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See a sample rate comparisonCPT 93980 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 Of Penis Blood Flow, An Ultrasound (Sound Waves) Creates Images Of The Blood Vessels Of The Penis. The Study Evaluates Blood Flow In The Penis.
| 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 | Low |
| Medicare Fee Schedule | $120.91 national non-facility rate (2026) · View Medicare rates for 93980 |
| Medicaid Fee Schedule | $104.215 median of the 8 states in the free preview · View Medicaid rates for 93980 |
National average reimbursement for CPT 93980 by major payers:
$145.24
$181.05
$184.62
$207.08
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CPT 93980
5 of 25 sample ratesHigher to lower in this preview
Nitin Patel
Southern Illinois Medical Services Nfp
$303.77Published rateCarson Medical Group Professional Corporation
Carson Medical Group
$148.12Published rateChristopher Raio
Mercy Medical Center
$118.35Published rateNeil Jariwala
Loyola University Medical Center
$98.58Published rateAll Ways Homecare Inc
$35.00Published rate
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See a sample payer proposalCPT 93980 vs. Other Non-Invasive Vascular Diagnostic Studies Codes
The CPT 93980 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 93980 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 |
|---|---|---|
| 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. |
| 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. |
| 93980-CPT | Low | Ultrasound Of Penis Blood Flow, An Ultrasound (Sound Waves) Creates Images Of The Blood Vessels Of The Penis. The Study Evaluates Blood Flow In The Penis. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93980. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93980 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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