How much does Medicare pay for CPT 93325?

Medicare allowed an average of $5.51 per service and paid $4.32 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $90.72, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93325?

Ultrasound of heart with color-depicted blood flow, rate and valve function. It was billed 574,202 times to 546,855 Medicare beneficiaries by 12,059 providers in 2024.

Does 93325 pay differently in an office than a hospital?

Yes. The allowed amount averaged $20.47 in an office setting and $2.98 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 93325 most?

Cardiology, with 411,279 services from 7,726 clinicians. Next are Interventional Cardiology, Anesthesiology, Clinical Cardiac Electrophysiology.

CPT 93325

Ultrasound of heart with color-depicted blood flow, rate and valve function

$5.51Medicare-allowed amount per service, averaged across 574,202 services

Providers submitted

$90.72

Asking price, not received

Medicare allowed

$5.51

The fee schedule figure

Medicare paid

$4.32

Balance is patient coinsurance

Providers submitted an average of $90.72 for this code and Medicare allowed $5.51 — 16.5× 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 $4.32 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $20.47
Hospital / facility: $2.98

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. 83,117 services were billed in an office setting and 491,085 in a facility.

Services: 574,202
Beneficiaries: 546,855
Providers billing it: 12,059
Total allowed: $3,163,853

What Medicare pays for CPT 93325

Across 574,202 services billed by 12,059 providers to 546,855 beneficiaries, Medicare allowed an average of $5.51 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 93325

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	411,279	392,806	$5.76	7,726
Interventional Cardiology	63,054	59,109	$5.61	1,555
Anesthesiology	31,022	30,691	$2.98	1,310
Clinical Cardiac Electrophysiology	25,127	22,922	$3.70	511
Internal Medicine	24,818	23,609	$5.52	533
Advanced Heart Failure and Transplant Cardiology	9,163	8,474	$4.37	206
Adult Congenital Heart Disease	1,956	1,853	$5.75	38
Cardiac Surgery	1,231	1,188	$10.10	15
Pediatric Medicine	921	823	$6.12	43
Hospitalist	904	870	$2.93	18
Family Practice	855	818	$20.18	16
Nuclear Medicine	816	777	$3.43	18
Critical Care (Intensivists)	455	436	$3.00	19
Undefined Physician type	433	388	$3.05	9
Diagnostic Radiology	346	338	$12.74	6

93325 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	54,350	$11.92	$8.03	983
Florida	44,366	$4.51	$3.60	910
New York	42,246	$11.09	$7.75	795
Texas	33,258	$5.90	$4.68	804
Pennsylvania	31,096	$4.28	$3.31	676
Ohio	26,894	$3.39	$2.72	547
Illinois	25,569	$3.50	$2.73	554
Washington	17,720	$4.95	$3.60	321
Virginia	17,320	$3.79	$2.92	337
Michigan	17,073	$3.79	$2.99	405
North Carolina	16,593	$5.59	$4.52	432
Wisconsin	15,833	$4.07	$3.19	265
Minnesota	15,685	$3.84	$2.90	276
Massachusetts	14,682	$4.53	$3.28	317
Missouri	14,620	$3.70	$2.91	297
Tennessee	13,362	$3.09	$2.46	266
Indiana	12,729	$3.00	$2.37	305
Arizona	12,401	$5.44	$4.32	234
Georgia	11,263	$3.62	$2.87	326
South Carolina	10,436	$4.07	$3.28	228
New Jersey	9,356	$5.11	$3.65	268
Maryland	8,562	$7.04	$5.16	171
Colorado	8,423	$4.20	$3.20	193
Kansas	7,430	$4.95	$3.91	138
Arkansas	6,633	$4.76	$4.01	117
Iowa	6,589	$4.05	$3.23	119
Kentucky	6,535	$3.02	$2.38	167
Oregon	6,215	$3.80	$2.86	151
New Hampshire	6,141	$2.99	$2.29	82
Connecticut	5,415	$4.07	$3.08	148
Oklahoma	5,317	$3.80	$3.13	132
Mississippi	5,066	$4.12	$3.40	93
Alabama	4,827	$4.51	$3.74	131
Nebraska	4,193	$3.19	$2.53	80
Louisiana	3,854	$4.39	$3.63	111
Utah	3,811	$4.01	$3.13	90
Montana	3,545	$6.47	$4.89	59
North Dakota	3,363	$3.04	$2.36	37
South Dakota	3,223	$2.93	$2.26	40
Idaho	2,486	$3.89	$3.14	56
Maine	2,482	$3.24	$2.50	71
Nevada	2,428	$3.41	$2.67	78
Delaware	1,864	$3.75	$3.07	40
Rhode Island	1,545	$6.60	$4.87	36
Alaska	1,510	$8.98	$5.68	24
West Virginia	1,444	$3.16	$2.42	35
New Mexico	1,435	$3.84	$3.04	39
District of Columbia	1,258	$3.66	$2.74	29
Vermont	742	$2.92	$2.27	17
Hawaii	595	$2.96	$2.30	19
Wyoming	285	$4.38	$3.34	8
Puerto Rico	134	$18.13	$14.53	2

Related codes

93306Ultrasound of heart$112.91
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
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.