How much does Medicare pay for CPT 93990?

Medicare allowed an average of $103.15 per service and paid $78.70 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $393.10, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93990?

Ultrasound of hemodialysis access. It was billed 70,456 times to 45,429 Medicare beneficiaries by 1,437 providers in 2024.

Does 93990 pay differently in an office than a hospital?

Yes. The allowed amount averaged $125.36 in an office setting and $23.26 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 93990 most?

Vascular Surgery, with 52,131 services from 1,049 clinicians. Next are General Surgery, Diagnostic Radiology, Nephrology.

CPT 93990

Ultrasound of hemodialysis access

$103.15Medicare-allowed amount per service, averaged across 70,456 services

Providers submitted

$393.10

Asking price, not received

Medicare allowed

$103.15

The fee schedule figure

Medicare paid

$78.70

Balance is patient coinsurance

Providers submitted an average of $393.10 for this code and Medicare allowed $103.15 — 3.8× 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 $78.70 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $125.36
Hospital / facility: $23.26

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. 55,133 services were billed in an office setting and 15,323 in a facility.

Services: 70,456
Beneficiaries: 45,429
Providers billing it: 1,437
Total allowed: $7,267,536

What Medicare pays for CPT 93990

Across 70,456 services billed by 1,437 providers to 45,429 beneficiaries, Medicare allowed an average of $103.15 per service. That is 1.6 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 93990

Specialty	Services	Beneficiaries	Avg allowed	Providers
Vascular Surgery	52,131	32,920	$106.26	1,049
General Surgery	6,119	3,712	$105.80	110
Diagnostic Radiology	3,434	2,831	$52.90	112
Nephrology	3,184	2,319	$117.82	43
Interventional Radiology	2,130	1,429	$100.84	48
Independent Diagnostic Testing Facility (IDTF)	777	428	$119.59	9
Internal Medicine	510	284	$85.57	8
Cardiology	428	338	$33.38	17
General Practice	392	237	$122.25	6
Cardiac Surgery	384	205	$92.27	6
Nurse Practitioner	282	218	$86.82	4
Thoracic Surgery	243	157	$73.43	7
Interventional Cardiology	136	98	$113.90	6
Peripheral Vascular Disease	115	103	$22.53	7
Hospitalist	82	51	$119.90	2

93990 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	12,588	$127.51	$81.41	153
New York	6,772	$123.61	$82.04	97
Florida	4,974	$114.61	$84.13	111
Texas	4,724	$103.72	$79.53	104
Georgia	4,510	$110.11	$83.86	86
Michigan	2,639	$95.61	$75.00	55
Maryland	1,958	$99.92	$69.81	32
Arizona	1,939	$117.68	$92.16	27
Virginia	1,932	$106.03	$74.64	41
Washington	1,828	$103.06	$71.02	51
Connecticut	1,736	$124.50	$83.10	24
Kentucky	1,389	$76.89	$64.55	25
Alabama	1,297	$102.84	$89.60	21
New Jersey	1,277	$124.24	$82.11	33
Pennsylvania	1,274	$56.93	$42.47	62
Illinois	1,271	$48.36	$33.85	35
North Carolina	1,231	$74.89	$59.21	46
Louisiana	1,222	$74.79	$60.98	21
Ohio	1,173	$71.21	$54.77	36
Tennessee	1,137	$103.56	$87.30	30
Missouri	1,086	$76.22	$58.51	30
Indiana	1,073	$85.93	$70.47	34
Colorado	1,054	$108.39	$77.58	24
Massachusetts	1,024	$104.05	$76.33	28
South Carolina	998	$59.73	$47.10	19
Oregon	951	$58.74	$44.06	26
Mississippi	827	$32.28	$25.33	14
Alaska	821	$81.61	$56.65	9
Oklahoma	662	$75.51	$59.82	16
Hawaii	655	$126.63	$92.40	5
Utah	436	$92.56	$72.91	15
Minnesota	425	$67.19	$51.60	18
Iowa	352	$52.75	$41.03	10
Arkansas	350	$76.77	$67.78	10
Guam	342	$140.86	$89.63	2
Wisconsin	269	$25.35	$20.21	9
Delaware	239	$72.06	$54.97	6
Kansas	237	$78.87	$64.35	9
Maine	225	$50.91	$36.64	5
Nebraska	215	$59.79	$50.37	7
District of Columbia	203	$112.84	$69.86	6
South Dakota	169	$46.89	$35.19	6
Montana	163	$99.38	$72.85	7
New Mexico	158	$35.42	$26.25	3
West Virginia	152	$47.86	$40.58	7
Wyoming	118	$115.83	$85.38	3
Idaho	112	$73.85	$54.42	5
Nevada	112	$92.28	$70.86	5
Vermont	76	$21.25	$15.77	5
Rhode Island	48	$57.05	$58.96	2
New Hampshire	33	$58.75	$43.21	2

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
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.