How much does Medicare pay for CPT 93971?

Medicare allowed an average of $51.34 per service and paid $38.94 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $222.31, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93971?

Ultrasound study of one arm or leg veins with compression and maneuvers. It was billed 1,402,916 times to 1,226,729 Medicare beneficiaries by 20,939 providers in 2024.

Does 93971 pay differently in an office than a hospital?

Yes. The allowed amount averaged $99.50 in an office setting and $20.57 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 93971 most?

Diagnostic Radiology, with 739,999 services from 14,164 clinicians. Next are Vascular Surgery, Independent Diagnostic Testing Facility (IDTF), Cardiology.

CPT 93971

Ultrasound study of one arm or leg veins with compression and maneuvers

$51.34Medicare-allowed amount per service, averaged across 1,402,916 services

Providers submitted

$222.31

Asking price, not received

Medicare allowed

$51.34

The fee schedule figure

Medicare paid

$38.94

Balance is patient coinsurance

Providers submitted an average of $222.31 for this code and Medicare allowed $51.34 — 4.3× 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 $38.94 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $99.50
Hospital / facility: $20.57

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. 546,981 services were billed in an office setting and 855,935 in a facility.

Services: 1,402,916
Beneficiaries: 1,226,729
Providers billing it: 20,939
Total allowed: $72,025,707

What Medicare pays for CPT 93971

Across 1,402,916 services billed by 20,939 providers to 1,226,729 beneficiaries, Medicare allowed an average of $51.34 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 93971

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	739,999	716,692	$33.96	14,164
Vascular Surgery	255,762	211,722	$64.71	2,379
Independent Diagnostic Testing Facility (IDTF)	118,735	91,226	$67.59	508
Cardiology	63,431	47,979	$75.01	1,099
Interventional Radiology	56,022	50,170	$50.49	842
General Surgery	55,492	34,880	$88.47	504
Interventional Cardiology	25,053	19,244	$72.55	444
Internal Medicine	17,371	12,415	$80.88	274
Family Practice	13,626	7,754	$107.28	193
Thoracic Surgery	9,434	4,948	$90.55	63
Portable X-Ray Supplier	7,494	5,115	$66.03	27
Emergency Medicine	7,348	3,373	$115.39	57
Cardiac Surgery	5,486	2,740	$96.07	37
Peripheral Vascular Disease	4,269	3,055	$57.48	32
General Practice	3,846	2,281	$90.53	27

93971 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	131,488	$65.25	$43.37	1,956
Florida	118,057	$63.12	$48.72	1,481
New York	92,716	$67.36	$45.46	1,289
Texas	91,429	$54.23	$42.09	1,679
Illinois	65,789	$46.96	$34.78	916
Maryland	60,806	$64.67	$46.91	413
Pennsylvania	57,129	$37.29	$28.33	863
North Carolina	48,085	$47.92	$38.00	772
New Jersey	46,672	$70.42	$48.29	589
Ohio	44,504	$33.23	$25.83	574
Massachusetts	44,329	$37.62	$26.13	593
Virginia	42,432	$46.95	$34.61	493
Georgia	37,654	$51.95	$40.15	651
Tennessee	37,080	$49.25	$40.54	565
Arizona	34,973	$69.32	$54.14	435
Michigan	33,810	$41.49	$31.75	534
Minnesota	30,292	$35.62	$25.79	694
Missouri	29,241	$37.92	$29.78	421
Colorado	24,103	$53.84	$39.17	430
Washington	23,844	$42.87	$30.11	373
Indiana	21,998	$37.79	$30.52	389
South Carolina	21,308	$41.83	$33.22	279
Connecticut	20,283	$64.35	$44.70	318
Wisconsin	18,359	$30.50	$23.27	476
Alabama	16,504	$38.92	$31.91	351
Kentucky	16,194	$37.41	$29.13	224
Oklahoma	15,291	$29.39	$23.37	246
Kansas	14,087	$38.75	$30.89	196
Louisiana	13,493	$48.75	$39.81	288
Nevada	12,274	$47.03	$36.32	202
Mississippi	12,210	$42.87	$36.42	197
Arkansas	11,976	$39.07	$32.88	193
Oregon	11,754	$44.61	$32.89	212
Iowa	10,365	$37.47	$29.59	176
Nebraska	10,179	$33.56	$26.65	124
Utah	8,793	$43.37	$33.61	169
New Mexico	7,144	$50.34	$40.06	97
West Virginia	6,972	$29.69	$22.42	118
New Hampshire	6,833	$24.38	$17.37	124
Idaho	6,041	$28.52	$21.64	111
Delaware	5,933	$47.74	$35.62	63
Rhode Island	5,703	$50.68	$36.20	90
District of Columbia	5,496	$72.11	$53.66	66
Montana	5,291	$56.22	$42.30	77
Maine	4,901	$41.09	$29.23	105
South Dakota	4,063	$31.00	$23.17	73
North Dakota	3,715	$26.86	$19.71	45
Alaska	2,899	$51.62	$31.95	51
Hawaii	2,850	$57.04	$40.46	53
Wyoming	2,532	$43.79	$32.57	41
Vermont	2,342	$21.29	$15.35	41
Puerto Rico	224	$27.14	$20.73	9
Guam	151	$61.98	$39.91	6
AP	111	$50.70	$34.40	3
AA	107	$19.97	$15.44	2
U.S. Virgin Islands	54	$88.94	$61.27	2

Related codes

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
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.