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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 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $269.88 national non-facility rate (2026) · View Medicare rates for 93886 |
| Medicaid Fee Schedule | $223.675 median of the 8 states in the free preview · View Medicaid rates for 93886 |
National average reimbursement for CPT 93886 by major payers:

$320.46

$367.17

$335.25

$440.00
Choose a payer to see a sample of rates for CPT 93886.
Bay Area Medical Center, Inc, Bay Area Neurology Consultants
Ali Alrefai
Lea Rayman
Courtney Pendleton
Maria Recio Restrepo
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Rate Benchmarking
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See a sample payer proposalCPT 93886 vs. Other Non-Invasive Vascular Diagnostic Studies Codes
The CPT 93886 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 93886 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 |
| 93888-CPT | Low | Transcrani Doppler Study Of The Ntracrani Arteries; Lmtd Study, Transcranial Doppler Study Of The Intracranial Arteries; Limited Study |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93886. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93886 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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