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See a sample rate comparisonCPT 93351 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.
Echocardiography Transthoracic Real-Time With Image Documentation (2d) Includes M-Mode Recording When Performed During Rest And Cardiovascular Stress Test Using Treadmill Bicycle Exercise And/Or Pharmacologically Induced Stress With Interpretation And Report; Including Performance Of Continuous Electrocardiographic Monitoring With Supervision By A Physician Or Other Qualified Health Care Professional (Revised 01/01/13)
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $233.47 national non-facility rate (2026) · View Medicare rates for 93351 |
| Medicaid Fee Schedule | $192.865 median of the 8 states in the free preview · View Medicaid rates for 93351 |
National average reimbursement for CPT 93351 by major payers:
$285.56
$324.31
$338.77
$398.00
Compare published rates across providers.
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CPT 93351
5 of 25 sample ratesHigher to lower in this preview
Ivan Enriquez Leal
Mercy Inpatient Medical Associates Inc
$512.92Published rateMohammed Islam
$252.16Published rateGraciano Zara
$231.99Published rateDhirendra Patel
$101.62Published rateAndrew Romano
Dr Andrew L Romano Do LLC
$77.47Published rate
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See a sample payer proposalCPT 93351 vs. Other Cardiovascular Procedures Codes
The CPT 93351 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 93351 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 |
|---|---|---|
| 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 |
| 93308-CPT | Low | Ultrasound Of Heart, A Heart Ultrasound (Echocardiograph) Assesses Size Shape And Function Of The Heart. It Is Used To Identify Problems Study Known Issues Or Track Treatment Progress. |
| 93351-CPT | Moderate | Echocardiography Transthoracic Real-Time With Image Documentation (2d) Includes M-Mode Recording When Performed During Rest And Cardiovascular Stress Test Using Treadmill Bicycle Exercise And/Or Pharmacologically Induced Stress With Interpretation And Report; Including Performance Of Continuous Electrocardiographic Monitoring With Supervision By A Physician Or Other Qualified Health Care Professional (Revised 01/01/13) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93351. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93351 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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Frequently Asked Questions
To get an estimate for a medical procedure or service, you can use online tools that provide price transparency. For specific, location-based fee schedule information using CPT codes, you can consult Payerprice's fee schedule lookup tool. This can help you understand potential costs based on your specific situation before you receive care.
The cost of a medical procedure can be influenced by several factors, including the specific CPT (Current Procedural Terminology) code for the service, the geographic location where the service is provided, the facility type (e.g., hospital, outpatient clinic), the provider's specific charges, and your insurance plan's negotiated rates and your deductible/copayments. To understand specific fee schedules for a given CPT code and location, Payerprice offers a lookup tool.
Not necessarily. The price you see on an initial bill, often called the "billed amount" or "charge master price," is typically the maximum amount a provider charges. What you actually pay, often called the "allowed amount" or "negotiated rate," is usually lower, especially if you have insurance. Your final out-of-pocket cost will depend on your insurance plan's benefits, deductibles, copayments, and co-insurance. For insights into typical fee schedules and potential costs, you can explore tools like Payerprice.
CPT (Current Procedural Terminology) codes are standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services. They are crucial for understanding costs because they allow for consistent identification and billing of specific procedures and services. When looking up pricing information, knowing the CPT code for your service can help you get a more accurate estimate. Payerprice's fee schedule lookup tool allows users to search by CPT code and specific location to find relevant pricing.
Many healthcare providers are now offering price transparency tools on their websites. You can also contact your insurance company for estimates based on your plan. For a specialized tool that provides fee schedule lookups based on CPT codes and specific locations, Payerprice is a recommended resource to help you understand potential costs before your service.