# CPT 76513: Ophthalmic ultrasound, anterior segment

Medicare CPT 76513 pays $76.49 in a non-facility setting and $76.49 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $68.25 in Arkansas to $89.69 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/76513-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $76.49 |
| National facility | $76.49 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $89.69 | $89.69 |
| District of Columbia | $87.62 | $87.62 |
| California | $87.17 | $87.17 |
| Washington | $84.83 | $84.83 |
| New Jersey | $84.63 | $84.63 |
| New York | $84.15 | $84.15 |
| Hawaii | $83.89 | $83.89 |
| Massachusetts | $83.88 | $83.88 |
| Connecticut | $81.34 | $81.34 |
| Colorado | $80.17 | $80.17 |
| Oregon | $79.47 | $79.47 |
| Maryland | $79.18 | $79.18 |
| New Hampshire | $78.71 | $78.71 |
| Rhode Island | $78.64 | $78.64 |
| Minnesota | $77.65 | $77.65 |
| Florida | $77.31 | $77.31 |
| Puerto Rico | $77.10 | $77.10 |
| Virgin Islands | $77.10 | $77.10 |
| Montana | $76.49 | $76.49 |
| Nevada | $76.43 | $76.43 |
| Wyoming | $76.31 | $76.31 |
| North Dakota | $76.09 | $76.09 |
| South Dakota | $76.04 | $76.04 |
| Delaware | $75.85 | $75.85 |
| Texas | $75.68 | $75.68 |
| Vermont | $75.60 | $75.60 |
| Pennsylvania | $75.56 | $75.56 |
| Virginia | $75.34 | $75.34 |
| Illinois | $75.27 | $75.27 |
| Arizona | $74.65 | $74.65 |
| Georgia | $74.07 | $74.07 |
| Maine | $73.75 | $73.75 |
| Wisconsin | $73.67 | $73.67 |
| Michigan | $73.34 | $73.34 |
| Utah | $73.05 | $73.05 |
| North Carolina | $72.49 | $72.49 |
| South Carolina | $72.12 | $72.12 |
| Indiana | $72.05 | $72.05 |
| New Mexico | $71.96 | $71.96 |
| Missouri | $71.86 | $71.86 |
| Nebraska | $71.75 | $71.75 |
| Idaho | $71.65 | $71.65 |
| Louisiana | $71.64 | $71.64 |
| Ohio | $71.61 | $71.61 |
| Iowa | $71.32 | $71.32 |
| Tennessee | $71.07 | $71.07 |
| Kansas | $70.77 | $70.77 |
| Oklahoma | $70.33 | $70.33 |
| Kentucky | $70.20 | $70.20 |
| West Virginia | $69.43 | $69.43 |
| Alabama | $69.18 | $69.18 |
| Mississippi | $68.51 | $68.51 |
| Arkansas | $68.25 | $68.25 |

## Related codes

- 76506: Ultrasound, brain, in infant, real time with image documentation — https://www.med-reveal.com/rates/76506-cpt-fee-schedule
- 76512: Ophthalmic ultrasound, B-scan — https://www.med-reveal.com/rates/76512-cpt-fee-schedule
- 76514: Ophthalmic ultrasound, corneal pachymetry — https://www.med-reveal.com/rates/76514-cpt-fee-schedule
- 76516: Ophthalmic biometry by ultrasound echography, A-scan — https://www.med-reveal.com/rates/76516-cpt-fee-schedule
- 76536: Ultrasound, soft tissue of head and neck (thyroid, parotid) — https://www.med-reveal.com/rates/76536-cpt-fee-schedule
- 76604: Ultrasound, chest, real time — https://www.med-reveal.com/rates/76604-cpt-fee-schedule
- 76641: Ultrasound, breast, unilateral, complete — https://www.med-reveal.com/rates/76641-cpt-fee-schedule
- 76642: Ultrasound, breast, unilateral, limited — https://www.med-reveal.com/rates/76642-cpt-fee-schedule

Commercial negotiated rates for 76513 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules
