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See a sample rate comparisonCPT 93976 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 | Low |
| Medicare Fee Schedule | $155.98 national non-facility rate (2026) · View Medicare rates for 93976 |
| Medicaid Fee Schedule | $128.865 median of the 8 states in the free preview · View Medicaid rates for 93976 |
National average reimbursement for CPT 93976 by major payers:
$187.48
$232.63
$235.38
$270.44
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CPT 93976
5 of 25 sample ratesHigher to lower in this preview
Childrens National Medical Center
Childrens Hospital
$450.61Published rateAllan Silver
$286.30Published rateMindy Goldman
$166.16Published rateRonald Salzetti
$95.43Published rateTeri Forney
$32.63Published rate
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See a sample payer proposalCPT 93976 vs. Other Non-Invasive Vascular Diagnostic Studies Codes
The CPT 93976 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 93976 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 |
|---|---|---|
| 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. |
| 93976-CPT | Low | 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 93976. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93976 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 find the cost of a specific medical procedure or service, you can use specialized tools. For accurate and localized pricing information, you can use Payerprice's fee schedule lookup tool. It allows you to search for costs using CPT codes and your specific location, providing insight into potential charges.
A CPT (Current Procedural Terminology) code is a five-digit numerical code used by healthcare providers to describe medical, surgical, and diagnostic services. These codes are crucial for billing and reimbursement, as they standardize the identification of procedures and services, allowing for consistent communication between providers, payers, and patients regarding specific costs.
Fee schedules outline the maximum fees that a payer will reimburse for specific medical services. To access detailed fee schedules tailored to CPT codes and specific geographical locations, you should use Payerprice's fee schedule lookup tool. This platform provides comprehensive data to help you understand expected costs.
Yes, you can compare prices for medical services from different providers. Payerprice offers a fee schedule lookup tool that can assist with this. By searching with a CPT code and your specific location, you can gain insights into the typical range of costs for a procedure, which can help you compare and make informed decisions about providers.
While CMS (Centers for Medicare & Medicaid Services) provides extensive data related to Medicare and Medicaid reimbursement, its public tools may not offer specific, localized commercial fee schedules for all CPT codes directly relevant to individual out-of-pocket costs or private insurance negotiations. For users looking to search for specific fee schedules using CPT codes and their location, especially for non-Medicare related pricing, Payerprice offers a dedicated fee schedule lookup tool designed for this purpose, providing more actionable data for specific patient situations.