How much does Medicare pay for CPT 93925?

Medicare allowed an average of $179.07 per service and paid $137.51 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $466.24, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93925?

Ultrasound of leg arteries or artery grafts. It was billed 545,528 times to 493,005 Medicare beneficiaries by 9,505 providers in 2024.

Does 93925 pay differently in an office than a hospital?

Yes. The allowed amount averaged $222.88 in an office setting and $36.89 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 93925 most?

Vascular Surgery, with 131,511 services from 1,810 clinicians. Next are Cardiology, Diagnostic Radiology, Independent Diagnostic Testing Facility (IDTF).

CPT 93925

Ultrasound of leg arteries or artery grafts

$179.07Medicare-allowed amount per service, averaged across 545,528 services

Providers submitted

$466.24

Asking price, not received

Medicare allowed

$179.07

The fee schedule figure

Medicare paid

$137.51

Balance is patient coinsurance

Providers submitted an average of $466.24 for this code and Medicare allowed $179.07 — 2.6× 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 $137.51 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $222.88
Hospital / facility: $36.89

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. 417,030 services were billed in an office setting and 128,498 in a facility.

Services: 545,528
Beneficiaries: 493,005
Providers billing it: 9,505
Total allowed: $97,687,699

What Medicare pays for CPT 93925

Across 545,528 services billed by 9,505 providers to 493,005 beneficiaries, Medicare allowed an average of $179.07 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 93925

Specialty	Services	Beneficiaries	Avg allowed	Providers
Vascular Surgery	131,511	113,460	$173.18	1,810
Cardiology	106,252	100,210	$207.58	1,974
Diagnostic Radiology	90,884	87,822	$105.68	2,700
Independent Diagnostic Testing Facility (IDTF)	65,320	53,338	$186.92	397
Interventional Cardiology	32,475	30,433	$192.31	674
Internal Medicine	31,917	29,640	$229.08	555
Interventional Radiology	24,515	21,307	$168.78	418
General Surgery	15,658	13,739	$179.42	250
Family Practice	8,603	8,205	$239.03	195
General Practice	6,340	5,658	$244.67	47
Podiatry	6,069	5,720	$238.11	119
Nurse Practitioner	4,262	3,903	$219.77	56
Portable X-Ray Supplier	2,747	2,093	$162.05	21
Clinical Cardiac Electrophysiology	2,507	2,259	$232.18	33
Neurology	2,389	2,353	$225.04	27

93925 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	113,318	$232.27	$155.44	1,250
New York	52,075	$215.42	$144.38	711
Florida	48,909	$181.82	$140.17	926
Texas	40,720	$171.68	$134.35	965
New Jersey	25,542	$206.96	$141.27	398
Maryland	25,287	$196.85	$137.60	203
Illinois	20,947	$152.39	$113.49	366
Arizona	19,078	$206.15	$162.42	319
Pennsylvania	17,721	$121.92	$91.07	319
Tennessee	15,096	$135.07	$112.78	281
Michigan	13,523	$164.34	$126.93	274
Georgia	12,691	$161.63	$127.04	263
North Carolina	12,403	$145.96	$117.77	251
Virginia	9,603	$153.08	$112.45	186
South Carolina	8,707	$125.58	$100.02	173
Alabama	7,768	$142.72	$123.59	198
Louisiana	7,393	$147.07	$123.01	211
Nevada	6,669	$186.69	$143.88	152
Ohio	6,292	$73.82	$57.02	162
Missouri	5,879	$99.93	$80.27	158
Mississippi	5,825	$114.54	$98.53	127
Oklahoma	5,776	$82.58	$66.40	162
Washington	4,974	$162.26	$115.16	115
Indiana	4,780	$86.09	$69.57	118
Massachusetts	4,462	$161.40	$114.30	102
Kansas	4,349	$108.16	$88.98	104
Nebraska	3,825	$83.56	$67.36	56
Kentucky	3,539	$123.54	$101.29	89
Minnesota	3,457	$83.79	$59.92	117
Hawaii	3,076	$232.17	$164.30	31
Connecticut	2,992	$187.62	$128.25	69
South Dakota	2,923	$124.55	$95.20	32
Arkansas	2,797	$96.03	$81.89	75
Colorado	2,574	$129.09	$94.67	69
Oregon	2,152	$123.68	$91.72	60
New Mexico	2,149	$99.35	$77.74	43
Iowa	2,062	$95.60	$77.19	36
District of Columbia	1,970	$204.24	$133.72	31
Wisconsin	1,891	$95.80	$74.33	55
Delaware	1,635	$163.77	$121.62	31
West Virginia	1,627	$61.46	$46.34	40
Rhode Island	1,485	$139.92	$104.27	21
Utah	933	$193.69	$155.38	17
Idaho	765	$63.14	$46.87	23
Puerto Rico	676	$220.53	$168.22	29
Alaska	653	$144.81	$95.43	16
XX	543	$245.58	$185.39	1
Guam	433	$246.83	$160.03	5
New Hampshire	407	$107.45	$75.64	19
North Dakota	320	$35.28	$25.76	10
Maine	267	$118.87	$81.88	8
Montana	259	$101.97	$73.57	12
Wyoming	144	$141.83	$103.27	7
Vermont	113	$35.14	$26.40	6
U.S. Virgin Islands	49	$222.74	$185.22	2
AA	25	$35.89	$28.13	1

Related codes

93971Ultrasound study of one arm or leg veins$51.34
93970Ultrasound study of arm or leg veins$96.22
93922Ultrasound study of arm and leg arteries$54.80
93923Complete ultrasound study of arm and leg arteries$95.57
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.