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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Non-Invasive Vascular Diagnostic Studies |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $189.05 national non-facility rate (2026) · View Medicare rates for 93880 |
| Medicaid Fee Schedule | $156.33 median of the 8 states in the free preview · View Medicaid rates for 93880 |
National average reimbursement for CPT 93880 by major payers:

$225.08

$273.37

$266.63

$320.14
Choose a payer to see a sample of rates for CPT 93880.
Sarah Crowley
Mass General Brigham Incorporated
Benjamin Goins
Heart And Vascular Care, Inc.
Rhonda Fogle
Alexander J. Asch, M.D., P.C.
Theodore Feldman
Rw Health Fl PA
Edward Bermudez
Edward R. Bermudez, M.D., P.A.
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Rate Benchmarking
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See a sample payer proposalCPT 93880 vs. Other Non-Invasive Vascular Diagnostic Studies Codes
The CPT 93880 code is part of the Medicine Services and Procedures services used for Non-Invasive Vascular Diagnostic Studies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 93880 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 93880-CPT | Moderate | Ultrasound Head Neck Arteries, Ultrasound Of Arteries In The Head And Neck. The Procedure Is Performed On One Or Both Sides Of The Body And Evaluates Blood Flow. |
| 93882-CPT | Low | Ultrasound Head Neck Arteries, Ultrasound Of Arteries In The Head And Neck. The Procedure Is Performed On One Or Both Sides Of The Body And Evaluates Blood Flow. |
| 93886-CPT | Moderate | Transcrani Doppler Study Of The Ntracrani Arteries; Comple Stud, Transcranial Doppler Study Of The Intracranial Arteries; Complete Stud |
| 93892-CPT | Moderate | Tcd Emboli Detect W/O Inj, Transcranial Doppler Study Of The Intracranial Arteries; Emboli Detection Without Intravenous Microbubble Injection |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93880. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93880 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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A CPT (Current Procedural Terminology) code is a five-digit numerical code used by medical professionals to report medical, surgical, and diagnostic services and procedures to entities such as physicians, health insurance companies, and accreditation organizations. These codes help standardize medical billing and ensure consistent communication about services rendered across the healthcare industry.
Finding the exact cost of a medical procedure can be complex as prices vary significantly based on your location, provider, insurance plan, and facility. For specific pricing information related to CPT codes and your location, you can utilize tools like Payerprice. Payerprice offers a fee schedule lookup tool that allows users to search with CPT codes and specific locations to get a better understanding of potential costs. You can also contact your healthcare provider's billing department or your insurance company for an estimate.
A fee schedule is a comprehensive listing of fees used by healthcare providers and insurance companies. It outlines the maximum amount an insurance plan will pay for specific medical services, procedures, and supplies. Each service is typically associated with a CPT code, and the fee schedule assigns a specific dollar amount to that code. Understanding fee schedules can help you anticipate out-of-pocket costs and compare pricing.
Comparing prices for healthcare services can help you make informed decisions and potentially save money. To look up fee schedules based on CPT codes and specific locations, Payerprice provides a tool that can help you compare costs for various services. Additionally, some insurance companies offer price comparison tools for their members, and you can always contact multiple providers directly for estimates on services you need.
Medical bills can often be confusing. To understand your bill, first, review the Explanation of Benefits (EOB) from your insurance company, which details what they covered and why. Compare the CPT codes listed on your bill with the services you received. If you're looking to understand the typical costs associated with specific CPT codes in your area to gauge fairness or negotiate, Payerprice offers a fee schedule lookup tool that can provide valuable insights. Don't hesitate to contact the provider's billing department or your insurance company for clarification on any charges.