How much does Medicare pay for CPT 93976?

Medicare allowed an average of $86.57 per service and paid $65.57 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $338.89, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93976?

Ultrasound of abdomen and pelvis artery and vein blood flow. It was billed 82,837 times to 78,757 Medicare beneficiaries by 2,371 providers in 2024.

Does 93976 pay differently in an office than a hospital?

Yes. The allowed amount averaged $137.12 in an office setting and $37.01 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 93976 most?

Diagnostic Radiology, with 51,019 services from 1,720 clinicians. Next are Urology, Vascular Surgery, Independent Diagnostic Testing Facility (IDTF).

CPT 93976

Ultrasound of abdomen and pelvis artery and vein blood flow

$86.57Medicare-allowed amount per service, averaged across 82,837 services

Providers submitted

$338.89

Asking price, not received

Medicare allowed

$86.57

The fee schedule figure

Medicare paid

$65.57

Balance is patient coinsurance

Providers submitted an average of $338.89 for this code and Medicare allowed $86.57 — 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 $65.57 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $137.12
Hospital / facility: $37.01

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. 41,006 services were billed in an office setting and 41,831 in a facility.

Services: 82,837
Beneficiaries: 78,757
Providers billing it: 2,371
Total allowed: $7,171,199

What Medicare pays for CPT 93976

Across 82,837 services billed by 2,371 providers to 78,757 beneficiaries, Medicare allowed an average of $86.57 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 93976

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	51,019	49,824	$59.63	1,720
Urology	7,993	7,044	$157.76	86
Vascular Surgery	4,612	4,125	$85.16	182
Independent Diagnostic Testing Facility (IDTF)	3,625	3,376	$145.47	57
Internal Medicine	3,373	3,069	$143.74	43
Interventional Radiology	3,019	2,906	$58.32	89
Obstetrics & Gynecology	2,482	2,098	$154.51	53
Cardiology	1,479	1,440	$136.37	38
Gastroenterology	1,199	1,107	$145.95	19
General Surgery	720	615	$143.85	16
General Practice	680	675	$156.47	2
Family Practice	618	579	$131.63	17
Interventional Cardiology	606	565	$131.61	15
Nephrology	424	415	$107.87	7
Physician Assistant	357	328	$131.62	4

93976 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	14,071	$142.04	$94.71	191
California	13,536	$111.34	$72.39	289
Texas	4,412	$61.17	$45.44	164
New Jersey	4,390	$97.86	$66.83	97
Virginia	3,792	$42.51	$32.01	94
Illinois	3,677	$55.10	$40.16	139
Florida	3,636	$85.88	$64.16	136
South Carolina	2,605	$63.75	$47.55	49
Georgia	2,508	$56.85	$43.42	79
Tennessee	2,491	$75.78	$60.83	85
Minnesota	2,173	$103.10	$72.03	71
Arizona	2,167	$83.62	$63.41	68
Pennsylvania	2,057	$66.87	$45.95	74
Maryland	1,875	$115.59	$79.09	40
Ohio	1,288	$41.94	$30.88	55
North Carolina	1,057	$65.38	$51.55	55
Louisiana	968	$56.43	$45.31	27
Indiana	967	$44.46	$33.48	46
Massachusetts	949	$75.11	$50.33	46
Missouri	822	$37.77	$27.80	38
Kentucky	817	$39.35	$29.25	30
Idaho	811	$37.47	$28.14	20
Colorado	804	$50.97	$37.39	38
Mississippi	770	$37.92	$27.40	25
Alabama	731	$54.26	$43.68	29
Oklahoma	686	$36.51	$27.66	25
Michigan	684	$72.32	$55.51	31
Arkansas	679	$41.98	$32.88	26
New Mexico	668	$52.60	$38.66	25
Kansas	649	$71.35	$57.71	29
Oregon	611	$41.08	$28.98	24
Nevada	566	$92.97	$73.10	21
Connecticut	554	$82.63	$56.87	22
Washington	534	$57.02	$41.16	23
Wisconsin	477	$36.12	$26.76	25
South Dakota	382	$107.04	$80.17	11
West Virginia	352	$39.49	$29.76	13
North Dakota	305	$35.90	$24.40	10
New Hampshire	288	$36.09	$24.81	8
Iowa	261	$67.09	$52.02	18
Wyoming	242	$36.10	$26.31	4
Alaska	228	$49.64	$25.45	8
Utah	200	$35.81	$25.56	9
Vermont	187	$35.78	$25.95	11
Maine	159	$36.05	$24.49	6
Nebraska	157	$52.16	$41.37	10
District of Columbia	154	$63.34	$44.23	7
Rhode Island	146	$101.29	$66.98	5
Montana	111	$36.49	$26.15	5
Hawaii	76	$60.84	$40.49	3
Delaware	67	$81.26	$60.31	5
ZZ	26	$33.61	$25.96	1
AA	14	$36.16	$28.34	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
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.