Medicine · 93979

Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts

What Medicare pays for 93979, what providers bill, and how the price varies across 50 states, drawn from CMS 2023 claims data.

93979 · the short answer

For ultrasound of aorta, vena cava, groin vessels or bypass grafts, Medicare pays about $61.76 while providers bill $303.11 on average, a 4.9× markup, a below-median markup. State-level Medicare rates range 395% from lowest to highest.

Medicare pays
$61.76
Providers bill
$303.11
Markup
4.9×
Markup percentile
30th

Medicare amounts are CMS-published; markup = average submitted charge ÷ average Medicare payment.

Medicare Payment (avg)
$61.76
What Medicare actually pays
Billed Charge (avg)
$303.11
What providers submit
Markup
4.9x
391% above Medicare rate
54.7K
Total Services
48.5K
Beneficiaries
6.4K
Providers
50
States with Data

Price Range Across States

Lowest State Avg
$17.65
Vermont
Highest State Avg
$87.32
New Jersey

What You Might Pay

Est. Commercial Insurance
$175.94
Range: $123.16 – $246.32
Est. Cash / Self-Pay
$144.73
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

How we estimate these prices

These estimates are based on the RAND Hospital Price Transparency Study (4th Edition, 2024), which found that commercial insurance prices average 224% of Medicare rates nationally. We apply category-specific ratios: Medicine procedures average 2.15x Medicare rates. Cash/self-pay estimates blend typical cash discounts (55% of billed charges) with Medicare-based estimates (150% of allowed amounts). These are statistical estimates, not quotes. Contact your insurer or provider for actual costs.

Where this markup sits nationally

Markup (billed ÷ Medicare) across 8,901 procedures with a meaningful Medicare rate

5 more affordable than 30% of 8,901 procedures

1–2: 466 procedures (5%). Below this entry. 2–3: 681 procedures (8%). Below this entry. 3–4: 845 procedures (9%). Below this entry. 4–5: 1,308 procedures (15%). This entry sits in this band. 5–6: 1,725 procedures (19%). Above this entry. 6–7: 1,217 procedures (14%). Above this entry. 7–8: 801 procedures (9%). Above this entry. 8–9: 541 procedures (6%). Above this entry. 9–10: 351 procedures (4%). Above this entry. 10–11: 246 procedures (3%). Above this entry. 11–12: 151 procedures (2%). Above this entry. 12–13: 175 procedures (2%). Above this entry. 13–14: 140 procedures (2%). Above this entry. 14–15: 40 procedures (0%). Above this entry. 15–16: 39 procedures (0%). Above this entry. 16–17: 26 procedures (0%). Above this entry. 17–18: 25 procedures (0%). Above this entry. 18–19: 21 procedures (0%). Above this entry. 19–20: 12 procedures (0%). Above this entry. 20–21: 16 procedures (0%). Above this entry. 21–22: 13 procedures (0%). Above this entry. 22–23: 8 procedures (0%). Above this entry. 23–24: 9 procedures (0%). Above this entry. 24–25: 4 procedures (0%). Above this entry. 25–26: 3 procedures (0%). Above this entry. 26–27: 3 procedures (0%). Above this entry. 27–28: 4 procedures (0%). Above this entry. 28–29: 3 procedures (0%). Above this entry. 29–30: 2 procedures (0%). Above this entry. 30–31: 26 procedures (0%). Above this entry. this procedure 1 31 × markup, bucketed by value

Each bar is a band; taller bars hold more procedures. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners · 2023

Prices by State

State Medicare Payment Billed Charge
New Jersey $87.32 $345.33
Hawaii $80.74 $236.95
Rhode Island $80.12 $317.96
California $76.06 $323.96
Delaware $75.48 $321.51
New York $74.82 $475.48
Arizona $73.85 $333.14
Florida $73.04 $316.97
Connecticut $70.13 $494.89
District of Columbia $66.94 $310.83
Texas $66.79 $329.94
Maryland $66.69 $274.76
Wyoming $66.53 $667.99
Nevada $66.30 $296.37
Colorado $63.71 $275.19
Utah $63.45 $301.45
Massachusetts $60.43 $398.05
Michigan $58.75 $214.92
Illinois $57.74 $379.19
North Carolina $54.91 $320.87
Mississippi $53.31 $242.81
Tennessee $52.92 $266.82
Alaska $52.74 $442.05
Louisiana $51.06 $297.48
Washington $51.00 $215.45
Georgia $50.24 $279.18
Kentucky $50.01 $194.70
South Dakota $48.51 $213.31
Kansas $48.33 $270.90
Minnesota $43.90 $337.01
Arkansas $43.82 $150.40
Pennsylvania $43.51 $238.78
Alabama $42.43 $161.39
Oregon $39.64 $196.42
Oklahoma $38.40 $151.90
Virginia $37.61 $140.41
Indiana $36.50 $169.61
New Hampshire $35.47 $213.54
New Mexico $34.76 $250.76
Nebraska $34.24 $151.08
South Carolina $32.81 $184.69
Ohio $31.20 $154.64
Missouri $29.60 $148.01
Wisconsin $27.59 $443.38
Idaho $26.16 $155.78
Iowa $25.41 $133.76
Maine $23.23 $108.70
West Virginia $23.13 $144.32
North Dakota $18.98 $169.10
Vermont $17.65 $58.49

What the Data Says About Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts

Across 50 states with reporting providers, CPT code 93979 (Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts) shows a national average Medicare payment of $61.76 against an average billed charge of $303.11. That gap, a 4.9x markup, or 391% above the Medicare allowed amount, is narrower than most procedures in our dataset, suggesting providers price this code closer to what payers actually reimburse.

Medicine procedures like this one saw 54.7K services billed to Medicare in 2023 by 6.4K distinct providers, serving 48.5K unique beneficiaries. State-level variation is significant: Vermont reports the lowest average payment at $17.65, while New Jersey reports the highest at $87.32. A 395% spread this wide is typically a GPCI story: practice-expense and malpractice-premium components of the fee formula diverge sharply by locality even though the procedure code never changes.

Applying RAND 2024 commercial-to-Medicare ratios specific to the Medicine category (2.15x), the estimated commercial insurance price lands near $175.94, with self-pay cash discounts commonly bringing the figure closer to $144.73. Within Medicine, Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts ranks #245 of 533 tracked procedures by national average Medicare payment.

What to do with this

If you may have ultrasound of aorta, vena cava, groin vessels or bypass grafts done, these steps turn the numbers above into a real-world cost estimate.

  • Request a Good Faith Estimate from your provider at least 3 business days before a scheduled procedure, under the No Surprises Act it is an enforceable written price.
  • Compare ultrasound of aorta, vena cava, groin vessels or bypass grafts costs in your state, Medicare rates vary by locality. Browse states
  • Check a hospital’s published cash price, which is often far below the billed charge. Price transparency
  • Understand why billed charges run several times the Medicare rate before you negotiate. Read the guide

Figures here are averages and estimates, not a quote. Confirm coverage and out-of-pocket costs with your insurer and provider.

Frequently Asked Questions

How much does Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts cost?

Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts (CPT 93979) shows unusually wide state-to-state pricing: Medicare pays $61.76 on average nationally, but the $17.65-$87.32 range across states spans more than double from cheapest to priciest.

Why do providers charge more than Medicare pays?

Providers set their own chargemaster rates (billed charges), which are typically much higher than what any insurer pays. Medicare pays a fixed rate based on the procedure code and geographic location. The billed charge is relevant mainly for uninsured patients, who may face prices closer to the submitted charge.

How much does Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts cost with insurance?

With commercial insurance, ultrasound of aorta, vena cava, groin vessels or bypass grafts costs an estimated $175.94 on average (range: $123.16-$246.32), a moderate premium over Medicare's $61.76. Without insurance, the estimated cash price is $144.73.

Which state has the lowest cost for Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts?

Vermont has by far the lowest average Medicare payment for Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts at $17.65, while New Jersey pays more than double at $87.32 - a $69.67 gap.

How many providers perform Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts?

A moderate provider base performs Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts: 6.4K providers nationally, totaling 54.7K Medicare-billed services (48.5K beneficiaries) across 50 states in 2023.

What is the billed-to-Medicare markup for Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts?

Providers bill 4.9x what Medicare pays for Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts - a below-median markup at 391% above the Medicare rate.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.