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See a sample rate comparisonHealthcare 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 | 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $196.73 national non-facility rate (2026) · View Medicare rates for 93306 |
| Medicaid Fee Schedule | $168.95 median across 45 state programs · View Medicaid rates for 93306 |
National average reimbursement for CPT 93306 by major payers:

$247.43

$297.79

$303.82

$350.26
Choose a payer to see a sample of rates for CPT 93306.
Usama Daimee
Robert Black
Baycare Medical Group Inc
Hermione Hurley
Yong Tang
Antietam Oncology Hematology Group PC
Douglas Wiley
Family Physicians Of Spartanburg
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Rate Benchmarking
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See a sample payer proposalCPT 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 | 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 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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To find the specific cost of a medical procedure or service, you generally need its CPT (Current Procedural Terminology) code and your specific location. For accurate and localized pricing information, you can use tools like Payerprice. Payerprice offers a fee schedule lookup tool where you can search with a CPT code and your specific location to get detailed pricing information. You should also contact your insurance provider to understand your specific benefits, deductibles, and co-payments, as these will affect your out-of-pocket costs.
A CPT (Current Procedural Terminology) code is a five-digit numerical code used by healthcare providers and payers to describe medical, surgical, and diagnostic services. These codes are crucial for billing and reimbursement processes, as they standardize the reporting of healthcare services. When trying to understand medical costs, knowing the CPT code for a specific procedure or service allows you to research its price, compare costs across different providers, and understand what your insurance will cover. Many pricing tools, including Payerprice, rely on CPT codes for their fee schedule lookups.
Medical procedure prices can vary widely due to several factors. These include the geographic location (urban vs. rural), the type of facility (hospital, outpatient clinic, independent physician's office), the specific healthcare provider's fees, and, most significantly, negotiated rates with different insurance companies. Insurance contracts often result in vastly different payment rates for the same service. Additionally, whether you are insured or uninsured, and your specific insurance plan's deductible, co-pay, and co-insurance, will impact your out-of-pocket costs. For specific pricing in your area, using tools like Payerprice, which allows searching by CPT code and location, can help you understand these variations better.
While insurance covers a significant portion of medical costs, it's very common to have some out-of-pocket expenses. Most insurance plans involve deductibles (the amount you pay before your insurance starts covering costs), co-payments (a fixed amount you pay for a service), and co-insurance (a percentage of the cost you pay after your deductible is met). There's also an out-of-pocket maximum, which is the most you'll pay in a policy year. The specific amount you'll owe depends on your individual plan benefits, the type of service, and whether the provider is in-network. For understanding the specific fees associated with a CPT code in your location, tools like Payerprice can provide a starting point, but always confirm your specific coverage with your insurance provider.