How much does Medicare pay for CPT 93355?

Medicare allowed an average of $219.51 per service and paid $172.55 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $799.80, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93355?

Ultrasound of heart with probe in esophagus during surgery on heart or great blood vessels with report. It was billed 25,664 times to 25,279 Medicare beneficiaries by 836 providers in 2024.

Does 93355 pay differently in an office than a hospital?

Yes. The allowed amount averaged $216.27 in an office setting and $219.51 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 93355 most?

Cardiology, with 21,981 services from 702 clinicians. Next are Internal Medicine, Interventional Cardiology, Anesthesiology.

CPT 93355

Ultrasound of heart with probe in esophagus during surgery on heart or great blood vessels with report

$219.51Medicare-allowed amount per service, averaged across 25,664 services

Providers submitted

$799.80

Asking price, not received

Medicare allowed

$219.51

The fee schedule figure

Medicare paid

$172.55

Balance is patient coinsurance

Providers submitted an average of $799.80 for this code and Medicare allowed $219.51 — 3.6× 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 $172.55 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $216.27
Hospital / facility: $219.51

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 12 services were billed in an office setting and 25,652 in a facility.

Services: 25,664
Beneficiaries: 25,279
Providers billing it: 836
Total allowed: $5,633,505

What Medicare pays for CPT 93355

Across 25,664 services billed by 836 providers to 25,279 beneficiaries, Medicare allowed an average of $219.51 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 93355

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	21,981	21,638	$219.81	702
Internal Medicine	1,290	1,278	$218.02	50
Interventional Cardiology	948	942	$216.25	36
Anesthesiology	504	494	$220.93	18
Clinical Cardiac Electrophysiology	269	263	$220.21	11
Pediatric Medicine	115	110	$210.42	1
Advanced Heart Failure and Transplant Cardiology	112	110	$213.64	5
Adult Congenital Heart Disease	112	112	$215.52	3
Hospitalist	96	96	$216.00	3
Nuclear Medicine	75	74	$219.83	3
Cardiac Surgery	66	66	$217.39	1
Intensive Cardiac Rehabilitation	41	41	$228.60	1
Interventional Radiology	34	34	$213.94	1
Critical Care (Intensivists)	21	21	$217.90	1

93355 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	2,881	$230.65	$168.96	80
Florida	1,936	$219.52	$168.98	59
New York	1,894	$243.91	$169.33	51
New Jersey	1,439	$233.80	$168.05	31
Texas	1,408	$214.88	$168.48	50
Illinois	1,017	$225.97	$168.73	41
Georgia	968	$217.57	$167.52	19
Pennsylvania	937	$220.20	$167.99	35
Kansas	819	$206.62	$168.94	24
Indiana	810	$203.70	$168.44	33
Michigan	674	$218.54	$167.93	36
Ohio	670	$211.77	$167.60	30
Massachusetts	669	$226.35	$166.26	17
North Carolina	622	$207.65	$169.98	21
Colorado	619	$215.30	$163.65	20
Missouri	598	$209.73	$170.41	16
Washington	595	$225.08	$168.64	18
Wisconsin	529	$207.14	$170.10	22
Virginia	447	$217.79	$169.15	15
Louisiana	446	$207.48	$168.85	15
Arizona	424	$211.03	$166.59	15
Tennessee	393	$203.30	$165.84	12
Iowa	355	$204.17	$168.66	9
Connecticut	345	$224.39	$168.85	12
Kentucky	334	$212.21	$166.60	18
South Carolina	283	$209.80	$171.59	9
Alabama	281	$205.34	$170.29	8
Arkansas	273	$200.21	$169.78	12
Nebraska	270	$203.33	$169.37	8
Minnesota	251	$210.60	$168.39	15
Oklahoma	235	$205.59	$171.28	5
Mississippi	229	$204.86	$169.09	4
Idaho	219	$203.56	$170.33	6
Utah	209	$210.32	$171.52	5
South Dakota	208	$208.86	$169.96	8
North Dakota	190	$210.05	$168.15	4
Oregon	188	$240.30	$171.33	5
New Hampshire	161	$219.33	$162.66	9
Maine	122	$212.17	$170.12	7
Rhode Island	107	$220.93	$167.17	5
West Virginia	97	$220.62	$171.62	3
District of Columbia	86	$235.83	$171.43	5
Montana	70	$215.75	$166.39	2
Vermont	66	$209.23	$168.33	4
Nevada	66	$214.41	$171.30	3
Maryland	63	$222.84	$170.52	2
Delaware	60	$215.34	$171.25	2
Hawaii	42	$215.52	$172.13	2
New Mexico	28	$213.58	$162.49	2
Puerto Rico	19	$216.89	$162.24	1
Wyoming	12	$217.05	$171.25	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
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.