# CPT 76516: Ophthalmic biometry by ultrasound echography, A-scan

Medicare CPT 76516 pays $47.76 in a non-facility setting and $47.76 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $42.64 in Arkansas to $56.19 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/76516-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $47.76 |
| National facility | $47.76 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $56.19 | $56.19 |
| District of Columbia | $54.61 | $54.61 |
| California | $54.17 | $54.17 |
| Washington | $52.81 | $52.81 |
| New Jersey | $52.78 | $52.78 |
| New York | $52.56 | $52.56 |
| Massachusetts | $52.24 | $52.24 |
| Hawaii | $52.15 | $52.15 |
| Connecticut | $50.79 | $50.79 |
| Colorado | $49.95 | $49.95 |
| Oregon | $49.51 | $49.51 |
| Maryland | $49.44 | $49.44 |
| New Hampshire | $49.08 | $49.08 |
| Rhode Island | $49.06 | $49.06 |
| Florida | $48.51 | $48.51 |
| Minnesota | $48.28 | $48.28 |
| Puerto Rico | $48.13 | $48.13 |
| Virgin Islands | $48.13 | $48.13 |
| Montana | $47.76 | $47.76 |
| Nevada | $47.69 | $47.69 |
| Wyoming | $47.59 | $47.59 |
| North Dakota | $47.37 | $47.37 |
| Delaware | $47.35 | $47.35 |
| South Dakota | $47.32 | $47.32 |
| Illinois | $47.27 | $47.27 |
| Texas | $47.26 | $47.26 |
| Pennsylvania | $47.23 | $47.23 |
| Vermont | $47.09 | $47.09 |
| Virginia | $46.99 | $46.99 |
| Arizona | $46.61 | $46.61 |
| Georgia | $46.35 | $46.35 |
| Maine | $46.00 | $46.00 |
| Michigan | $45.96 | $45.96 |
| Wisconsin | $45.87 | $45.87 |
| Utah | $45.65 | $45.65 |
| North Carolina | $45.24 | $45.24 |
| New Mexico | $45.07 | $45.07 |
| South Carolina | $45.07 | $45.07 |
| Missouri | $44.95 | $44.95 |
| Indiana | $44.93 | $44.93 |
| Louisiana | $44.83 | $44.83 |
| Ohio | $44.80 | $44.80 |
| Nebraska | $44.72 | $44.72 |
| Idaho | $44.69 | $44.69 |
| Iowa | $44.46 | $44.46 |
| Tennessee | $44.35 | $44.35 |
| Kansas | $44.16 | $44.16 |
| Oklahoma | $43.97 | $43.97 |
| Kentucky | $43.92 | $43.92 |
| West Virginia | $43.59 | $43.59 |
| Alabama | $43.21 | $43.21 |
| Mississippi | $42.85 | $42.85 |
| Arkansas | $42.64 | $42.64 |

## 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
- 76513: Ophthalmic ultrasound, anterior segment — https://www.med-reveal.com/rates/76513-cpt-fee-schedule
- 76514: Ophthalmic ultrasound, corneal pachymetry — https://www.med-reveal.com/rates/76514-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 76516 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