | Facility Unavailable |
| Rest Of Illinois | Office $71.98 | Facility Unavailable |
| Rest Of Louisiana | Office $70.01 | Facility Unavailable |
| Rest Of Maine | Office $71.75 | Facility Unavailable |
| Rest Of Maryland | Office $77.30 | Facility Unavailable |
| Rest Of Massachusetts | Office $79.64 | Facility Unavailable |
| Rest Of Michigan | Office $71.69 | Facility Unavailable |
| Rest Of Missouri | Office $68.73 | Facility Unavailable |
| Rest Of New Jersey | Office $82.50 | Facility Unavailable |
| Rest Of New York | Office $73.48 | Facility Unavailable |
| Rest Of Oregon | Office $76.07 | Facility Unavailable |
| Rest Of Pennsylvania | Office $71.85 | Facility Unavailable |
| Rest Of Texas | Office $73.56 | Facility Unavailable |
| Rest Of Washington | Office $79.56 | Facility Unavailable |
| Rhode Island | Office $78.64 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $82.13 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $86.03 | Facility Unavailable |
| Salinas | Office $85.71 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $87.77 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $101.01 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $100.98 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $103.15 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $103.06 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $84.31 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $88.66 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $86.04 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $89.56 | Facility Unavailable |
| Seattle (King Cnty) | Office $90.09 | Facility Unavailable |
| South Carolina | Office $72.12 | Facility Unavailable |
| South Dakota** | Office $76.04 | Facility Unavailable |
| Southern Maine | Office $75.74 | Facility Unavailable |
| Stockton | Office $81.90 | Facility Unavailable |
| Suburban Chicago | Office $78.66 | Facility Unavailable |
| Tennessee | Office $71.07 | Facility Unavailable |
| Utah | Office $73.05 | Facility Unavailable |
| Vallejo | Office $95.21 | Facility Unavailable |
| Vermont | Office $75.60 | Facility Unavailable |
| Virgin Islands | Office $77.10 | Facility Unavailable |
| Virginia | Office $75.34 | Facility Unavailable |
| Visalia | Office $81.90 | Facility Unavailable |
| West Virginia | Office $69.43 | Facility Unavailable |
| Wisconsin | Office $73.67 | Facility Unavailable |
| Wyoming** | Office $76.31 | Facility Unavailable |
| Yuba City | Office $81.90 | Facility Unavailable |
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76513 billing questions
When should this code be chosen instead of 76512?
Use 76513 for diagnostic ultrasound imaging of the anterior segment. Code 76512 describes B-scan imaging used to evaluate the eye’s posterior segment.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff portion. Without either modifier, the claim represents the global service.
How is a bilateral study handled?
Document which eye or eyes were examined. CMS pays each side separately at 100% when the study is performed bilaterally.
Does the multiple-procedure reduction affect both components?
The ophthalmology diagnostic multiple-procedure reduction applies to the technical component of this service.
What documentation supports reporting 76513?
Record the clinical indication, laterality, anterior-segment images or findings, and the interpreting physician’s report. The record should support that the study evaluated the anterior segment.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
8,71276512,,Oph us dx b-scan,A,,0.55,0.89,,0.89,NA,0.02,1.46,1.46,1,XXX,0.00,0.00,0.00,7,3,0,0,0,9,,33.4009,09,0,99,3.49,3.49,0.07
8,71376512,26,Oph us dx b-scan,A,,0.55,0.35,,0.35,,0.01,0.91,0.91,1,XXX,0.00,0.00,0.00,7,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,71476512,TC,Oph us dx b-scan,A,,0.00,0.54,,0.54,NA,0.01,0.55,0.55,1,XXX,0.00,0.00,0.00,7,3,0,0,0,9,,33.4009,02,0,99,3.14,3.14,0.06
8,71576513,,Oph us dx ant sgm us uni/bi,A,,0.59,1.68,,1.68,NA,0.02,2.29,2.29,1,XXX,0.00,0.00,0.00,7,3,0,0,0,9,,33.4009,09,0,99,3.54,3.54,0.03
8,71676513,26,Oph us dx ant sgm us uni/bi,A,,0.59,0.37,,0.37,,0.01,0.97,0.97,1,XXX,0.00,0.00,0.00,7,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,71776513,TC,Oph us dx ant sgm us uni/bi,A,,0.00,1.31,,1.31,NA,0.01,1.32,1.32,1,XXX,0.00,0.00,0.00,7,3,0,0,0,9,,33.4009,02,0,99,3.17,3.17,0.02
8,71876514,,Echo exam of eye thickness,A,,0.14,0.19,,0.19,NA,0.02,0.35,0.35,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.89,0.89,0.08