How much does Medicare pay for CPT 93926?

Medicare allowed an average of $73.51 per service and paid $55.76 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $284.66, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93926?

Ultrasound of one leg arteries or artery grafts. It was billed 159,969 times to 133,105 Medicare beneficiaries by 4,112 providers in 2024.

Does 93926 pay differently in an office than a hospital?

Yes. The allowed amount averaged $108.79 in an office setting and $22.61 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 93926 most?

Vascular Surgery, with 85,570 services from 1,885 clinicians. Next are Diagnostic Radiology, Independent Diagnostic Testing Facility (IDTF), Interventional Radiology.

CPT 93926

Ultrasound of one leg arteries or artery grafts

$73.51Medicare-allowed amount per service, averaged across 159,969 services

Providers submitted

$284.66

Asking price, not received

Medicare allowed

$73.51

The fee schedule figure

Medicare paid

$55.76

Balance is patient coinsurance

Providers submitted an average of $284.66 for this code and Medicare allowed $73.51 — 3.9× 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 $55.76 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $108.79
Hospital / facility: $22.61

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. 94,484 services were billed in an office setting and 65,485 in a facility.

Services: 159,969
Beneficiaries: 133,105
Providers billing it: 4,112
Total allowed: $11,759,321

What Medicare pays for CPT 93926

Across 159,969 services billed by 4,112 providers to 133,105 beneficiaries, Medicare allowed an average of $73.51 per service. That is 1.2 services per beneficiary, so this is a code patients typically receive more than once. 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 93926

Specialty	Services	Beneficiaries	Avg allowed	Providers
Vascular Surgery	85,570	69,396	$84.29	1,885
Diagnostic Radiology	26,260	24,919	$35.91	1,179
Independent Diagnostic Testing Facility (IDTF)	17,783	13,364	$72.28	130
Interventional Radiology	7,276	6,416	$65.20	243
General Surgery	7,184	5,916	$87.00	179
Cardiology	6,647	5,875	$71.32	236
Interventional Cardiology	3,630	3,014	$87.80	121
Internal Medicine	1,665	978	$86.83	37
Portable X-Ray Supplier	1,020	700	$77.68	14
Peripheral Vascular Disease	698	606	$41.41	18
Thoracic Surgery	515	447	$54.83	18
General Practice	437	352	$90.48	8
Cardiac Surgery	362	311	$92.81	11
Nurse Practitioner	203	147	$113.82	4
Nephrology	105	85	$61.73	2

93926 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	13,149	$82.73	$54.06	374
New York	12,982	$92.79	$65.02	252
Florida	11,291	$89.42	$67.76	230
Maryland	10,507	$84.87	$60.98	90
Texas	10,348	$74.69	$57.95	345
Pennsylvania	6,688	$55.33	$42.40	188
New Jersey	6,460	$87.92	$58.92	147
Illinois	6,327	$65.63	$48.59	156
North Carolina	5,709	$75.34	$60.04	143
Virginia	5,455	$62.66	$45.79	107
Massachusetts	5,122	$68.37	$48.74	106
Tennessee	4,994	$75.90	$63.30	124
Ohio	3,871	$38.06	$29.21	122
Georgia	3,694	$78.17	$61.47	122
Michigan	3,586	$75.89	$58.84	103
Missouri	3,346	$52.47	$40.80	93
Connecticut	3,075	$107.63	$72.30	65
Washington	2,930	$75.21	$52.12	91
Minnesota	2,834	$45.21	$33.00	99
Arizona	2,807	$78.87	$61.09	88
South Carolina	2,503	$70.83	$56.69	70
Kansas	2,445	$61.28	$49.61	68
Indiana	2,303	$66.73	$52.30	76
Wisconsin	2,236	$42.34	$32.50	75
Oregon	2,045	$71.07	$52.55	55
Alabama	1,995	$70.40	$60.74	70
Iowa	1,859	$60.48	$48.60	34
Louisiana	1,662	$67.72	$55.64	61
Colorado	1,567	$75.29	$53.74	59
Kentucky	1,549	$52.61	$42.16	42
Oklahoma	1,304	$37.05	$29.62	53
Mississippi	1,290	$65.14	$55.89	55
Nebraska	1,199	$40.80	$33.12	35
South Dakota	1,041	$53.79	$41.46	27
Arkansas	853	$77.20	$66.09	28
New Hampshire	799	$40.53	$29.12	28
Delaware	794	$82.41	$58.99	20
Alaska	782	$89.29	$60.41	12
Rhode Island	752	$83.89	$59.45	15
District of Columbia	732	$90.27	$58.24	12
Nevada	722	$66.56	$51.09	30
Maine	598	$65.87	$47.28	20
West Virginia	593	$29.79	$22.32	19
Idaho	592	$39.02	$28.95	20
Utah	476	$73.46	$58.76	18
New Mexico	453	$39.63	$30.12	16
North Dakota	439	$21.50	$16.02	13
Montana	350	$83.19	$61.10	14
Hawaii	316	$72.55	$52.17	7
Vermont	313	$21.42	$15.94	7
Wyoming	119	$88.63	$65.27	4
Guam	77	$102.35	$68.13	3
AA	36	$21.95	$16.22	1

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
93923Complete ultrasound study of arm and leg arteries$95.57
93978Complete ultrasound of aorta$144.08
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.