Ultrasound, leg veins (duplex)
Facility: University Medical Center of Princeton at Plainsboro
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $1,860
- Cash Discount Price: $3,143
- vs. Medicare Baseline: 7.63x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 763% of the Medicare baseline (a markup of 663%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Tricare | $268 | 110% |
| UnitedHealthcare | $272 - $1,610 | 112% |
| Medicare (plans) | $272 - $299 | 112% |
| Blue Cross Blue Shield | $272 - $2,364 | 112% |
| Aetna | $272 - $2,618 | 112% |
| VA Medical Center | $272 | 112% |
| Cigna | $280 - $3,143 | 115% |
| Clover Health Plan | $288 | 118% |
| Medicaid / KanCare | $290 - $3,143 | 119% |
| Charity Care | $294 | 121% |
| Humana | $294 | 121% |
| Us Family Health Plan | $309 | 127% |
| Wellcare | $319 | 131% |
| Elap | $386 - $490 | 158% |
| Claim Watcher | $490 | 201% |
| Centivo | $490 | 201% |
| Horizon Nj Health | $722 | 296% |
| Preferred Health Care Eliance | $817 | 335% |
| Horizon Behavioral Health | $1,178 | 483% |
| Beacon Health Options | $1,572 | 645% |
| Amerihealth | $1,860 | 763% |
| Magnacare | $1,886 - $2,200 | 774% |
| Princeton Theological Seminary | $2,043 | 838% |
| Coventry | $2,200 | 902% |
| Health Net | $2,200 | 902% |
| Intergrated Health Plan | $2,514 | 1031% |
| Beech Street | $2,514 - $2,672 | 1031% |
| Penn Global Medicine Embassy Only | $2,514 | 1031% |
| Intergroup | $2,514 | 1031% |
| Private Healthcare Systems | $2,672 | 1096% |
| Total Care Network | $2,672 | 1096% |
| Qualcare | $2,672 | 1096% |
| Consumer Health Network | $2,672 | 1096% |
| Ie Shaffer | $2,672 | 1096% |
| Devon Health Services | $2,672 | 1096% |
| Allied Trades | $2,672 | 1096% |
| Tri-State | $2,672 | 1096% |
| First Managed Care Option | $2,672 | 1096% |
| International Pfs | $3,143 | 1289% |
| Managed Health Network | $3,143 | 1289% |
| Life St. Francis | $3,143 | 1289% |
| United Behavioral Health | $3,143 | 1289% |
| Concern Plus | $3,143 | 1289% |
| Compsych | $3,143 | 1289% |
| Nj Carpenters | $3,143 | 1289% |
| Personnel Health Program | $3,143 | 1289% |
| Commercial Other | $3,143 | 1289% |
| Penn Behavioral Health Corporate Services | $3,143 | 1289% |
| Magellan | $3,143 | 1289% |