What does BCBS pay a provider for complete carotid sonogram?

BCBS (Blue Cross Blue Shield) reimbursement rates for medical procedures, including complete carotid sonography, can vary depending on several factors such as the specific BCBS plan, geographical location, provider contracts, and applicable fee schedules. It is always recommended to verify the exact reimbursement rates with the specific BCBS carrier or payer in a given area.

Based on publicly available information and general fee schedules, BCBS may reimburse a provider around $200 to $250 for a complete carotid sonogram. This reimbursement includes professional fees for the interpretation of the study by a qualified radiologist or vascular specialist. The reimbursement does not typically include technical fees for performing the sonogram, which are usually billed separately by the facility or imaging center where the exam is conducted.

As mentioned before, the actual reimbursement rates may vary and it is important to consult the specific medical policy and fee schedule provided by the relevant BCBS plan or provider contracting department. Providers can also contact their BCBS provider relations representative or review documentation from the payer to determine the exact and up-to-date reimbursement rate for complete carotid sonogram.