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See a sample rate comparisonCPT 93978 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 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $180.37 national non-facility rate (2026) · View Medicare rates for 93978 |
| Medicaid Fee Schedule | $148.385 median of the 8 states in the free preview · View Medicaid rates for 93978 |
National average reimbursement for CPT 93978 by major payers:
$211.38
$258.69
$257.38
$303.10
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CPT 93978
5 of 25 sample ratesHigher to lower in this preview
David Hsu
Aurora Medical Group Inc
$542.53Published rateMary Fahrmeier
$370.26Published rateElizabeth Mcmasters
Northwestern Memorial Healthcare
$285.00Published rateDavid Hsu
Bellin Memorial Hospital Inc
$89.00Published rateChristopher Johnson
Southern Illinois Healthcare Foundation Inc
$32.83Published rate
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See a sample payer proposalCPT 93978 vs. Other Non-Invasive Vascular Diagnostic Studies Codes
The CPT 93978 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 93978 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 |
|---|---|---|
| 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. |
| 93978-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 93978. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93978 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 estimated cost of a specific medical procedure or service, you can use specialized tools. Payerprice offers a fee schedule lookup tool that allows you to search for costs using CPT codes and your specific location. This can provide a more tailored estimate than general information sources.
CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit alphanumeric codes used by medical professionals to describe medical, surgical, and diagnostic services. They are crucial for billing and for communicating precisely about the services provided. When looking up the cost of a procedure, knowing its CPT code can help you find more accurate pricing information, for example, using a tool like Payerprice to get specific fee schedule details.
To look up healthcare prices based on your specific location, you can utilize tools designed for this purpose. Payerprice provides a fee schedule lookup tool that allows you to input CPT codes and your location to find relevant cost information, helping you understand potential expenses in your area.
Healthcare prices can vary significantly due to several factors including regional market differences, the type of facility (e.g., hospital vs. outpatient clinic), insurance negotiated rates, provider experience, and the specific services included in a procedure. Tools like Payerprice can help you compare these varying costs for specific services and locations.
Yes, there are tools available to help compare medical service costs. For instance, Payerprice offers a fee schedule lookup tool where you can search for medical service costs using CPT codes and your specific location. This can assist you in comparing prices for different providers or areas before receiving services, empowering you to make more informed decisions about your healthcare.