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See a sample rate comparisonCPT 93925 is classified under Medicine Services and Procedures, in the Non-Invasive Vascular Diagnostic Studies subgroup.
| 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 | $237.48 national non-facility rate (2026) · View Medicare rates for 93925 |
| Medicaid Fee Schedule | $196.245 median of the 8 states in the free preview · View Medicaid rates for 93925 |
National average reimbursement for CPT 93925 by major payers:

$276.38
BCBS / Anthem

$341.30
UnitedHealthcare

$314.49
Aetna

$399.51
Cigna
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Anthony Rowe
Thomas Lombardo
Heart & Vascular Partners
Dane Gruenebaum
Nirp Waco PLLC
Anitha Yarlagadda
Mid Coast Medical Center-Central
Powell And Fuselier Medical, PLLC, Texas Vein Experts
Powell And Fuselier Medical PLLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 93925 vs. Other Non-Invasive Vascular Diagnostic Studies Codes
The table lists codes related to 93925. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 93895-CPT | Low | Assessment Of Artery Blockage, Ultrasound Of The Carotid Artery (Large Blood Vessel Located In The Neck) To Assess Blockage Associated With Atherosclerosis (Clogged Arteries) Or Coronary Heart Disease. |
| 93922-CPT | Low | Upr L Xtremity Art 2 Levels, Limited Bilateral Noninvasive Physiologic Studies Of Upper Or Lower Extremity Arteries Eg For Lower Extremity Ankle Brachial Indices At Distal Posterior Tibial And Anterior Tibial Dorsalis Pedis Arteries Plus Bidirectional Doppler Waveform Recording And Analysis At 1 2 Levels Or Ankle Brachial Indices At Distal Posterior Tibial And Anterior Tibial Dorsalis Pedis Arteries Plus Volume Plethysmography At 1 2 Levels Or Ankle Brachial Indices At Distal Posterior Tibial And Anterior Tibial Dorsalis Pedis Arteries With Transcutaneous Oxygen Tension Measurement At 1 2 Levels |
| 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 |
| 93925-CPT | Moderate | Ultrasound Arteries In Legs, Ultrasound To Determine If Blood Flow Is Adequate Through Arteries Or Bypass Grafts. The Procedure Is Performed On Both Legs Or On A Section Or Single Leg. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93925. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93925 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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To find out the specific cost of a medical procedure tailored to your particular situation and location, it's best to use a specialized tool. Payerprice offers a fee schedule lookup tool where you can search by CPT code and specific location to get detailed pricing information. You can also contact your insurance provider directly for an estimate or your healthcare provider's billing department.
CPT stands for Current Procedural Terminology. CPT codes are a set of medical codes used by physicians, healthcare providers, and payers to describe medical, surgical, and diagnostic services. They are crucial for accurate billing and processing of claims for reimbursement.
Fee schedules, which outline the maximum amount an insurance plan will pay for a particular service, can vary significantly. For a quick and precise lookup based on specific CPT codes and locations, Payerprice provides a fee schedule lookup tool. This tool allows users to find relevant pricing information tailored to their needs. Your insurance company or healthcare provider's billing department can also provide information regarding the fee schedules they adhere to.
Medical costs can vary significantly by location due to several factors, including the cost of living and operating expenses for healthcare facilities, regional labor costs for medical professionals, local market competition, and variations in state and local regulations. Additionally, negotiation power between providers and insurance companies can differ geographically, influencing the prices of services.
Payerprice is a service that provides a fee schedule lookup tool. It allows users to search for the cost of medical procedures using CPT codes and specific geographic locations, helping them understand potential healthcare costs and compare pricing relevant to their specific needs.
CMS stands for the Centers for Medicare & Medicaid Services. It's a federal agency that administers the Medicare program and works with state governments to administer Medicaid and the Children's Health Insurance Program (CHIP). CMS publishes fee schedules for the services it covers (like the Medicare Physician Fee Schedule), which are publicly available and foundational for understanding healthcare costs related to federal programs. However, for specific, localized pricing information relevant to your particular commercial insurance plan or situation beyond Medicare/Medicaid, Payerprice offers a specialized fee schedule lookup tool that allows you to search by CPT code and specific location for more tailored and accurate results pertinent to commercial payers.