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See a sample rate comparisonCPT 93923 Fee Schedule
Last Verified: October 2026
Healthcare 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.
Upr Lxtr Art Stdy 3 Lvls, Complete Bilateral Noninvasive Physiologic Studies Of Upper Or Lower Extremity Arteries 3 Or More Levels Eg For Lower Extremity Ankle Brachial Indices At Distal Posterior Tibial And Anterior Tibial Dorsalis Pedis Arteries Plus Segmental Blood Pressure Measurements With Bidirectional Doppler Waveform Recording And Analysis At 3 Or More Levels Or Ankle Brachial Indices At Distal Posterior Tibial And Anterior Tibial Dorsalis Pedis Arteries Plus Segmental Volume Plethysmography At 3 Or More Levels Or Ankle Brachial Indices At Distal Posterior Tibial And Anterior Tibial Dorsalis Pedis Arteries Plus Segmental Transcutaneous Oxygen Tension Measurements At 3 Or More Levels Or Single Level Study With Provocative Functional Maneuvers Eg Measurements With Postural Provocative Tests Or Measurements With Reactive Hyperemia
| 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 | Low |
| Medicare Fee Schedule | $133.60 national non-facility rate (2026) · View Medicare rates for 93923 |
| Medicaid Fee Schedule | $110.095 median of the 8 states in the free preview · View Medicaid rates for 93923 |
National average reimbursement for CPT 93923 by major payers:
$155.26
$187.41
$195.57
$218.39
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CPT 93923
5 of 25 sample ratesHigher to lower in this preview
Sunila Oconnor
Pediatric Faculty Foundation In
$362.57Published rateFred Mixon
Sacred Heart Health System Inc
$178.82Published rateShamsher Bakth
Cardiac And Vascular Consultants, Inc.
$154.78Published rateAnthony Nioso
$85.19Published rateKeiler Heberto Moreno Rivero, P.A., Moreno'S Internal Medicine
Keiler Heberto Moreno Rivero PA
$18.10Published rate
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See a sample payer proposalCPT 93923 vs. Other Non-Invasive Vascular Diagnostic Studies Codes
The CPT 93923 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 93923 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 |
|---|---|---|
| 93888-CPT | Low | Transcrani Doppler Study Of The Ntracrani Arteries; Lmtd Study, Transcranial Doppler Study Of The Intracranial Arteries; Limited Study |
| 93892-CPT | Moderate | Tcd Emboli Detect W/O Inj, Transcranial Doppler Study Of The Intracranial Arteries; Emboli Detection Without Intravenous Microbubble Injection |
| 93893-CPT | Moderate | Brain Blood Vessel Ultrasound, An Exam Using Sound Waves (Ultrasound) To Study The Blood Flow In The Brain. A Salt Solution Containing Tiny Bubbles Is Injected Into A Blood Vessel Through An Iv. |
| 93923-CPT | Low | Upr Lxtr Art Stdy 3 Lvls, Complete Bilateral Noninvasive Physiologic Studies Of Upper Or Lower Extremity Arteries 3 Or More Levels Eg For Lower Extremity Ankle Brachial Indices At Distal Posterior Tibial And Anterior Tibial Dorsalis Pedis Arteries Plus Segmental Blood Pressure Measurements With Bidirectional Doppler Waveform Recording And Analysis At 3 Or More Levels Or Ankle Brachial Indices At Distal Posterior Tibial And Anterior Tibial Dorsalis Pedis Arteries Plus Segmental Volume Plethysmography At 3 Or More Levels Or Ankle Brachial Indices At Distal Posterior Tibial And Anterior Tibial Dorsalis Pedis Arteries Plus Segmental Transcutaneous Oxygen Tension Measurements At 3 Or More Levels Or Single Level Study With Provocative Functional Maneuvers Eg Measurements With Postural Provocative Tests Or Measurements With Reactive Hyperemia |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93923. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93923 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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Frequently Asked Questions
To get an estimate of the cost for a specific medical procedure before you have it, you can utilize online tools that provide fee schedule lookups. For accurate information tailored to your specific situation, including CPT codes and your location, you can check tools like Payerprice. They offer a fee schedule lookup tool that allows you to search based on CPT code and specific location, providing transparency into potential costs. You can also contact your insurance provider directly or the healthcare facility for an estimate, but be aware that these can sometimes be difficult to obtain or may not reflect the final cost.
CPT stands for Current Procedural Terminology. CPT codes are a standardized set of five-digit codes used by medical professionals to describe medical, surgical, and diagnostic services. They are crucial for understanding medical costs because they provide a universal language for billing and insurance claims. When you know the CPT code for a service, you can accurately look up its price, compare costs between providers, and understand what your insurance is being billed for, making it easier to research and manage your healthcare expenses.
To look up the fee schedule for a specific medical service, especially if you have the CPT code and specific location, you can use specialized online tools. Payerprice offers a fee schedule lookup tool designed for this purpose, allowing users to search with a CPT code and specific location to find relevant pricing information. This can help you understand the charges for various medical procedures and services.
No, healthcare providers typically do not charge the same amount for the same service. Prices can vary significantly based on several factors, including the provider's location (e.g., urban vs. rural), the type of facility (e.g., hospital vs. independent clinic), their negotiated rates with different insurance companies, and even their individual pricing policies. This is why it's important to research costs using tools like Payerprice based on specific CPT codes and locations if you want to understand potential variations.
If you receive a medical bill that you don't understand, the first step is to contact your healthcare provider's billing department directly. Ask for an itemized bill, which breaks down all charges. Compare this with your Explanation of Benefits (EOB) from your insurance company to see what was covered and what you're responsible for. If discrepancies remain or you still have questions, contact your insurance company. For understanding the specific costs of services, especially with CPT codes, resources like Payerprice can help you research typical charges for your area. Don't hesitate to negotiate with the provider's billing department if you believe there's an error or if you're facing financial hardship.