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See a sample rate comparisonCPT 93975 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 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.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Non-Invasive Vascular Diagnostic Studies |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $259.19 national non-facility rate (2026) · View Medicare rates for 93975 |
| Medicaid Fee Schedule | $214.015 median of the 8 states in the free preview · View Medicaid rates for 93975 |
National average reimbursement for CPT 93975 by major payers:
$318.58
$395.34
$368.49
$456.19
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CPT 93975
5 of 25 sample ratesHigher to lower in this preview
Abida Hasan
Texas Childrens Physician Group
$713.30Published rateLeslie Smith
Magella Medical Associates Billing Inc
$689.57Published rateTerra Riley
Texas Childrens Physician Group
$356.64Published rateSaima Ali
Texas Childrens Physician Group
$295.51Published ratePerinatal Medicine Associates, LLP
Perinatal Medicine Associates LLP
$240.19Published rate
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See a sample payer proposalCPT 93975 vs. Other Non-Invasive Vascular Diagnostic Studies Codes
The CPT 93975 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 93975 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 |
|---|---|---|
| 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. |
| 93970-CPT | Moderate | Duplex Scan Of Extremity Veins, Duplex Scan Of Extremity Veins Including Responsestocompression And Other Maneuvers Complete Bilat Eral Study |
| 93971-CPT | Low | Ultrasound Of Arm Or Leg Vein, Ultrasound To Determine If Blood Flow Is Adequate And To Identify Blockages In The Veins Of One Leg Or Arm Or Sections Of Both Legs Or 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 93975. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93975 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
Factors that affect CPT 93975 fee schedules include Medicare & Medicaid rates (government-set), private insurance rates (negotiated between providers and insurance companies), geographic location (costs may be higher in urban areas), and provider type (hospital providers may have different rates than private practice). For specific fee schedule information tailored to your location and provider type, you can use Payerprice's fee schedule lookup tool to search with the CPT code and your specific location.