How much does Medicare pay for CPT 93351?

Medicare allowed an average of $195.22 per service and paid $146.02 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $738.98, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93351?

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report. It was billed 138,101 times to 136,847 Medicare beneficiaries by 3,515 providers in 2024.

Does 93351 pay differently in an office than a hospital?

Yes. The allowed amount averaged $237.32 in an office setting and $80.48 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 93351 most?

Cardiology, with 113,996 services from 2,845 clinicians. Next are Interventional Cardiology, Internal Medicine, Advanced Heart Failure and Transplant Cardiology.

CPT 93351

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report

$195.22Medicare-allowed amount per service, averaged across 138,101 services

Providers submitted

$738.98

Asking price, not received

Medicare allowed

$195.22

The fee schedule figure

Medicare paid

$146.02

Balance is patient coinsurance

Providers submitted an average of $738.98 for this code and Medicare allowed $195.22 — 3.8× 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 $146.02 (75%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $237.32
Hospital / facility: $80.48

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. 101,030 services were billed in an office setting and 37,071 in a facility.

Services: 138,101
Beneficiaries: 136,847
Providers billing it: 3,515
Total allowed: $26,960,077

What Medicare pays for CPT 93351

Across 138,101 services billed by 3,515 providers to 136,847 beneficiaries, Medicare allowed an average of $195.22 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 93351

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	113,996	112,935	$193.81	2,845
Interventional Cardiology	13,871	13,798	$207.85	374
Internal Medicine	5,949	5,866	$185.22	173
Advanced Heart Failure and Transplant Cardiology	1,547	1,544	$190.78	43
Clinical Cardiac Electrophysiology	1,204	1,194	$227.86	45
Cardiac Surgery	400	396	$243.68	3
Family Practice	215	196	$208.12	9
Nurse Practitioner	164	164	$149.91	4
Independent Diagnostic Testing Facility (IDTF)	123	123	$233.38	1
Diagnostic Radiology	119	119	$224.39	1
Adult Congenital Heart Disease	110	110	$87.23	5
Undefined Physician type	107	107	$275.18	2
Intensive Cardiac Rehabilitation	83	83	$261.85	1
Physician Assistant	64	64	$66.06	2
Nuclear Medicine	54	54	$167.40	3

93351 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	42,047	$249.99	$159.25	797
New York	22,026	$233.06	$155.29	436
Texas	8,076	$200.73	$149.32	204
Illinois	5,842	$118.87	$83.05	173
Pennsylvania	5,700	$143.43	$102.31	209
Florida	4,486	$159.24	$118.19	123
Massachusetts	3,814	$146.87	$99.00	132
North Carolina	3,479	$155.66	$119.68	128
Maryland	3,411	$240.48	$160.79	54
Michigan	2,851	$149.02	$110.46	116
New Jersey	2,774	$230.12	$154.15	72
Missouri	2,664	$91.46	$65.35	72
Arizona	2,487	$176.63	$131.28	58
Virginia	2,447	$158.04	$116.35	87
Arkansas	2,446	$115.61	$90.42	48
Washington	2,189	$137.99	$94.82	68
Minnesota	1,959	$98.77	$70.20	63
Wisconsin	1,899	$94.95	$70.02	82
Ohio	1,849	$90.41	$67.43	83
Connecticut	1,457	$116.72	$84.35	46
Louisiana	1,075	$136.55	$104.56	37
Montana	1,075	$164.70	$120.89	20
New Hampshire	1,050	$81.21	$58.36	25
Indiana	976	$99.62	$75.71	46
South Carolina	964	$175.19	$139.42	33
Nebraska	909	$157.99	$125.20	32
Alabama	860	$188.65	$154.06	22
Tennessee	740	$90.49	$67.93	28
Kansas	674	$201.33	$158.77	7
Hawaii	563	$215.92	$150.32	13
Colorado	412	$159.83	$113.66	20
Mississippi	379	$163.27	$137.11	9
Utah	357	$95.16	$71.36	11
Georgia	354	$189.32	$149.71	13
District of Columbia	354	$243.31	$163.16	9
Oregon	343	$158.72	$109.11	15
Iowa	331	$144.66	$109.76	14
Maine	313	$79.18	$57.74	17
Rhode Island	275	$180.62	$124.31	13
Wyoming	275	$224.79	$165.78	4
Alaska	275	$235.42	$144.76	12
New Mexico	268	$143.82	$110.12	13
North Dakota	247	$77.80	$59.22	8
Kentucky	221	$106.08	$80.81	13
Oklahoma	217	$103.13	$77.58	9
Vermont	166	$77.62	$57.24	1
Nevada	120	$224.55	$166.64	3
Idaho	113	$100.16	$76.86	6
South Dakota	98	$77.30	$57.33	3
West Virginia	95	$98.11	$85.13	3
Delaware	76	$219.85	$161.73	3
Puerto Rico	12	$218.78	$145.50	1
U.S. Virgin Islands	11	$228.84	$142.52	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
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.