CPT93880

Carotid Ultrasound Cost in Arizona

Extracranial bilat study

$433Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Arizona Medicare physician rate (2026)

-2.9% vs national

Single statewide locality.

Arizona (Hospital)
$183.62
Facility physician fee
Private plan est.
$239–$367
~130–200% of Medicare
Cash / self-pay est.
$147–$275
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Physician fee alone
$189
Only 44% of the hospital total

This is Medicare's separate payment to the facility on top of the physician's fee. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Arizona

Check your ZIP code for local figures across Arizona, from metro Phoenix and Tucson to Flagstaff, Yuma, Prescott, and the rural stretches of the north and southeast.

What carotid ultrasound costs at hospitals near you

Everything above is a national average. The hospital you pick in Arizona moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.

National vs Arizona

National office$189.05
National hospital (physician)$189.05
Arizona vs national3% below the national office rate of $189.05

Where Arizona ranks for this CPT

Rank (lowest physician fee first)#24 of 51
Lowest stateArkansas ($164.92)
Highest stateDistrict of Columbia ($219.25)

Carotid Ultrasound and how Arizona is priced

CMS prices all of Arizona through one statewide locality, so Phoenix, Tucson, and the rural counties share a single set of geographic adjustment factors. The state's indices land close to the national average, which makes Arizona a useful benchmark when comparing procedure prices across the country. Because the locality is statewide, the rapid growth of metro Phoenix does not by itself change what Medicare approves there relative to Flagstaff or Yuma. Differences patients notice tend to come from the billing setting and local market conditions, not from the fee schedule.

Arizona has one of the largest Medicare populations in the country thanks to decades of retiree migration, and its winter snowbird influx means demand for care swings by season. Phoenix and Tucson offer deep specialist markets, while much of northern and southeastern Arizona relies on smaller hospitals and long drives for advanced care. Competition among large systems in the Valley gives Phoenix-area patients more room to shop than most rural residents have.

This procedure: A bilateral carotid duplex ultrasound examines the arteries on both sides of the neck that supply the brain, measuring plaque buildup and blood flow speed to estimate narrowing. It is ordered after a stroke or mini-stroke, for a bruit heard in the neck, or before certain surgeries. A technologist moves a probe along each side of your neck for 30 to 45 minutes; it is painless, radiation-free, and requires no preparation.

What Is Carotid Ultrasound?

A bilateral carotid duplex ultrasound examines the arteries on both sides of the neck that supply the brain, measuring plaque buildup and blood flow speed to estimate narrowing. It is ordered after a stroke or mini-stroke, for a bruit heard in the neck, or before certain surgeries. A technologist moves a probe along each side of your neck for 30 to 45 minutes; it is painless, radiation-free, and requires no preparation.

What Affects the Cost

  • Hospital vascular labs charge multiples of what office-based or freestanding vascular labs charge for the same bilateral study.
  • Significant narrowing triggers surveillance scans every 6 to 12 months, making the per-scan price a recurring expense for years.
  • Findings can cascade to CT or MR angiography for confirmation, each far more expensive than the ultrasound.
  • The interpreting physician's fee is a separate component at facility-based labs.
  • Screening packages sold directly to consumers by mobile companies price this scan cheaply as cash-pay, but positive findings still funnel into insured follow-up costs.

Questions to Ask Before Booking

  • 1.What indication is on my order, and is it one my insurer covers?
  • 2.What does this study cost at an office vascular lab versus the hospital?
  • 3.If narrowing is found, how often will I need repeat scans and at what cost each?
  • 4.Would an abnormal result lead to CT or MR angiography, and what do those cost?
  • 5.Is the physician interpretation included in your quoted price?

Carotid Ultrasound in Arizona: questions

Arizona is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 93880 is $183.62 in an office and $183.62 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Arizona uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $37 for the office physician line or $37 for the hospital physician line in Arizona. Medigap may cover that 20%. This is not the hospital facility fee.

No. $183.62 is only the physician's share. Adding Medicare's facility payment brings the total to about $433 in a hospital outpatient department. Anesthesia, pathology and other codes billed the same day are extra. Arizona ranks #24 of 51 states on the physician line (3% below the national office rate of $189.05).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.