How much does Medicare pay for CPT 93312?

Medicare allowed an average of $103.26 per service and paid $81.08 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $517.85, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93312?

Ultrasound of heart with probe in esophagus, with report. It was billed 290,712 times to 278,420 Medicare beneficiaries by 9,309 providers in 2024.

Does 93312 pay differently in an office than a hospital?

Yes. The allowed amount averaged $201.34 in an office setting and $102.73 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 93312 most?

Cardiology, with 171,760 services from 5,289 clinicians. Next are Anesthesiology, Interventional Cardiology, Clinical Cardiac Electrophysiology.

CPT 93312

Ultrasound of heart with probe in esophagus, with report

$103.26Medicare-allowed amount per service, averaged across 290,712 services

Providers submitted

$517.85

Asking price, not received

Medicare allowed

$103.26

The fee schedule figure

Medicare paid

$81.08

Balance is patient coinsurance

Providers submitted an average of $517.85 for this code and Medicare allowed $103.26 — 5.0× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $81.08 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $201.34
Hospital / facility: $102.73

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 1,554 services were billed in an office setting and 289,158 in a facility.

Services: 290,712
Beneficiaries: 278,420
Providers billing it: 9,309
Total allowed: $30,018,921

What Medicare pays for CPT 93312

Across 290,712 services billed by 9,309 providers to 278,420 beneficiaries, Medicare allowed an average of $103.26 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 93312

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	171,760	164,851	$103.65	5,289
Anesthesiology	48,139	47,624	$102.76	1,940
Interventional Cardiology	27,041	25,485	$101.93	976
Clinical Cardiac Electrophysiology	25,808	23,222	$102.68	522
Internal Medicine	11,293	10,817	$103.24	364
Advanced Heart Failure and Transplant Cardiology	3,206	3,114	$102.73	105
Critical Care (Intensivists)	623	608	$103.52	29
Cardiac Surgery	501	478	$103.23	8
Hospitalist	492	474	$101.43	17
Nuclear Medicine	348	336	$106.54	13
Adult Congenital Heart Disease	346	339	$107.43	9
Undefined Physician type	273	235	$105.53	7
Family Practice	183	160	$130.44	3
Thoracic Surgery	128	125	$103.89	4
Sleep Medicine	120	118	$104.07	3

93312 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	28,639	$102.86	$79.06	769
California	22,723	$111.04	$79.88	706
Texas	21,302	$101.29	$78.84	686
New York	16,055	$112.34	$79.87	476
Pennsylvania	13,671	$102.27	$78.56	536
Illinois	12,497	$104.28	$78.62	404
Ohio	10,784	$99.61	$78.48	375
Tennessee	9,615	$99.08	$77.71	234
Michigan	8,835	$102.45	$77.99	334
New Jersey	8,815	$109.36	$78.70	278
Arizona	8,402	$103.10	$79.85	233
Indiana	8,045	$98.24	$77.77	270
Missouri	7,956	$101.74	$79.29	252
North Carolina	7,784	$100.10	$78.12	307
South Carolina	7,223	$99.66	$78.21	198
Virginia	7,202	$102.30	$78.32	242
Georgia	6,663	$101.05	$77.71	249
Massachusetts	6,129	$106.18	$78.45	217
Washington	5,313	$105.17	$78.12	193
Kansas	5,221	$99.50	$79.08	127
Wisconsin	4,858	$102.41	$80.65	167
Alabama	4,746	$97.54	$77.61	141
Arkansas	4,205	$99.43	$79.16	99
Oklahoma	3,818	$99.30	$78.42	108
Louisiana	3,654	$98.47	$78.37	115
Nebraska	3,650	$97.80	$78.27	96
Maryland	3,649	$105.27	$79.07	128
Minnesota	3,588	$101.80	$77.64	154
Kentucky	3,511	$99.85	$78.41	124
Colorado	3,131	$102.97	$78.27	112
Mississippi	2,999	$99.13	$77.88	78
Iowa	2,754	$98.17	$78.24	87
Nevada	2,583	$101.00	$78.23	93
Connecticut	2,576	$107.24	$78.28	105
Oregon	2,316	$104.47	$78.36	100
New Hampshire	1,885	$103.52	$78.82	57
Utah	1,866	$100.97	$78.12	62
South Dakota	1,506	$100.25	$77.79	40
North Dakota	1,219	$100.20	$78.26	33
Montana	1,167	$101.55	$77.92	40
Maine	1,143	$100.69	$78.91	44
Delaware	1,142	$101.75	$78.54	37
West Virginia	1,083	$102.45	$77.59	37
District of Columbia	1,041	$107.07	$79.32	26
Idaho	871	$97.99	$78.84	35
Alaska	824	$140.27	$77.51	24
Rhode Island	609	$104.16	$78.39	23
New Mexico	523	$102.74	$80.21	25
Hawaii	338	$101.58	$78.73	12
Wyoming	273	$114.62	$85.68	10
Vermont	248	$99.36	$77.83	10
Puerto Rico	62	$101.50	$78.45	1

Related codes

93306Ultrasound of heart$112.91
93325Ultrasound of heart$5.51
93308Ultrasound of heart$29.25
93356Heart muscle strain imaging$23.57
93321Ultrasound of heart blood flow$8.00
93320Ultrasound of heart blood flow$23.77
93351Ultrasound of heart$195.22
93350Ultrasound of heart during rest$81.79
93355Ultrasound of heart$219.51
933193d ultrasound imaging of heart for evaluation of heart structure perfo$23.02
93307Ultrasound of heart$50.44
93352Injection of x-ray contrast during ultrasound of heart$34.60

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.