How much does Medicare pay for CPT 93320?

Medicare allowed an average of $23.77 per service and paid $18.64 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $171.41, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93320?

Ultrasound of heart blood flow, valves and chambers. It was billed 267,600 times to 259,644 Medicare beneficiaries by 7,668 providers in 2024.

Does 93320 pay differently in an office than a hospital?

Yes. The allowed amount averaged $49.94 in an office setting and $17.29 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 93320 most?

Cardiology, with 177,201 services from 4,706 clinicians. Next are Anesthesiology, Interventional Cardiology, Clinical Cardiac Electrophysiology.

CPT 93320

Ultrasound of heart blood flow, valves and chambers

$23.77Medicare-allowed amount per service, averaged across 267,600 services

Providers submitted

$171.41

Asking price, not received

Medicare allowed

$23.77

The fee schedule figure

Medicare paid

$18.64

Balance is patient coinsurance

Providers submitted an average of $171.41 for this code and Medicare allowed $23.77 — 7.2× 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 $18.64 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $49.94
Hospital / facility: $17.29

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. 53,098 services were billed in an office setting and 214,502 in a facility.

Services: 267,600
Beneficiaries: 259,644
Providers billing it: 7,668
Total allowed: $6,360,852

What Medicare pays for CPT 93320

Across 267,600 services billed by 7,668 providers to 259,644 beneficiaries, Medicare allowed an average of $23.77 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 93320

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	177,201	172,493	$25.17	4,706
Anesthesiology	30,742	30,425	$17.19	1,297
Interventional Cardiology	23,249	22,289	$24.84	740
Clinical Cardiac Electrophysiology	16,912	15,530	$18.61	366
Internal Medicine	11,171	10,890	$24.60	312
Advanced Heart Failure and Transplant Cardiology	2,810	2,756	$20.96	97
Adult Congenital Heart Disease	1,404	1,329	$23.01	35
Cardiac Surgery	776	754	$35.79	6
Pediatric Medicine	595	538	$24.77	29
Family Practice	481	450	$42.84	6
Critical Care (Intensivists)	432	421	$17.23	21
Hospitalist	314	307	$16.98	11
Nuclear Medicine	271	267	$19.45	12
Undefined Physician type	218	181	$17.91	5
Independent Diagnostic Testing Facility (IDTF)	199	198	$31.16	1

93320 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	35,018	$36.67	$25.52	752
New York	30,289	$34.52	$24.26	666
Florida	22,239	$19.30	$15.21	629
Texas	18,890	$22.77	$17.98	545
Pennsylvania	13,640	$20.66	$15.87	478
Illinois	12,159	$18.08	$13.83	363
Missouri	8,359	$18.01	$14.18	236
Michigan	8,215	$20.07	$15.57	288
Tennessee	7,451	$16.71	$13.30	188
Indiana	7,374	$16.62	$13.21	236
North Carolina	7,224	$23.52	$18.85	250
New Jersey	7,053	$22.37	$16.09	214
Arizona	6,773	$21.96	$17.35	162
Ohio	6,288	$17.07	$13.60	258
Massachusetts	6,025	$22.51	$16.42	177
Virginia	5,709	$20.51	$16.02	189
Georgia	4,624	$18.32	$14.44	174
South Carolina	4,437	$18.01	$14.46	132
Maryland	4,218	$27.14	$20.04	117
Alabama	3,686	$19.32	$15.84	103
Arkansas	3,308	$17.56	$14.23	64
Kentucky	3,133	$16.82	$13.46	102
Wisconsin	3,030	$17.76	$14.20	113
Colorado	2,949	$19.57	$15.05	104
Minnesota	2,674	$18.23	$13.84	112
Oklahoma	2,671	$16.64	$13.46	81
Mississippi	2,617	$17.43	$14.08	61
Louisiana	2,600	$17.65	$14.42	74
Washington	2,468	$18.91	$13.92	102
Kansas	2,376	$26.76	$20.70	47
Nebraska	2,194	$16.43	$13.29	55
Montana	2,104	$26.39	$19.46	47
Connecticut	2,017	$21.32	$16.18	79
New Hampshire	1,941	$17.42	$13.11	43
Oregon	1,806	$19.03	$14.49	75
Utah	1,365	$20.54	$15.90	46
Iowa	1,335	$16.51	$13.09	44
Maine	1,211	$16.92	$13.34	49
Rhode Island	1,183	$25.04	$18.55	33
Nevada	1,066	$19.64	$15.73	43
District of Columbia	892	$19.28	$14.43	21
Alaska	683	$26.51	$15.59	22
New Mexico	463	$22.32	$17.61	22
Hawaii	362	$16.99	$13.32	14
West Virginia	353	$17.41	$13.03	11
Idaho	305	$16.55	$12.65	13
North Dakota	208	$16.75	$13.30	9
Vermont	200	$16.72	$13.16	9
Delaware	194	$29.23	$23.53	7
South Dakota	79	$16.82	$13.56	4
Puerto Rico	72	$21.93	$17.36	2
Wyoming	70	$26.21	$20.22	3

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
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.