CPT93880

Carotid Ultrasound Cost in Georgia

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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Georgia Medicare physician rate (2026)

-3.5% vs national

Average of 2 localities. Office range $172.45–$192.35.

Georgia (Hospital)
$182.40
Facility physician fee
Private plan est.
$237–$365
~130–200% of Medicare
Cash / self-pay est.
$146–$274
~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 Georgia

Look up your ZIP to see whether Atlanta-area or rest-of-state pricing applies, from the metro counties to Savannah, Augusta, Columbus, Macon, and rural south Georgia.

What carotid ultrasound costs at hospitals near you

Everything above is a national average. The hospital you pick in Georgia 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 Georgia

National office$189.05
National hospital (physician)$189.05
Georgia vs national4% below the national office rate of $189.05

Where Georgia ranks for this CPT

Rank (lowest physician fee first)#23 of 51
Lowest stateArkansas ($164.92)
Highest stateDistrict of Columbia ($219.25)

CPT 93880 by Georgia locality

LocalityOffice
atlanta$192.35
rest of georgia$172.45

PE GPCI ranges from 0.892 to 1.016 in Georgia. That index is why the same CPT is not one price statewide.

Carotid Ultrasound and how Georgia is priced

Georgia divides into an Atlanta metro locality and a rest-of-state locality, so the fee schedule itself recognizes the cost gap between the capital region and the rest of the state. Atlanta's higher wages and rents translate into higher Medicare-approved amounts inside its locality, while Savannah, Augusta, Columbus, Macon, and rural Georgia share the lower rest-of-state pricing. The split is one of the cleaner examples of a two-tier state in the fee schedule. Patients near the locality boundary can see different approved amounts a short drive apart.

Metro Atlanta concentrates the state's academic medicine and most of its subspecialists, drawing referrals from across the Southeast. Outside the metro, south Georgia has seen repeated rural hospital closures, leaving longer trips for even routine procedures in some counties. Augusta and Savannah serve as important secondary hubs, and border residents sometimes cross into Chattanooga, Tallahassee, or Jacksonville for care.

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 Georgia: questions

The 2026 Medicare physician office rate for CPT 93880 averages $182.40 across 2 Georgia localities, from $172.45 in REST OF GEORGIA to $192.35 in ATLANTA. The hospital physician rate averages $182.40. Enter a ZIP for the exact locality.

Yes. CMS splits Georgia into 2 payment localities. For this CPT the office physician fee spans $19.90 from the lowest to highest locality. Look up your ZIP to see whether Atlanta-area or rest-of-state pricing applies, from the metro counties to Savannah, Augusta, Columbus, Macon, and rural south Georgia.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $36 for the office physician line or $36 for the hospital physician line in Georgia. Medigap may cover that 20%. This is not the hospital facility fee.

No. $182.40 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. Georgia ranks #23 of 51 states on the physician line (4% 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.