CPT 93306 Fee Schedule
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.
| 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 | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 93306 |
National average reimbursement for CPT 93306 by major payers:
$247.43
$297.79
$303.82
$359.75
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 93306 | ||||||
United | 93306 | $264.61 | 1780973362 - OMAR KARIM | 464099937 | MD | Vascular Surgery Physician (2086S0129X) |
United | 93306 | $69.05 | 1013323450 - THEODORA KULESZA-GALVEZ | 862824363 - (TX) THEODORA KULESZAGALVEZ MD PA | TX | Family Medicine Physician (207Q00000X) |
United | 93306 | $130.64 | 1154328755 - MARTA MEYERS | 202088165 - ATLANTIC HEALTH SYSTEM INC | NJ | Internal Medicine Physician (207R00000X) |
United | 93306 | $551.26 | 1003259607 - USAMA DAIMEE | 881740605 | MD | Cardiovascular Disease Physician (207RC0000X) |
United | 93306 | $61.56 | 1922298967 - DOUGLAS WILEY | 262597357 - (SC) FAMILY PHYSICIANS OF SPARTANBURG | SC | Family Medicine Physician (207Q00000X) |
United | 93306 | $312.67 | 1801089214 - LANCE BARKER | 942854057 | UT | Family Medicine Physician (207Q00000X) |
United | 93306 | $77.23 | 1447232855 - MICHAEL LETTRICK | 454222056 - (NY) LETTRICK FAMILY MEDICINE, PLLC | NY | Family Medicine Physician (207Q00000X) |
United | 93306 | $185.52 | 1649407529 - HERMIONE HURLEY | 841343242 | CO | Internal Medicine Physician (207R00000X) |
United | 93306 | $353.98 | 1144203753 - HAIDAR KABBANI | 911780160 | OH | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93306 | $417.02 | 1659401636 - TOBI IPPOLITO | 223487984 - SUMMIT MEDICAL GROUP, P.A. | NJ | Internal Medicine Physician (207R00000X) |
United | 93306 | $193.06 | 1295787927 - FRANCISCO JIMENEZ CARCAMO | 650511644 - (FL) CARDIOVASCULAR MEDICINE ASSOCIATES, P.A. | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93306 | $64.83 | 1528262961 - GAMMAL HASSANIEN | 261411967 - (NJ) G&S MEDICAL | NJ | Internal Medicine Physician (207R00000X) |
United | 93306 | $259.95 | 1902117039 - MALENA TAYLOR | 202999870 | VA | Family Medicine Physician (207Q00000X) |
United | 93306 | $357.06 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 93306 | $64.66 | 1467415851 - PAUL HIERHOLZER | 223609393 | NJ | Internal Medicine Physician (207R00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 93306 vs. Other Cardiovascular Procedures Codes
The CPT 93306 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 93306 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 | Transthoracic Echocardiography For Cardiac Anomalies; Complete |
| 93304-CPT | Low | Transthoracic Echocardiography For Cardiac Anomalies; Follow-Up Study |
| 93306-CPT | Moderate | 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 | 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 93306. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93306 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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