FeeBase
Log inGet started
Menu

CPT code 93312: Transesophageal echo, complete service2026 Medicare rate & RVUs in Washington, DC area

Reports a complete transesophageal echocardiogram, including probe placement, image acquisition, and interpretation, when cardiac structures require evaluation from the esophagus.

CMS RVU26DEffective Oct 1, 2026One payment locality337.9K Medicare services in 2024

In Washington, DC area, Medicare pays $272.62 for 93312 in the office.

$272.62Office (non-facility)
Not available in this settingHospital or facility
+13.8%vs the national office rate ($239.48)

Check a contract rate as a % of Medicare · 93312 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 93312 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 93312 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 93312 covers

A transesophageal echocardiogram uses an ultrasound probe passed into the esophagus to obtain views of the heart and nearby structures. A cardiologist or other qualified physician may use it to evaluate valve disease, suspected endocarditis, prosthetic valves, intracardiac masses, or a possible cardiac source of embolism. The service is performed in settings such as a hospital, outpatient department, or procedure area when transthoracic views are inadequate or a closer view is needed.

Report 93312 when the service includes probe placement, image acquisition, and the physician’s interpretation and report. The record should support the indication, the examination performed, and the findings in the signed report. Modifier 26 identifies the professional interpretation and report; modifier TC identifies the equipment and staff portion. Without either modifier, the claim represents the global service. When multiple cardiovascular diagnostic procedures are performed, the multiple-procedure reduction applies to the technical component.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Washington, DC area compares for 93312

Across 109 of 109 payment localities, the office rate for 93312 runs from $215.12 in Arkansas to $317.47 in San Benito County, CA. Washington, DC area pays $272.62. The RVUs are the same everywhere; the geographic indexes change the dollars.

93312 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$272.62
  2. Los Angeles, CA · California$270.95−$1.67
  3. Miami, FL · Florida$251.21−$21.41
  4. Chicago, IL · Illinois$245.14−$27.48
  5. Manhattan, NY · New York$272.36−$0.26
  6. Alaska · Alaska$285.88+$13.26
  7. Alabama · Alabama$217.87−$54.75

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

93312 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$215.12—
ArizonaArizona$234.00—
Bakersfield, CACalifornia$255.09—
Chico, CACalifornia$254.69—
El Centro, CACalifornia$254.71—
Fresno, CACalifornia$254.69—
Hanford, CACalifornia$254.69—
Madera, CACalifornia$254.69—

93312 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$215.12

$286.08

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
93312 office rate range by state
State / territoryOffice rate rangeLocalities
AK$285.881
AL$217.871
AR$215.121
AZ$234.001
CA$254.69–$317.4729
CO$249.981
CT$254.101
DC$272.621
DE$237.591
FL$234.07–$251.213
GA$222.70–$242.962
GU$260.181
HI$260.181
IA$223.761
ID$224.821
IL$227.33–$246.944
IN$225.991
KS$222.341
KY$221.291
LA$220.79–$230.422
MA$248.55–$273.482
MD$241.89–$272.623
ME$225.32–$236.802
MI$225.88–$236.132
MN$241.811
MO$217.13–$231.753
MS$216.191
MT$239.481
NC$227.471
ND$237.501
NE$224.981
NH$245.681
NJ$257.64–$270.242
NM$226.771
NV$239.091
NY$230.43–$277.635
OH$225.481
OK$221.481
OR$237.85–$257.732
PA$226.07–$248.092
PR$241.211
RI$245.871
SC$226.721
SD$237.271
TN$223.261
TX$224.73–$248.618
UT$229.461
VA$235.76–$272.622
VI$241.211
VT$236.221
WA$248.21–$279.242
WI$230.401
WV$219.791
WY$238.621

See 93312 in every payment locality

How the 93312 rate is calculated

Each of 93312’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 93312

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.24

2.24 RVUs× 1.000 GPCI

Practice expense4.83

4.83 RVUs× 1.000 GPCI

Malpractice0.10

0.10 RVUs× 1.000 GPCI

Adjusted RVUs

7.1700

Conversion factor

$33.4009

Medicare rate

$239.48

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,055

Code
93312
Physician work
2.24
Practice expense
4.83
Malpractice
0.10

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 93312 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work2.24× 1.0542.3610
Practice expense4.83× 1.1785.6897
Malpractice0.10× 1.1130.1113
Total RVUs8.1620
Conversion factor× 33.4009

Office rate, Washington, DC area$272.62

Office: (2.24 × 1.054 + 4.83 × 1.178 + 0.1 × 1.113) × $33.4009 = $272.62

Open 93312 in the RVU calculator

Payment rules and modifiers for 93312

The CMS indicators that decide how 93312 is paid alongside other services.

CMS payment indicators · 93312

Transesophageal echo, complete service

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures6Diagnostic cardiovascular reduction applies to the technical component.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

93312 without 26 · national office

$239.48

Transesophageal echo, complete service

93312-26 · Professional component

$105.21

Pays only the interpretation and report.

When to use modifier 26

Codes related to 93312

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 93312
CodeHow it relatesOffice range, Washington, DC area
Same family
93313TEE probe placement, probe placement onlyProbe placement portion of a split transesophageal echo service.No office rate
93314TEE, without probe placementImage acquisition, interpretation, and report portion of a split service.$264.82
93315Congenital TEE, complete serviceComplete transesophageal study for congenital cardiac anomalies.No office rate
Used instead
93306Echocardiogram (TTE), complete, with spectral and color DopplerComplete transthoracic study when imaging through the chest wall is appropriate.$225.69
Often billed with
93320Spectral Doppler, complete assessmentSpectral Doppler may be reported with the study when performed and documented.$59.02
93325Color flow Doppler, add-on to echocardiographyColor-flow mapping may be reported with the study when performed and documented.$27.65

How 93312 has changed in Washington, DC area

93312 · Office / nonfacility

$272.62

Effective 2026-10-01

The base rate is $14.00 higher than on 2025-10-01, moving from $258.62 to $272.62 (5.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $258.62changed to$272.62

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.30 changed to 2.24
    • Practice expense RVU 4.57 changed to 4.83
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $269.71changed to$258.62

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.65 changed to 4.57
    • Malpractice RVU 0.11 changed to 0.10

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $265.31changed to$269.71

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $278.18changed to$265.31

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.66 changed to 4.65
    • Malpractice RVU 0.10 changed to 0.11
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $291.14changed to$278.18

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.73 changed to 4.66
    • Malpractice RVU 0.11 changed to 0.10
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $297.43changed to$291.14

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.82 changed to 4.73

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $292.64changed to$297.43

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.55 changed to 4.82
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $289.65changed to$292.64

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.56 changed to 4.55
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $291.93changed to$289.65

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.62 changed to 4.56

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $288.29changed to$291.93

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.55 changed to 4.62
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $359.05changed to$288.29

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 2.55 changed to 2.30
    • Practice expense RVU 5.96 changed to 4.55
    • Malpractice RVU 0.13 changed to 0.11
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $359.48changed to$359.05

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.94 changed to 5.96

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $357.70changed to$359.48

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $388.91changed to$357.70

    • Conversion factor 35.8228 changed to 35.7547
    • Work RVU 2.20 changed to 2.55
    • Practice expense RVU 7.01 changed to 5.94
    • Malpractice RVU 0.10 changed to 0.13
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $355.04changed to$388.91

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 6.69 changed to 7.01
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $355.04

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$272.62Not available in this settingRVU26D
2026-07-01$272.62Not available in this settingRVU26C
2026-04-01$272.62Not available in this settingRVU26B
2026-01-01$272.62Not available in this settingRVU26A
2025-10-01$258.62Not available in this settingRVU25D
2025-07-01$258.62Not available in this settingRVU25C
2025-04-01$258.62Not available in this settingRVU25B
2025-01-01$258.62Not available in this settingRVU25A
2024-10-01$269.71Not available in this settingRVU24D
2024-07-01$269.71Not available in this settingRVU24C
2024-04-01$269.71Not available in this settingRVU24B
2024-03-09$269.71Not available in this settingRVU24AR
2024-01-01$265.31Not available in this settingRVU24A
2023-10-01$278.18Not available in this settingRVU23D
2023-07-01$278.18Not available in this settingRVU23C
2023-04-01$278.18Not available in this settingRVU23B
2023-01-01$278.18Not available in this settingRVU23A
2022-10-01$291.14Not available in this settingRVU22D
2022-07-01$291.14Not available in this settingRVU22C
2022-04-01$291.14Not available in this settingRVU22B
2022-01-01$291.14Not available in this settingRVU22A
2021-10-01$297.43Not available in this settingRVU21D
2021-07-01$297.43Not available in this settingRVU21C
2021-04-01$297.43Not available in this settingRVU21B
2021-01-01$297.43Not available in this settingRVU21A
2020-10-01$292.64Not available in this settingRVU20D
2020-07-01$292.64Not available in this settingRVU20C
2020-04-01$292.64Not available in this settingRVU20B
2020-01-01$292.64Not available in this settingRVU20A
2019-10-01$289.65Not available in this settingRVU19D
2019-07-01$289.65Not available in this settingRVU19C
2019-04-01$289.65Not available in this settingRVU19B
2019-01-01$289.65Not available in this settingRVU19A
2018-10-01$291.93Not available in this settingRVU18D
2018-07-01$291.93Not available in this settingRVU18C
2018-04-01$291.93Not available in this settingRVU18B
2018-01-01$291.93Not available in this settingRVU18AR1
2017-10-01$288.29Not available in this settingRVU17D
2017-07-01$288.29Not available in this settingRVU17C
2017-04-01$288.29Not available in this settingRVU17B
2017-01-01$288.29Not available in this settingRVU17A
2016-10-01$359.05Not available in this settingRVU16D
2016-07-01$359.05Not available in this settingRVU16C
2016-04-01$359.05Not available in this settingRVU16B
2016-01-01$359.05Not available in this settingRVU16A
2015-10-01$359.48Not available in this settingRVU15D
2015-07-01$359.48Not available in this settingRVU15C
2015-04-01$357.70Not available in this settingRVU15B
2015-01-01$357.70Not available in this settingRVU15A
2014-10-01$388.91Not available in this settingRVU14D
2014-07-01$388.91Not available in this settingRVU14C
2014-04-01$388.91Not available in this settingRVU14B
2014-01-01$388.91Not available in this settingRVU14A
2013-10-01$355.04Not available in this settingRVU13D
2013-07-01$355.04Not available in this settingRVU13C
2013-04-01$355.04Not available in this settingRVU13B
2013-01-01$355.04Not available in this settingRVU13AR

Price 93312 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

93312 billing questions

When should 93312 be chosen instead of a transthoracic echo?

Use 93312 for a transesophageal examination, with the ultrasound probe positioned in the esophagus. A transthoracic study such as 93306 uses images obtained through the chest wall.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 identifies the interpretation and report, while modifier TC identifies the equipment and staff portion. Billing without either modifier represents the global service.

Can 93313 or 93314 be reported with 93312?

93313 describes probe placement alone, and 93314 describes image acquisition with interpretation and report. They represent split portions of the service rather than additional portions to report alongside a complete 93312 service.

Does a multiple-procedure reduction affect 93312?

The cardiovascular diagnostic multiple-procedure reduction applies to the technical component. For a global service, the reduction affects its technical portion.

What documentation supports reporting 93312?

Document the reason for the transesophageal examination, that probe placement and image acquisition were performed, and the physician’s findings and interpretation in a report.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 93312PPRRVU2026_Oct_nonQPP.csv, line 12,055 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 93312 pays in Washington, DC area?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 93312 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist