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See a sample rate comparisonCPT 93986 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.
Duplex Scan Of Arterial Inflow, Duplex Scan Of Arterial Inflow And Venous Outflow For Preoperative Vessel Assessment Prior To Creation Of Hemodialysis Access Complete Unilateral Study
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Non-Invasive Vascular Diagnostic Studies |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $148.30 national non-facility rate (2026) · View Medicare rates for 93986 |
| Medicaid Fee Schedule | $112.235 median of the 8 states in the free preview · View Medicaid rates for 93986 |
National average reimbursement for CPT 93986 by major payers:
$168.28
$199.52
$169.16
$245.19
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CPT 93986
5 of 25 sample ratesHigher to lower in this preview
Matthew Lilley
Bend Memorial Clinic, PC
$443.99Published rateIllinois Professionals Health Program, LLC
Illinois Professionals Health Progr
$275.64Published rateNishad Nadkarni
Adventist Health Partners Inc.
$196.41Published rateEwa Bieber
$52.16Published rateBluesky Telepsych
$26.95Published rate
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See a sample payer proposalCPT 93986 vs. Other Non-Invasive Vascular Diagnostic Studies Codes
The CPT 93986 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 93986 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 |
|---|---|---|
| 93985-CPT | Moderate | Duplex Scan Of Arterial Inflow, Duplex Scan Of Arterial Inflow And Venous Outflow For Preoperative Vessel Assessment Prior To Creation Of Hemodialysis Access Complete Bilateral Study |
| 93986-CPT | Low | Duplex Scan Of Arterial Inflow, Duplex Scan Of Arterial Inflow And Venous Outflow For Preoperative Vessel Assessment Prior To Creation Of Hemodialysis Access Complete Unilateral Study |
| 93990-CPT | Low | Duplx Scan Of Hemodialy Access (Inclu Arterial Inflow Body Of, Duplex Scan Of Hemodialysis Access (Including Arterial Inflow Body Of |
| 93998-CPT | Low | Unlisted Noninvasi Vasculr Diagnos Study, Unlisted Noninvasive Vascular Diagnostic Study |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93986. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93986 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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