How much does Medicare pay for CPT 93319?

Medicare allowed an average of $23.02 per service and paid $18.18 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $199.13, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

Does 93319 pay differently in an office than a hospital?

Yes. The allowed amount averaged $57.02 in an office setting and $22.92 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 93319 most?

Cardiology, with 13,479 services from 423 clinicians. Next are Anesthesiology, Interventional Cardiology, Internal Medicine.

CPT 93319

3d ultrasound imaging of heart for evaluation of heart structure performed during ultrasound imaging of congenital heart defects

$23.02Medicare-allowed amount per service, averaged across 20,065 services

Providers submitted

$199.13

Asking price, not received

Medicare allowed

$23.02

The fee schedule figure

Medicare paid

$18.18

Balance is patient coinsurance

Providers submitted an average of $199.13 for this code and Medicare allowed $23.02 — 8.7× 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 $18.18 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $57.02
Hospital / facility: $22.92

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. 58 services were billed in an office setting and 20,007 in a facility.

Services: 20,065
Beneficiaries: 19,613
Providers billing it: 711
Total allowed: $461,896

What Medicare pays for CPT 93319

Across 20,065 services billed by 711 providers to 19,613 beneficiaries, Medicare allowed an average of $23.02 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 93319

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	13,479	13,144	$23.17	423
Anesthesiology	4,349	4,328	$22.75	202
Interventional Cardiology	798	759	$22.47	27
Internal Medicine	606	598	$22.87	28
Clinical Cardiac Electrophysiology	276	238	$22.33	11
Advanced Heart Failure and Transplant Cardiology	254	245	$22.73	7
Adult Congenital Heart Disease	139	139	$23.51	3
Hospitalist	63	62	$22.59	3
Critical Care (Intensivists)	54	53	$21.83	4
Family Practice	18	18	$23.60	1
Interventional Radiology	16	16	$22.79	1
Thoracic Surgery	13	13	$21.48	1

93319 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	2,661	$23.78	$17.64	61
Ohio	1,799	$22.17	$17.77	59
Florida	1,749	$24.53	$18.71	56
Arizona	1,024	$22.35	$17.70	22
Illinois	889	$23.79	$17.83	34
New York	884	$24.53	$17.84	26
Michigan	871	$23.06	$17.75	43
Texas	840	$22.84	$17.91	30
Pennsylvania	806	$23.30	$17.86	42
Virginia	769	$22.94	$17.71	29
Alabama	619	$21.53	$17.80	14
Missouri	603	$22.08	$17.65	22
Minnesota	503	$22.20	$17.65	30
Massachusetts	487	$23.86	$17.68	22
Washington	440	$23.17	$17.95	17
New Jersey	380	$24.85	$17.76	11
Indiana	348	$21.48	$17.67	20
Wisconsin	343	$21.56	$17.48	14
Tennessee	331	$22.06	$17.83	14
Oklahoma	315	$21.81	$17.34	10
Kentucky	279	$21.75	$17.94	13
Kansas	273	$21.04	$17.96	9
Arkansas	239	$21.20	$17.55	4
Maryland	238	$23.88	$18.00	13
Utah	225	$22.34	$17.60	7
Montana	218	$22.38	$17.63	8
Connecticut	210	$23.83	$17.93	10
Louisiana	203	$22.00	$17.81	6
Rhode Island	191	$22.95	$17.62	10
New Hampshire	179	$22.76	$17.79	9
District of Columbia	173	$22.48	$17.93	2
Colorado	148	$22.18	$17.72	4
North Carolina	147	$22.06	$17.74	8
South Carolina	124	$22.47	$18.01	5
Nebraska	112	$21.74	$17.96	6
Georgia	87	$23.14	$17.98	3
Oregon	78	$22.71	$17.96	4
Nevada	73	$22.69	$17.95	4
Hawaii	50	$22.25	$17.75	2
Puerto Rico	36	$22.92	$18.00	1
South Dakota	34	$21.79	$18.01	2
West Virginia	22	$30.51	$17.93	1
Iowa	22	$20.88	$18.12	1
Idaho	15	$19.94	$18.24	1
New Mexico	15	$22.38	$18.00	1
Alaska	13	$30.61	$17.99	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
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.