CPT93880

Carotid Ultrasound Cost in Tennessee

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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Tennessee Medicare physician rate (2026)

-8.5% vs national

Single statewide locality.

Tennessee (Hospital)
$172.97
Facility physician fee
Private plan est.
$225–$346
~130–200% of Medicare
Cash / self-pay est.
$138–$259
~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 Tennessee

Enter a ZIP code for your part of Tennessee, whether Nashville, Memphis, Knoxville, Chattanooga, the Tri-Cities, or the rural plateau and delta counties.

What carotid ultrasound costs at hospitals near you

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

National office$189.05
National hospital (physician)$189.05
Tennessee vs national9% below the national office rate of $189.05

Where Tennessee ranks for this CPT

Rank (lowest physician fee first)#8 of 51
Lowest stateArkansas ($164.92)
Highest stateDistrict of Columbia ($219.25)

Carotid Ultrasound and how Tennessee is priced

Tennessee's Medicare rates come from one statewide locality with below-average geographic indices, so Memphis, Nashville, Knoxville, and Chattanooga all publish the same approved amounts despite being four distinct metro markets. The uniform locality stretches across a state that spans two time zones and several regional economies. Nashville's boom has raised local practice costs faster than the statewide averages that feed the indices. For patients, the fee schedule is identical statewide; the markets around it are anything but.

Nashville is the corporate capital of American hospital operations, home to major for-profit chains, alongside a prominent academic medical center, while Memphis anchors care for the Mid-South including parts of Mississippi and Arkansas. Knoxville and Chattanooga serve East Tennessee, and the rural Cumberland Plateau and West Tennessee counties have seen multiple hospital closures. Cross-border patient flows into Tennessee's metros are heavy from every neighboring 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?

Carotid Ultrasound in Tennessee: questions

Tennessee is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 93880 is $172.97 in an office and $172.97 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Tennessee 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 $35 for the office physician line or $35 for the hospital physician line in Tennessee. Medigap may cover that 20%. This is not the hospital facility fee.

No. $172.97 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. Tennessee ranks #8 of 51 states on the physician line (9% 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.