How much does Medicare pay for CPT 93975?

Medicare allowed an average of $173.24 per service and paid $133.32 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $518.54, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93975?

Complete ultrasound of abdomen and pelvis artery and vein blood flow. It was billed 148,463 times to 135,730 Medicare beneficiaries by 4,130 providers in 2024.

Does 93975 pay differently in an office than a hospital?

Yes. The allowed amount averaged $254.71 in an office setting and $53.73 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 93975 most?

Diagnostic Radiology, with 56,583 services from 1,972 clinicians. Next are Vascular Surgery, Independent Diagnostic Testing Facility (IDTF), Cardiology.

CPT 93975

Complete ultrasound of abdomen and pelvis artery and vein blood flow

$173.24Medicare-allowed amount per service, averaged across 148,463 services

Providers submitted

$518.54

Asking price, not received

Medicare allowed

$173.24

The fee schedule figure

Medicare paid

$133.32

Balance is patient coinsurance

Providers submitted an average of $518.54 for this code and Medicare allowed $173.24 — 3.0× 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 $133.32 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $254.71
Hospital / facility: $53.73

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. 88,284 services were billed in an office setting and 60,179 in a facility.

Services: 148,463
Beneficiaries: 135,730
Providers billing it: 4,130
Total allowed: $25,719,730

What Medicare pays for CPT 93975

Across 148,463 services billed by 4,130 providers to 135,730 beneficiaries, Medicare allowed an average of $173.24 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 93975

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	56,583	54,312	$107.50	1,972
Vascular Surgery	24,562	22,891	$129.87	848
Independent Diagnostic Testing Facility (IDTF)	13,254	11,455	$281.36	152
Cardiology	12,256	11,866	$230.18	375
Internal Medicine	9,634	6,971	$267.05	129
Urology	5,650	4,543	$279.95	71
General Practice	4,783	3,584	$284.11	22
Interventional Radiology	3,780	3,700	$105.32	148
Family Practice	2,932	2,232	$267.53	46
Interventional Cardiology	2,870	2,805	$194.35	130
Nephrology	2,523	2,443	$229.07	33
General Surgery	2,008	1,892	$144.51	69
Obstetrics & Gynecology	1,691	1,540	$283.56	21
Gastroenterology	1,318	1,100	$220.50	19
Nurse Practitioner	905	849	$241.23	16

93975 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	35,413	$249.60	$168.63	449
New York	17,131	$237.40	$157.79	340
Florida	8,807	$189.01	$145.88	265
Texas	7,789	$175.81	$137.96	278
Pennsylvania	5,529	$102.43	$74.88	192
Virginia	5,210	$107.18	$78.08	148
Illinois	4,989	$127.58	$92.10	176
New Jersey	4,749	$230.84	$156.86	128
Ohio	4,021	$63.88	$47.38	175
Arizona	3,957	$202.00	$156.51	101
Massachusetts	3,942	$78.76	$54.03	152
North Carolina	3,861	$139.08	$107.87	132
Michigan	3,405	$103.75	$79.27	113
Maryland	3,185	$154.25	$108.32	117
Tennessee	3,155	$143.41	$116.77	110
Georgia	3,128	$153.46	$116.60	120
Washington	2,275	$109.03	$75.30	75
South Carolina	2,154	$128.79	$103.43	73
Oregon	1,653	$130.73	$98.91	60
Missouri	1,651	$65.85	$50.77	78
Colorado	1,536	$95.29	$68.64	63
Nevada	1,525	$183.43	$146.47	37
Minnesota	1,460	$151.53	$108.46	62
Kentucky	1,411	$80.42	$64.36	56
Indiana	1,242	$87.76	$68.88	55
Alabama	1,225	$100.30	$84.23	53
Iowa	1,210	$83.10	$65.33	43
Nebraska	1,033	$61.42	$48.90	25
Oklahoma	968	$68.25	$53.26	44
Arkansas	965	$79.91	$64.04	20
Wisconsin	842	$67.97	$52.60	43
Louisiana	829	$183.10	$154.84	28
West Virginia	825	$115.30	$94.83	23
Connecticut	751	$163.43	$110.47	32
South Dakota	711	$79.54	$59.04	26
Mississippi	696	$81.09	$66.46	23
Idaho	670	$71.99	$54.08	28
District of Columbia	624	$102.36	$69.20	21
North Dakota	557	$80.10	$61.25	17
Kansas	526	$100.75	$79.66	22
Alaska	438	$170.35	$113.08	15
Delaware	382	$112.92	$83.72	16
Rhode Island	346	$77.42	$54.91	18
New Hampshire	345	$53.08	$37.04	17
Hawaii	256	$152.08	$107.95	10
New Mexico	224	$93.97	$64.52	12
Maine	222	$96.11	$67.99	12
Montana	143	$105.58	$79.72	8
XX	127	$301.99	$205.49	1
Utah	119	$82.30	$65.80	8
U.S. Virgin Islands	101	$237.29	$200.28	1
Vermont	79	$52.11	$34.69	6
ZZ	57	$53.28	$40.13	2
Wyoming	14	$258.71	$163.13	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
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.