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See a sample rate comparisonCPT 93303 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Ultrasound For Heart Condition, A Heart Ultrasound (Echocardiograph) Shows The Size Shape And Function Of The Heart. This Study Looks To See If A Person Is Born With Any Heart Defects.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $220.45 national non-facility rate (2026) · View Medicare rates for 93303 |
| Medicaid Fee Schedule | $179.005 median of the 8 states in the free preview · View Medicaid rates for 93303 |
National average reimbursement for CPT 93303 by major payers:
$274.11
$298.89
$318.17
$355.12
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CPT 93303
5 of 25 sample ratesHigher to lower in this preview
Martin Edep
Premier Cardiology Of Boca Raton LLP
$221.42Published ratePalm Beach Cardiology Center Inc
$189.97Published rateDonna Luke
Medical Specialists Of The Palm Beaches Inc
$156.38Published rateVinay Wayal
Medical Specialists Of The Palm Beaches Inc
$60.22Published rateRyan Chizner
Palm Beach Cardiology Center Inc
$55.70Published rate
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See a sample payer proposalCPT 93303 vs. Other Cardiovascular Procedures Codes
The CPT 93303 code is part of the Medicine Services and Procedures services used for Cardiovascular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 93303 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 93303-CPT | Moderate | Ultrasound For Heart Condition, A Heart Ultrasound (Echocardiograph) Shows The Size Shape And Function Of The Heart. This Study Looks To See If A Person Is Born With Any Heart Defects. |
| 93304-CPT | Low | Ultrasound For Heart Condition, A Heart Ultrasound (Echocardiograph) Shows The Size Shape And Function Of The Heart. This Study Looks To See If A Person Is Born With Any Heart Defects. |
| 93306-CPT | Moderate | Tte W Doppler Complete, Echocardiography Transthoracic Real Time With Image Documentation 2d Includes M Mode Recording When Performed Complete With Spectral Doppler Echocardiography And With Color Flow Doppler Echocardiography |
| 93307-CPT | Low | Tte W O Doppler Complete, Echocardiography Transthoracic Real Time With Image Documentation 2d Includes M Mode Recording When Performed Complete Without Spectral Or Color Doppler Echocardiography |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93303. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93303 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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