CPT 76512

Ophthalmic Us Dx B-Scan W/Wo Non-Quan A-Scan

CPT 76512 pays $48.77 in a non-facility setting and $48.77 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $44.25 in Arkansas to $59.58 in Alaska, a 35% spread.

National non-facility rate

$48.77

Office and other outpatient settings

Facility rate
$48.77

Hospital and ASC settings

Highest state
$59.58

Alaska

Lowest state
$44.25

Arkansas · 35% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $48.77
CPT 76512 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $48.77, national facility $48.77.
StateRate compared visuallyNon-facilityFacility
Alaska
$59.58$59.58
District of Columbia
$55.12$55.12
California
$54.57$54.57
New Jersey
$53.51$53.51
Washington
$53.36$53.36
New York
$53.31$53.31
Massachusetts
$52.86$52.86
Hawaii
$52.56$52.56
Connecticut
$51.56$51.56
Colorado
$50.74$50.74
Maryland
$50.32$50.32
Oregon
$50.32$50.32
Rhode Island
$50.02$50.02
New Hampshire
$49.90$49.90
Florida
$49.50$49.50
Minnesota
$49.16$49.16
Puerto Rico
$49.08$49.08
Virgin Islands
$49.08$49.08
Montana
$48.76$48.76
Nevada
$48.68$48.68
Wyoming
$48.59$48.59
Delaware
$48.43$48.43
Illinois
$48.43$48.43
North Dakota
$48.37$48.37
Pennsylvania
$48.37$48.37
Texas
$48.36$48.36
South Dakota
$48.32$48.32
Vermont
$48.14$48.14
Virginia
$48.06$48.06
Arizona
$47.75$47.75
Georgia
$47.56$47.56
Michigan
$47.22$47.22
Maine
$47.19$47.19
Wisconsin
$47.05$47.05
Utah
$46.91$46.91
North Carolina
$46.53$46.53
New Mexico
$46.43$46.43
South Carolina
$46.41$46.41
Missouri
$46.31$46.31
Indiana
$46.25$46.25
Louisiana
$46.21$46.21
Ohio
$46.18$46.18
Nebraska
$46.06$46.06
Idaho
$46.04$46.04
Iowa
$45.84$45.84
Tennessee
$45.75$45.75
Kansas
$45.58$45.58
Oklahoma
$45.44$45.44
Kentucky
$45.41$45.41
West Virginia
$45.16$45.16
Alabama
$44.76$44.76
Mississippi
$44.46$44.46
Arkansas
$44.25$44.25

Billed by 1 specialties

Commercial rates for 76512

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates