CPT 93314 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 | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • 26 - Professional component • None • 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
National average reimbursement for CPT 93314 by major payers:
$285.21
$335.06
$337.87
$393.43
| 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 93314 | ||||||
United | 93314 | $164.91 | 1558997593 - CYRIL APPIAGYEI | 363097297 - NORTHWESTERN MEMORIAL HEALTHCARE | IL | Psychiatry Physician (2084P0800X) |
United | 93314 | $286.29 | 1942685037 - PRAKASH MISHRA | 363305449 - (IL) MOUNT SINAI COMMUNITY FOUNDATION | IL | Psychiatry Physician (2084P0800X) |
United | 93314 | $216.44 | 1942330576 - NASIR SYED | 862358048 - (IL) INSIGHT CHICAGO INC | IL | Psychiatry Physician (2084P0800X) |
United | 93314 | $180.25 | 1245252303 - MARY FAHRMEIER | 910844563 | WI | Psychiatry Physician (2084P0800X) |
United | 93314 | $148.57 | 1770014920 - JOSEPH PEPITONE | 581672987 - (IL) EDWARD HEALTH VENTURES | IL | Psychiatry Physician (2084P0800X) |
United | 93314 | $428.38 | 1265883375 - JOCELYN LORENZO | 274026658 | LA | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93314 | $217.22 | 1104020866 - JAMIE PACIS | 363149833 - NORTHWESTERN MEMORIAL HEALTHCARE | IL | Psychiatry Physician (2084P0800X) |
United | 93314 | $249.97 | 1144203753 - HAIDAR KABBANI | 464056262 | OH | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93314 | $315.39 | 1225211600 - JOHN MILLICHAP | 911352172 - MULTICARE HEALTH SYSTEM | NC | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93314 | $426.95 | 1225211600 - JOHN MILLICHAP | 460319070 - MONUMENT HEALTH RAPID CITY HOSPITAL INC | CO | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93314 | $278.16 | 1366883555 - DAVID BANAYAN | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | IL | Psychiatry Physician (2084P0800X) |
United | 93314 | $191.14 | 1841721925 - CHELSEA CURRY | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Psychiatry Physician (2084P0800X) |
United | 93314 | $457.57 | 1174859284 - MATTHEW NIEDZWIECKI | 811324691 | RI | Psychiatry Physician (2084P0800X) |
United | 93314 | $140.74 | 1063905339 - KATHRYN ABELL | 363149833 - NORTHWESTERN MEMORIAL HEALTHCARE | IL | Psychiatry Physician (2084P0800X) |
United | 93314 | $247.46 | 1932130325 - ELIZABETH BERRY-KRAVIS | 911780160 | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
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 93314 vs. Other Cardiovascular Procedures Codes
The CPT 93314 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 93314 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 |
|---|---|---|
| 93312-CPT | Moderate | Echocardiography, Transesophageal, Real-Time With Image Documentation (2d) (With Or Without M-Mode Recording); Including Probe Placement, Image Acquisition, Interpretation And Report |
| 93313-CPT | Low | Echocardiography, Transesophageal, Real-Time With Image Documentation (2d) (With Or Without M-Mode Recording); Placement Of Transesophageal Probe Only |
| 93314-CPT | Moderate | Echocardiography, Transesophageal, Real-Time With Image Documentation (2d) (With Or Without M-Mode Recording); Image Acquisition, Interpretation And Report Only |
| 93315-CPT | Moderate | Transesophageal Echocardiography For Congenital Cardiac Anomalies; Including Probe Placement, Image Acquisition, Interpretation And Report |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93314. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93314 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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