What is the standard insurance baseline for CPT 93986?

The standard insurance baseline reimbursement rate is $117.80. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Complete Ultrasound of Artery and Vein Blood Flow Pre-op Assessment on Side of Body for Hemodialysis Access

CPT 93986Medical Service

Complete Ultrasound of Artery and Vein Blood Flow Pre-op Assessment on Side of Body for Hemodialysis Access

Q: What do doctors typically charge for Complete Ultrasound of Artery and Vein Blood Flow Pre-op Assessment on Side of Body for Hemodialysis Access?

The nationwide median physician charge for Complete Ultrasound of Artery and Vein Blood Flow Pre-op Assessment on Side of Body for Hemodialysis Access (CPT 93986) is $324.50. Doctor billed charges vary based on geographic region, setting, and overhead.

Complete ultrasound of artery and vein blood flow pre-op assessment on side of body for hemodialysis access. Clinical pricing breakdown and utilization metrics across 121 practicing doctors nationwide.

$324.50

Peer Median Charge

Gross billed rate

$117.80

Standard Baseline

Customary allowable

2.8x

National Markup

Charge vs baseline

121

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $324.50. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $117.80 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 93986 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"