How much does Medicare pay for CPT 76514?

Medicare allowed an average of $10.70 per service and paid $7.76 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $45.89, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 76514?

Ultrasound scan of cornea to determine thickness. It was billed 361,956 times to 342,441 Medicare beneficiaries by 8,427 providers in 2024.

Does 76514 pay differently in an office than a hospital?

Yes. The allowed amount averaged $10.76 in an office setting and $7.84 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 76514 most?

Ophthalmology, with 274,730 services from 5,657 clinicians. Next are Optometry, Physician Assistant, Osteopathic Manipulative Medicine.

CPT 76514

Ultrasound scan of cornea to determine thickness

$10.70Medicare-allowed amount per service, averaged across 361,956 services

Providers submitted

$45.89

Asking price, not received

Medicare allowed

$10.70

The fee schedule figure

Medicare paid

$7.76

Balance is patient coinsurance

Providers submitted an average of $45.89 for this code and Medicare allowed $10.70 — 4.3× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $7.76 (73%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $10.76
Hospital / facility: $7.84

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 354,890 services were billed in an office setting and 7,066 in a facility.

Services: 361,956
Beneficiaries: 342,441
Providers billing it: 8,427
Total allowed: $3,872,929

What Medicare pays for CPT 76514

Across 361,956 services billed by 8,427 providers to 342,441 beneficiaries, Medicare allowed an average of $10.70 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 76514

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ophthalmology	274,730	260,070	$10.75	5,657
Optometry	86,854	82,043	$10.54	2,762
Physician Assistant	193	191	$8.84	5
Osteopathic Manipulative Medicine	134	92	$10.35	1
Internal Medicine	24	24	$7.52	1
Pathology	21	21	$7.34	1

76514 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	49,342	$11.44	$7.62	848
Florida	33,466	$10.71	$7.60	709
New York	31,350	$11.85	$7.88	602
Texas	30,732	$10.33	$7.50	626
Pennsylvania	18,052	$10.46	$7.48	451
Maryland	17,667	$11.47	$7.64	270
New Jersey	13,729	$11.66	$7.84	352
Arizona	12,106	$10.28	$7.37	243
Virginia	11,439	$10.55	$7.52	283
Illinois	10,911	$10.79	$7.38	316
Michigan	9,668	$10.39	$7.45	248
North Carolina	8,391	$9.68	$7.30	239
Georgia	7,922	$10.29	$7.51	235
Massachusetts	7,136	$10.67	$7.25	202
Washington	6,883	$10.73	$7.31	209
South Carolina	6,518	$10.05	$7.28	163
Ohio	5,905	$9.72	$7.00	215
Indiana	5,780	$9.86	$7.48	146
Tennessee	5,056	$9.68	$7.46	152
Missouri	4,711	$10.06	$7.44	123
Louisiana	4,596	$9.93	$7.61	107
Kansas	4,079	$9.72	$7.50	81
Minnesota	4,065	$10.11	$7.25	106
Arkansas	3,695	$8.98	$7.17	84
Oklahoma	3,510	$9.81	$7.63	93
Colorado	3,430	$10.64	$7.40	89
Connecticut	3,424	$11.28	$7.63	105
Iowa	3,340	$9.07	$6.86	77
Hawaii	2,949	$10.91	$7.68	61
Alabama	2,928	$9.55	$7.67	85
Nevada	2,765	$10.40	$7.50	58
Oregon	2,727	$10.39	$7.23	87
Mississippi	2,671	$9.46	$7.52	80
Wisconsin	2,604	$9.62	$7.06	112
Kentucky	2,107	$9.92	$7.40	73
New Hampshire	2,100	$10.55	$7.00	61
District of Columbia	1,496	$11.65	$7.54	27
Delaware	1,471	$10.59	$7.64	37
South Dakota	1,313	$10.01	$7.37	32
Utah	1,165	$9.81	$7.40	37
Montana	1,152	$10.60	$7.46	29
Nebraska	1,135	$9.59	$7.54	32
New Mexico	915	$10.18	$7.30	36
West Virginia	868	$9.12	$6.70	28
Idaho	766	$9.66	$7.21	26
Alaska	630	$12.56	$7.14	23
Rhode Island	626	$10.81	$7.79	19
Maine	609	$10.11	$7.20	32
Vermont	500	$9.49	$6.79	24
North Dakota	444	$9.93	$7.22	19
Puerto Rico	439	$10.44	$7.04	17
Wyoming	411	$10.04	$7.12	11
U.S. Virgin Islands	178	$10.44	$6.58	4
Guam	59	$11.43	$7.74	2
Northern Mariana Islands	25	$10.33	$7.49	1

Related codes

76536Ultrasound scan of head and neck soft tissue$67.45
765122d ultrasound scan of eye tissue and structures$52.75
76519Ultrasound scan to determine eye length and lens power$49.07
765101d and 2d ultrasound scan of eye tissue and structures$64.45
76513Ultrasound scan of eye$96.62
765111d ultrasound scan of eye tissue and structures$57.36
76516Ultrasound scan to determine eye length$42.51

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.