Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 93304 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 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $153.64 national non-facility rate (2026) · View Medicare rates for 93304 |
| Medicaid Fee Schedule | $124.085 median of the 8 states in the free preview · View Medicaid rates for 93304 |
National average reimbursement for CPT 93304 by major payers:
$184.54
$196.11
$214.00
$240.55
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 93304.
CPT 93304
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$417.54Published rateOlusola Ajilore
The Board Of Trustees Of The University Of Illinois
$233.91Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$181.61Published rateMark Alter
$72.37Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$25.02Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 93304 vs. Other Cardiovascular Procedures Codes
The CPT 93304 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 93304 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 93304. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93304 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 93304) and we'll show you how you compare in 15 minutes or less.