Carotid Ultrasound Cost in Maine
Extracranial bilat study
$433Hospital outpatient total2026 Medicare, physician + facility- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
Maine Medicare physician rate (2026)
-4.4% vs nationalAverage of 2 localities. Office range $175.01–$186.38.
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.
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 Maine
Enter a ZIP code for your part of Maine, whether the Portland area, Lewiston-Auburn, Augusta, Bangor, the midcoast, or Aroostook County in the far north.
What carotid ultrasound costs at hospitals near you
Everything above is a national average. The hospital you pick in Maine moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
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 Maine
Where Maine ranks for this CPT
CPT 93880 by Maine locality
| Locality | Office |
|---|---|
| southern maine | $186.38 |
| rest of maine | $175.01 |
PE GPCI ranges from 0.920 to 0.991 in Maine. That index is why the same CPT is not one price statewide.
Carotid Ultrasound and how Maine is priced
Maine is priced as a single statewide locality with indices close to, and in parts below, the national average, so Portland and the far northern county towns share one fee schedule. CMS has never needed to subdivide a state where even the largest metro is modest by national standards. The uniform pricing belies enormous differences in access between the populous southern coast and the vast interior. For Mainers, the published statewide rates are what Medicare approves everywhere from Kittery to Fort Kent.
Maine is among the most rural states in the country and has the oldest median age, a combination that concentrates specialty care in Portland and, to a lesser degree, Bangor and Lewiston. Residents of western and northern Maine can face hours of driving for procedures, and some in the far south use Boston hospitals for complex care. Consolidation has left a small number of systems covering most of the state.
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?
Other featured procedures in Maine
Carotid Ultrasound in other states
Carotid Ultrasound in Maine: questions
The 2026 Medicare physician office rate for CPT 93880 averages $180.70 across 2 Maine localities, from $175.01 in REST OF MAINE to $186.38 in SOUTHERN MAINE. The hospital physician rate averages $180.70. Enter a ZIP for the exact locality.
Yes. CMS splits Maine into 2 payment localities. For this CPT the office physician fee spans $11.37 from the lowest to highest locality. Enter a ZIP code for your part of Maine, whether the Portland area, Lewiston-Auburn, Augusta, Bangor, the midcoast, or Aroostook County in the far north.
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 Maine. Medigap may cover that 20%. This is not the hospital facility fee.
No. $180.70 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. Maine ranks #22 of 51 states on the physician line (4% below the national office rate of $189.05).