How much does Medicare pay for CPT 93923?

Medicare allowed an average of $95.57 per service and paid $72.91 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $328.12, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93923?

Complete ultrasound study of arm and leg arteries. It was billed 291,014 times to 254,306 Medicare beneficiaries by 4,615 providers in 2024.

Does 93923 pay differently in an office than a hospital?

Yes. The allowed amount averaged $118.07 in an office setting and $21.40 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 93923 most?

Vascular Surgery, with 87,167 services from 1,253 clinicians. Next are Cardiology, Internal Medicine, Podiatry.

CPT 93923

Complete ultrasound study of arm and leg arteries

$95.57Medicare-allowed amount per service, averaged across 291,014 services

Providers submitted

$328.12

Asking price, not received

Medicare allowed

$95.57

The fee schedule figure

Medicare paid

$72.91

Balance is patient coinsurance

Providers submitted an average of $328.12 for this code and Medicare allowed $95.57 — 3.4× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $72.91 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $118.07
Hospital / facility: $21.40

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 223,279 services were billed in an office setting and 67,735 in a facility.

Services: 291,014
Beneficiaries: 254,306
Providers billing it: 4,615
Total allowed: $27,812,208

What Medicare pays for CPT 93923

Across 291,014 services billed by 4,615 providers to 254,306 beneficiaries, Medicare allowed an average of $95.57 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 93923

Specialty	Services	Beneficiaries	Avg allowed	Providers
Vascular Surgery	87,167	78,787	$73.37	1,253
Cardiology	39,716	36,449	$100.96	732
Internal Medicine	27,918	23,133	$128.54	382
Podiatry	25,687	24,127	$119.49	460
Diagnostic Radiology	20,332	17,988	$64.66	544
Family Practice	11,467	8,699	$123.15	165
General Surgery	10,028	9,039	$75.38	180
Independent Diagnostic Testing Facility (IDTF)	9,246	8,600	$111.92	92
Nurse Practitioner	8,787	7,087	$104.21	105
Interventional Cardiology	8,514	8,237	$89.97	202
Interventional Radiology	8,389	7,249	$68.68	171
General Practice	7,931	5,555	$133.47	42
Neurology	5,794	4,006	$116.97	46
Physician Assistant	2,062	1,875	$82.40	26
Endocrinology	1,959	1,667	$127.58	23

93923 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	50,636	$125.88	$86.34	421
New York	41,557	$116.31	$77.64	526
Texas	24,224	$97.64	$75.31	425
New Jersey	19,146	$107.31	$71.80	312
Pennsylvania	12,965	$61.63	$46.80	214
Florida	11,698	$105.67	$79.88	213
Illinois	11,579	$77.26	$57.70	181
Arizona	11,128	$110.24	$86.25	163
Maryland	8,475	$101.13	$70.28	115
Michigan	7,839	$76.63	$57.51	147
Massachusetts	7,354	$59.05	$40.06	134
Virginia	7,278	$75.78	$54.62	124
Ohio	6,561	$42.67	$33.41	149
Georgia	6,455	$93.18	$73.96	133
Indiana	4,781	$60.90	$47.93	103
North Carolina	4,227	$91.03	$73.04	106
Tennessee	3,375	$77.41	$64.71	82
Missouri	3,352	$59.01	$45.25	61
Arkansas	2,934	$54.90	$45.83	51
Colorado	2,634	$96.84	$68.33	48
Mississippi	2,544	$68.72	$58.23	50
Kentucky	2,531	$38.22	$30.04	59
Minnesota	2,456	$76.27	$55.38	44
Washington	2,262	$82.66	$59.37	51
South Carolina	2,255	$72.36	$57.04	50
Connecticut	2,164	$87.20	$60.27	67
Alabama	2,149	$72.30	$63.95	65
Utah	2,057	$95.61	$74.70	33
Louisiana	2,024	$82.86	$69.45	48
Oklahoma	1,941	$84.59	$71.92	40
Delaware	1,747	$95.26	$70.65	34
Oregon	1,630	$104.61	$81.12	31
New Mexico	1,506	$87.10	$68.92	33
Kansas	1,476	$44.31	$36.07	16
West Virginia	1,461	$49.66	$39.59	31
Nevada	1,352	$107.39	$81.98	30
Iowa	1,330	$44.66	$34.45	32
Maine	1,243	$53.34	$36.71	23
Wisconsin	1,072	$31.13	$23.91	30
Nebraska	1,002	$50.31	$42.10	20
Hawaii	999	$105.98	$76.19	7
Idaho	959	$59.66	$47.49	12
New Hampshire	848	$35.98	$25.06	17
Rhode Island	718	$62.19	$42.53	18
District of Columbia	703	$118.98	$76.03	18
XX	525	$145.42	$97.94	1
Alaska	492	$74.78	$49.12	8
North Dakota	421	$35.12	$25.94	6
Wyoming	357	$81.84	$61.08	7
Montana	248	$48.33	$33.33	11
South Dakota	169	$27.56	$20.93	6
Puerto Rico	110	$123.34	$94.60	6
Vermont	65	$19.96	$14.67	3

Related codes

93971Ultrasound study of one arm or leg veins$51.34
93970Ultrasound study of arm or leg veins$96.22
93925Ultrasound of leg arteries or artery grafts$179.07
93922Ultrasound study of arm and leg arteries$54.80
93978Complete ultrasound of aorta$144.08
93926Ultrasound of one leg arteries or artery grafts$73.51
93975Complete ultrasound of abdomen and pelvis artery and vein blood flow$173.24
93976Ultrasound of abdomen and pelvis artery and vein blood flow$86.57
93990Ultrasound of hemodialysis access$103.15
93979Ultrasound of aorta$89.63
93924Ultrasound of leg arteries at rest and after exercise$138.34
93931Ultrasound of one arm arteries or artery grafts$69.61

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.