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See a sample rate comparisonCPT 93931 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.
Ultrasound Arm Arteries, Ultrasound To Determine If Blood Flow Is Adequate Through Arteries Or Bypass Grafts In One Arm Or A Section Of Both Arms.
| 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 LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $120.91 national non-facility rate (2026) · View Medicare rates for 93931 |
| Medicaid Fee Schedule | $99.745 median of the 8 states in the free preview · View Medicaid rates for 93931 |
National average reimbursement for CPT 93931 by major payers:
$150.93
$177.77
$173.33
$207.62
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CPT 93931
5 of 25 sample ratesHigher to lower in this preview
Lurie Children'S Medical Group, Lcmg Specialty Services
$336.58Published rateGeorge Gianakakos
Loyola University Medical Center
$245.22Published rateMaanasa Bandla
Loyola University Medical Center
$206.88Published rateMark Alter
$48.72Published rateChristopher Loynd
Touchette Regional Hospital Inc
$14.64Published rate
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See a sample payer proposalCPT 93931 vs. Other Non-Invasive Vascular Diagnostic Studies Codes
The CPT 93931 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 93931 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 |
|---|---|---|
| 93926-CPT | Low | 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. |
| 93930-CPT | Moderate | Duplx Scan Of Upper Xtremit Arteries Or Arterial Bypass Grafts, Duplex Scan Of Upper Extremity Arteries Or Arterial Bypass Grafts; Com |
| 93931-CPT | Low | Ultrasound Arm Arteries, Ultrasound To Determine If Blood Flow Is Adequate Through Arteries Or Bypass Grafts In One Arm Or A Section Of Both Arms. |
| 93975-CPT | Moderate | Ultrasound Abdominal Vessels, An Ultrasound (Sound Wave Pictures) To Find Out If Blood Flows Well Through The Arteries Or Veins In The Abdomen (And Their Branches Into The Pelvis). The Test May Identify Blocked Sections. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93931. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93931 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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