Billing code 93931: Arterial duplexMedicare rate & RVUs
Duplex ultrasound evaluates arteries or an arterial bypass graft in one upper extremity, or a limited portion of the upper extremity arterial system.
Medicare pays $120.91 for 93931 nationally in the office. Local office rates run $105.37–$166.80.
Medicare rate · 93931
Arterial duplex
Swap in your local Medicare rate.
- Work RVUs
- 0.49
- Total RVUs
- 3.62
- Global days
- XXX
National rate · 2026
$120.91
Office setting, before claim adjustments.
See every locality for 93931 → · Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 10 sections
What 93931 covers
This service uses ultrasound imaging and Doppler assessment to evaluate blood flow in upper extremity arteries or an arterial bypass graft. It may help investigate arm or hand ischemia, diminished pulses, or suspected arterial narrowing or blockage. A vascular sonographer typically acquires the images and waveforms in a vascular laboratory or imaging department, and a qualified practitioner interprets the study.
Report 93931 for a unilateral examination or a limited study; a complete bilateral examination is represented by 93930. Documentation should identify the side and extent examined, the clinical reason, and the findings supporting the interpretation. The service may be billed globally when one entity provides both portions, or split with modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. When multiple cardiovascular diagnostic procedures are performed, the multiple procedure reduction applies to the technical component.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 93931 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$105.37 to $166.80
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $107.12 | Unavailable |
| Alaska* | $134.69 | Unavailable |
| Arizona | $117.41 | Unavailable |
| Arkansas | $105.37 | Unavailable |
| Atlanta | $123.07 | Unavailable |
| Austin | $126.61 | Unavailable |
| Bakersfield | $130.12 | Unavailable |
| Baltimore/Surr. Cntys | $129.19 | Unavailable |
| Beaumont | $111.55 | Unavailable |
| Brazoria | $119.61 | Unavailable |
| Chicago | $124.56 | Unavailable |
| Chico | $129.92 | Unavailable |
| Colorado | $127.14 | Unavailable |
| Connecticut | $129.60 | Unavailable |
| Dallas | $120.32 | Unavailable |
| Dc + Md/Va Suburbs | $140.25 | Unavailable |
| Delaware | $119.53 | Unavailable |
| Detroit | $118.94 | Unavailable |
| East St. Louis | $115.11 | Unavailable |
| El Centro | $129.93 | Unavailable |
| Fort Lauderdale | $124.13 | Unavailable |
| Fort Worth | $119.33 | Unavailable |
| Fresno | $129.92 | Unavailable |
| Galveston | $119.92 | Unavailable |
| Hanford-Corcoran | $129.92 | Unavailable |
| Hawaii, Guam | $133.93 | Unavailable |
| Houston | $121.21 | Unavailable |
| Idaho | $111.50 | Unavailable |
| Indiana | $112.25 | Unavailable |
| Iowa | $110.81 | Unavailable |
| Kansas | $109.94 | Unavailable |
| Kentucky | $109.37 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $139.50 | Unavailable |
| Madera | $129.92 | Unavailable |
| Manhattan | $139.89 | Unavailable |
| Merced | $129.92 | Unavailable |
| Metropolitan Boston | $141.15 | Unavailable |
| Metropolitan Kansas City | $114.62 | Unavailable |
| Metropolitan Philadelphia | $125.85 | Unavailable |
| Metropolitan St. Louis | $116.01 | Unavailable |
| Miami | $128.68 | Unavailable |
| Minnesota | $122.23 | Unavailable |
| Mississippi | $106.09 | Unavailable |
| Modesto | $129.92 | Unavailable |
| Montana** | $120.91 | Unavailable |
| Napa | $153.29 | Unavailable |
| Nebraska | $111.59 | Unavailable |
| Nevada** | $120.62 | Unavailable |
| New Hampshire | $124.81 | Unavailable |
| New Mexico | $112.90 | Unavailable |
| New Orleans | $115.20 | Unavailable |
| North Carolina | $113.22 | Unavailable |
| North Dakota** | $119.52 | Unavailable |
| Northern Nj | $138.45 | Unavailable |
| Nyc Suburbs/Long Island | $143.28 | Unavailable |
| Ohio | $112.04 | Unavailable |
| Oklahoma | $109.45 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $139.09 | Unavailable |
| Portland | $131.92 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $131.85 | Unavailable |
| Puerto Rico | $122.00 | Unavailable |
| Queens | $141.59 | Unavailable |
| Redding | $129.92 | Unavailable |
| Rest Of California | $129.92 | Unavailable |
| Rest Of Florida | $117.59 | Unavailable |
| Rest Of Georgia | $110.32 | Unavailable |
| Rest Of Illinois | $113.34 | Unavailable |
| Rest Of Louisiana | $109.06 | Unavailable |
| Rest Of Maine | $111.85 | Unavailable |
| Rest Of Maryland | $122.11 | Unavailable |
| Rest Of Massachusetts | $126.12 | Unavailable |
| Rest Of Michigan | $112.32 | Unavailable |
| Rest Of Missouri | $106.75 | Unavailable |
| Rest Of New Jersey | $131.20 | Unavailable |
| Rest Of New York | $115.11 | Unavailable |
| Rest Of Oregon | $119.81 | Unavailable |
| Rest Of Pennsylvania | $112.40 | Unavailable |
| Rest Of Texas | $115.47 | Unavailable |
| Rest Of Washington | $125.98 | Unavailable |
| Rhode Island | $124.34 | Unavailable |
| Riverside-San Bernardino-Ontario | $130.67 | Unavailable |
| Sacramento-Roseville-Folsom | $137.08 | Unavailable |
| Salinas | $136.58 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $140.36 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $163.11 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $163.03 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $166.80 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $166.48 | Unavailable |
| San Luis Obispo-Paso Robles | $134.31 | Unavailable |
| Santa Cruz-Watsonville | $142.14 | Unavailable |
| Santa Maria-Santa Barbara | $137.25 | Unavailable |
| Santa Rosa-Petaluma | $143.62 | Unavailable |
| Seattle (King Cnty) | $144.50 | Unavailable |
| South Carolina | $112.79 | Unavailable |
| South Dakota** | $119.36 | Unavailable |
| Southern Maine | $119.13 | Unavailable |
| Stockton | $129.92 | Unavailable |
| Suburban Chicago | $125.59 | Unavailable |
| Tennessee | $110.53 | Unavailable |
| Utah | $114.54 | Unavailable |
| Vallejo | $153.18 | Unavailable |
| Vermont | $118.73 | Unavailable |
| Virgin Islands | $122.00 | Unavailable |
| Virginia | $118.49 | Unavailable |
| Visalia | $129.92 | Unavailable |
| West Virginia | $108.53 | Unavailable |
| Wisconsin | $115.00 | Unavailable |
| Wyoming** | $120.30 | Unavailable |
| Yuba City | $129.92 | Unavailable |
93931 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$105.37
$148.36
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $134.69 | 1 |
| AL | $107.12 | 1 |
| AR | $105.37 | 1 |
| AZ | $117.41 | 1 |
| CA | $129.92–$166.80 | 29 |
| CO | $127.14 | 1 |
| CT | $129.60 | 1 |
| DC | $140.25 | 1 |
| DE | $119.53 | 1 |
| FL | $117.59–$128.68 | 3 |
| GA | $110.32–$123.07 | 2 |
| GU | $133.93 | 1 |
| HI | $133.93 | 1 |
| IA | $110.81 | 1 |
| ID | $111.50 | 1 |
| IL | $113.34–$125.59 | 4 |
| IN | $112.25 | 1 |
| KS | $109.94 | 1 |
| KY | $109.37 | 1 |
| LA | $109.06–$115.20 | 2 |
| MA | $126.12–$141.15 | 2 |
| MD | $122.11–$140.25 | 3 |
| ME | $111.85–$119.13 | 2 |
| MI | $112.32–$118.94 | 2 |
| MN | $122.23 | 1 |
| MO | $106.75–$116.01 | 3 |
| MS | $106.09 | 1 |
| MT | $120.91 | 1 |
| NC | $113.22 | 1 |
| ND | $119.52 | 1 |
| NE | $111.59 | 1 |
| NH | $124.81 | 1 |
| NJ | $131.20–$138.45 | 2 |
| NM | $112.90 | 1 |
| NV | $120.62 | 1 |
| NY | $115.11–$143.28 | 5 |
| OH | $112.04 | 1 |
| OK | $109.45 | 1 |
| OR | $119.81–$131.92 | 2 |
| PA | $112.40–$125.85 | 2 |
| PR | $122.00 | 1 |
| RI | $124.34 | 1 |
| SC | $112.79 | 1 |
| SD | $119.36 | 1 |
| TN | $110.53 | 1 |
| TX | $111.55–$126.61 | 8 |
| UT | $114.54 | 1 |
| VA | $118.49–$140.25 | 2 |
| VI | $122.00 | 1 |
| VT | $118.73 | 1 |
| WA | $125.98–$144.50 | 2 |
| WI | $115.00 | 1 |
| WV | $108.53 | 1 |
| WY | $120.30 | 1 |
How the 93931 rate is calculated
Each of 93931’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 93931
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.49Practice expense 3.06Malpractice 0.07
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93931
The CMS indicators that decide how 93931 is paid alongside other services.
CMS payment indicators · 93931
Arterial duplex
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 6 | Diagnostic cardiovascular reduction applies to the technical component. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
93931 without 26 · national office
$120.91
Arterial duplex
93931-26 · Professional component
$22.71
Pays only the interpretation and report.
93931 compared with similar codes
Compare codes
93931 vs 93930 vs 93922 vs 93923: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93930Arm arterial duplex
- 93930 is for a complete bilateral upper extremity arterial duplex. Choose 93931 for a unilateral examination or a limited study.
- 93922Arterial study
- 93922 reports limited physiologic arterial testing at two levels, rather than duplex imaging of upper extremity arteries or a bypass graft.
- 93923Arterial physiology
- 93923 reports physiologic arterial testing at three or more levels. Use 93931 when the service is an upper extremity arterial duplex.
93931 billing questions
When should 93930 be reported instead?
Use 93930 for a complete bilateral upper extremity arterial duplex examination. Use 93931 for a unilateral examination or a limited study.
What do modifiers 26 and TC represent?
Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
Does the multiple procedure reduction affect both components?
The cardiovascular diagnostic multiple procedure reduction applies to the technical component of this service.
How should the report support 93931?
Document the clinical indication, side and arterial territory examined, relevant images or Doppler findings, and the interpretation. The record should make clear why the study was unilateral or limited.
How does 93931 differ from 93922 or 93923?
93931 describes duplex imaging and Doppler evaluation of upper extremity arteries or a bypass graft. Codes 93922 and 93923 describe physiologic arterial testing organized by the number of levels assessed.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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