How much does Medicare pay for CPT 93931?

Medicare allowed an average of $69.61 per service and paid $54.47 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $243.22, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93931?

Ultrasound of one arm arteries or artery grafts. It was billed 12,934 times to 11,841 Medicare beneficiaries by 440 providers in 2024.

Does 93931 pay differently in an office than a hospital?

Yes. The allowed amount averaged $96.86 in an office setting and $23.45 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 93931 most?

Vascular Surgery, with 4,500 services from 210 clinicians. Next are Independent Diagnostic Testing Facility (IDTF), Cardiology, Diagnostic Radiology.

CPT 93931

Ultrasound of one arm arteries or artery grafts

$69.61Medicare-allowed amount per service, averaged across 12,934 services

Providers submitted

$243.22

Asking price, not received

Medicare allowed

$69.61

The fee schedule figure

Medicare paid

$54.47

Balance is patient coinsurance

Providers submitted an average of $243.22 for this code and Medicare allowed $69.61 — 3.5× 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 $54.47 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $96.86
Hospital / facility: $23.45

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. 8,132 services were billed in an office setting and 4,802 in a facility.

Services: 12,934
Beneficiaries: 11,841
Providers billing it: 440
Total allowed: $900,336

What Medicare pays for CPT 93931

Across 12,934 services billed by 440 providers to 11,841 beneficiaries, Medicare allowed an average of $69.61 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 93931

Specialty	Services	Beneficiaries	Avg allowed	Providers
Vascular Surgery	4,500	4,038	$54.23	210
Independent Diagnostic Testing Facility (IDTF)	2,482	2,120	$78.11	37
Cardiology	2,184	2,048	$90.62	36
Diagnostic Radiology	1,488	1,451	$55.38	73
Internal Medicine	712	690	$101.76	14
General Surgery	373	333	$87.25	16
Interventional Cardiology	258	249	$86.47	11
Peripheral Vascular Disease	210	200	$21.83	11
Family Practice	165	161	$79.58	6
Interventional Radiology	164	162	$28.83	11
Nuclear Medicine	124	123	$112.08	1
General Practice	52	49	$23.48	1
Nephrology	48	48	$60.06	3
Clinical Cardiac Electrophysiology	40	40	$100.98	2
Cardiac Surgery	37	36	$22.58	2

93931 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
New York	2,916	$74.26	$49.89	72
New Jersey	2,127	$98.61	$67.96	30
Pennsylvania	1,142	$83.74	$68.75	28
California	771	$61.85	$42.48	38
Texas	610	$87.39	$69.73	22
Maryland	467	$51.97	$38.54	12
Virginia	393	$61.95	$42.97	15
Florida	393	$59.51	$45.12	18
North Carolina	372	$46.64	$36.87	16
Tennessee	350	$51.49	$44.21	13
Illinois	331	$52.09	$37.35	16
Washington	312	$30.24	$20.81	12
Ohio	307	$30.16	$21.77	17
South Carolina	220	$41.41	$33.43	11
Michigan	171	$31.60	$23.17	12
Colorado	171	$93.23	$59.47	5
Arizona	161	$86.16	$67.06	10
South Dakota	128	$38.30	$29.15	8
Alaska	126	$51.41	$32.25	5
District of Columbia	117	$84.94	$57.04	2
Louisiana	110	$59.50	$52.86	3
Minnesota	105	$95.68	$69.66	6
Nebraska	105	$20.95	$16.59	6
Oklahoma	101	$62.65	$52.68	7
North Dakota	100	$21.84	$16.37	6
Alabama	89	$45.98	$39.12	5
Oregon	80	$54.29	$42.17	5
Missouri	75	$29.49	$22.86	5
Mississippi	69	$80.12	$72.67	3
Massachusetts	67	$24.08	$16.68	4
Iowa	67	$102.80	$87.28	4
Vermont	63	$21.72	$16.35	4
Georgia	49	$22.58	$16.79	3
West Virginia	39	$23.40	$17.20	2
Kansas	37	$57.90	$49.44	2
Rhode Island	32	$110.84	$81.77	1
Connecticut	31	$122.67	$90.55	2
Wisconsin	25	$21.37	$15.80	2
Utah	25	$21.88	$15.96	2
Arkansas	16	$21.03	$15.10	1
Indiana	16	$21.49	$17.18	1
New Mexico	13	$22.43	$17.20	1
Delaware	12	$22.66	$17.21	1
AA	12	$22.24	$15.77	1
New Hampshire	11	$91.82	$75.99	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
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

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.