How much does Medicare pay for CPT 93313?

Medicare allowed an average of $11.10 per service and paid $8.81 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $393.70, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93313?

Insertion of probe in esophagus for heart ultrasound. It was billed 8,169 times to 8,103 Medicare beneficiaries by 364 providers in 2024.

Which specialty bills 93313 most?

Anesthesiology, with 7,713 services from 345 clinicians. Next are Cardiology, Critical Care (Intensivists), Interventional Cardiology.

CPT 93313

Insertion of probe in esophagus for heart ultrasound

$11.10Medicare-allowed amount per service, averaged across 8,169 services

Providers submitted

$393.70

Asking price, not received

Medicare allowed

$11.10

The fee schedule figure

Medicare paid

$8.81

Balance is patient coinsurance

Providers submitted an average of $393.70 for this code and Medicare allowed $11.10 — 35.5× 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 $8.81 (79%); the rest is the patient’s coinsurance and deductible.

Services: 8,169
Beneficiaries: 8,103
Providers billing it: 364
Total allowed: $90,676

What Medicare pays for CPT 93313

Across 8,169 services billed by 364 providers to 8,103 beneficiaries, Medicare allowed an average of $11.10 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 93313

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	7,713	7,663	$11.12	345
Cardiology	158	153	$10.50	7
Critical Care (Intensivists)	100	98	$11.39	3
Interventional Cardiology	58	50	$10.36	2
Certified Registered Nurse Anesthetist (CRNA)	43	43	$10.73	3
Allergy/ Immunology	42	42	$10.99	2
Emergency Medicine	29	28	$11.30	1
Pain Management	26	26	$10.71	1

93313 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
California	1,251	$11.47	$8.58	52
Massachusetts	1,073	$11.43	$8.47	29
New York	754	$12.05	$8.54	23
Indiana	701	$10.38	$8.50	33
Minnesota	430	$10.83	$8.55	19
Florida	394	$11.26	$8.51	18
Iowa	285	$10.23	$8.60	17
Illinois	281	$11.01	$8.56	13
South Carolina	255	$10.56	$8.61	10
Utah	247	$10.70	$8.59	11
Maryland	229	$11.29	$8.59	10
Georgia	207	$10.92	$8.59	10
Oklahoma	180	$10.72	$8.61	9
Texas	165	$10.78	$8.60	10
Virginia	165	$10.96	$8.62	12
North Carolina	164	$10.71	$8.33	8
Ohio	162	$10.60	$8.61	10
Missouri	161	$10.68	$8.53	6
Colorado	149	$10.86	$8.59	11
Arizona	124	$10.77	$8.59	6
Pennsylvania	121	$10.82	$8.60	8
Idaho	94	$10.27	$8.42	5
New Hampshire	93	$10.74	$8.49	5
New Jersey	63	$11.34	$8.59	4
Alaska	58	$14.63	$8.62	2
Louisiana	45	$10.55	$8.60	3
Oregon	40	$10.64	$8.59	3
Nevada	35	$10.75	$8.60	1
Washington	26	$10.52	$8.63	2
Michigan	25	$10.75	$8.68	2
Wisconsin	25	$10.87	$8.61	2
Connecticut	25	$11.40	$8.24	1
Delaware	23	$11.36	$8.23	1
West Virginia	22	$11.62	$8.59	1
New Mexico	20	$10.77	$8.61	1
Mississippi	14	$10.41	$8.61	1
Arkansas	14	$10.50	$8.51	1
Rhode Island	13	$10.69	$8.62	1
Kansas	12	$11.24	$8.60	1
Montana	12	$10.71	$8.54	1
District of Columbia	12	$9.70	$8.91	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
93312Ultrasound of heart$103.26
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

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.