CPT code 93350: Stress echo, echo service only2026 Medicare rate & RVUs
Reports transthoracic ultrasound images and interpretation at rest and during exercise or pharmacologic stress to assess cardiac function and wall motion.
Medicare pays $185.37 for 93350 nationally in the office. Local office rates run $165.12–$249.45.
Medicare rate · 93350
Stress echo, echo service only
- Work RVUs
- 1.42
- Total RVUs
- 5.55
- Global days
- XXX
National rate · 2026
$185.37
Office setting, before claim adjustments.
See every locality for 93350 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 93350 covers
A stress echocardiogram records transthoracic images at rest and during cardiovascular stress, then compares cardiac function and wall motion across the two conditions. Cardiologists commonly use it to evaluate suspected or known coronary artery disease, including when a patient exercises on a treadmill or bicycle or receives pharmacologic stress. A sonographer may acquire the images under physician direction; the interpreting clinician reviews the study and prepares the report.
Report 93350 for the stress echocardiography service, not as a substitute for the separately performed ECG stress-test service. The record should identify the indication and stress method and support acquisition and interpretation of the rest and stress images. CMS permits separate professional (26) and technical (TC) billing; billing without either modifier represents the global service. When multiple cardiovascular diagnostic procedures are reported, 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.
Where 93350 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$165.12 to $249.45
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $167.41 | Unavailable |
| Alaska | $216.85 | Unavailable |
| Arizona | $180.83 | Unavailable |
| Arkansas | $165.12 | Unavailable |
| Atlanta, GA | $188.16 | Unavailable |
| Austin, TX | $193.07 | Unavailable |
| Bakersfield, CA | $198.38 | Unavailable |
| Baltimore area, MD | $196.59 | Unavailable |
| Beaumont, TX | $173.00 | Unavailable |
| Brazoria, TX | $184.02 | Unavailable |
| Chicago, IL | $189.41 | Unavailable |
| Chico, CA | $198.11 | Unavailable |
| Colorado | $194.11 | Unavailable |
| Connecticut | $197.26 | Unavailable |
| Dallas, TX | $184.93 | Unavailable |
| Delaware | $183.75 | Unavailable |
| Detroit, MI | $182.23 | Unavailable |
| East St. Louis, IL | $176.90 | Unavailable |
| El Centro, CA | $198.13 | Unavailable |
| Fort Lauderdale, FL | $189.03 | Unavailable |
| Fort Worth, TX | $183.60 | Unavailable |
| Fresno, CA | $198.11 | Unavailable |
| Galveston, TX | $184.40 | Unavailable |
| Hanford, CA | $198.11 | Unavailable |
| Hawaii, Guam, HI | $202.97 | Unavailable |
| Houston, TX | $185.68 | Unavailable |
| Idaho | $173.29 | Unavailable |
| Indiana | $174.27 | Unavailable |
| Iowa | $172.44 | Unavailable |
| Kansas | $171.20 | Unavailable |
| Kentucky | $170.12 | Unavailable |
| King County, WA | $218.10 | Unavailable |
| Los Angeles, CA | $211.35 | Unavailable |
| Madera, CA | $198.11 | Unavailable |
| Manhattan, NY | $211.75 | Unavailable |
| Marin County, CA | $244.22 | Unavailable |
| Merced, CA | $198.11 | Unavailable |
| Metropolitan Boston, MA | $213.37 | Unavailable |
| Metropolitan Kansas City, MO | $177.05 | Unavailable |
| Metropolitan Philadelphia, PA | $192.24 | Unavailable |
| Metropolitan St. Louis, MO | $178.87 | Unavailable |
| Miami, FL | $194.51 | Unavailable |
| Minnesota | $187.66 | Unavailable |
| Mississippi | $165.92 | Unavailable |
| Modesto, CA | $198.11 | Unavailable |
| Montana | $185.37 | Unavailable |
| Napa, CA | $230.34 | Unavailable |
| Nebraska | $173.48 | Unavailable |
| Nevada | $185.12 | Unavailable |
| New Hampshire | $190.64 | Unavailable |
| New Mexico | $174.59 | Unavailable |
| New Orleans, LA | $177.69 | Unavailable |
| North Carolina | $175.45 | Unavailable |
| North Dakota | $183.99 | Unavailable |
| Northern New Jersey | $210.22 | Unavailable |
| NYC suburbs and Long Island, NY | $216.04 | Unavailable |
| Ohio | $173.60 | Unavailable |
| Oklahoma | $170.34 | Unavailable |
| Oxnard, CA | $210.50 | Unavailable |
| Portland, OR | $200.59 | Unavailable |
| Poughkeepsie and northern NYC suburbs, NY | $200.88 | Unavailable |
| Puerto Rico | $186.83 | Unavailable |
| Queens, NY | $214.12 | Unavailable |
| Redding, CA | $198.11 | Unavailable |
| Rest of California | $198.11 | Unavailable |
| Rest of Florida | $180.58 | Unavailable |
| Rest of Georgia | $171.18 | Unavailable |
| Rest of Illinois | $174.89 | Unavailable |
| Rest of Louisiana | $169.68 | Unavailable |
| Rest of Maine | $173.64 | Unavailable |
| Rest of Maryland | $187.28 | Unavailable |
| Rest of Massachusetts | $192.85 | Unavailable |
| Rest of Michigan | $173.88 | Unavailable |
| Rest of Missouri | $166.60 | Unavailable |
| Rest of New Jersey | $199.97 | Unavailable |
| Rest of New York | $177.90 | Unavailable |
| Rest of Oregon | $184.14 | Unavailable |
| Rest of Pennsylvania | $174.13 | Unavailable |
| Rest of Texas | $178.23 | Unavailable |
| Rest of Washington | $192.62 | Unavailable |
| Rhode Island | $190.50 | Unavailable |
| Riverside, CA | $198.90 | Unavailable |
| Sacramento, CA | $208.10 | Unavailable |
| Salinas, CA | $207.32 | Unavailable |
| San Benito County, CA | $249.45 | Unavailable |
| San Diego, CA | $212.31 | Unavailable |
| San Francisco, CA | $244.14 | Unavailable |
| San Luis Obispo, CA | $203.95 | Unavailable |
| Santa Clara County, CA | $249.12 | Unavailable |
| Santa Cruz, CA | $214.44 | Unavailable |
| Santa Maria, CA | $208.13 | Unavailable |
| Santa Rosa, CA | $216.63 | Unavailable |
| South Carolina | $174.72 | Unavailable |
| South Dakota | $183.82 | Unavailable |
| Southern Maine, ME | $183.29 | Unavailable |
| Stockton, CA | $198.11 | Unavailable |
| Suburban Chicago, IL | $191.17 | Unavailable |
| Tennessee | $171.95 | Unavailable |
| Utah | $177.00 | Unavailable |
| Vallejo, CA | $230.22 | Unavailable |
| Vermont | $182.86 | Unavailable |
| Virgin Islands, VI | $186.83 | Unavailable |
| Virginia | $182.38 | Unavailable |
| Visalia, CA | $198.11 | Unavailable |
| Washington, DC area | $212.34 | Unavailable |
| West Virginia | $168.62 | Unavailable |
| Wisconsin | $178.06 | Unavailable |
| Wyoming | $184.77 | Unavailable |
| Yuba City, CA | $198.11 | Unavailable |
93350 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$165.12
$223.78
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $216.85 | 1 |
| AL | $167.41 | 1 |
| AR | $165.12 | 1 |
| AZ | $180.83 | 1 |
| CA | $198.11–$249.45 | 29 |
| CO | $194.11 | 1 |
| CT | $197.26 | 1 |
| DC | $212.34 | 1 |
| DE | $183.75 | 1 |
| FL | $180.58–$194.51 | 3 |
| GA | $171.18–$188.16 | 2 |
| GU | $202.97 | 1 |
| HI | $202.97 | 1 |
| IA | $172.44 | 1 |
| ID | $173.29 | 1 |
| IL | $174.89–$191.17 | 4 |
| IN | $174.27 | 1 |
| KS | $171.20 | 1 |
| KY | $170.12 | 1 |
| LA | $169.68–$177.69 | 2 |
| MA | $192.85–$213.37 | 2 |
| MD | $187.28–$212.34 | 3 |
| ME | $173.64–$183.29 | 2 |
| MI | $173.88–$182.23 | 2 |
| MN | $187.66 | 1 |
| MO | $166.60–$178.87 | 3 |
| MS | $165.92 | 1 |
| MT | $185.37 | 1 |
| NC | $175.45 | 1 |
| ND | $183.99 | 1 |
| NE | $173.48 | 1 |
| NH | $190.64 | 1 |
| NJ | $199.97–$210.22 | 2 |
| NM | $174.59 | 1 |
| NV | $185.12 | 1 |
| NY | $177.90–$216.04 | 5 |
| OH | $173.60 | 1 |
| OK | $170.34 | 1 |
| OR | $184.14–$200.59 | 2 |
| PA | $174.13–$192.24 | 2 |
| PR | $186.83 | 1 |
| RI | $190.50 | 1 |
| SC | $174.72 | 1 |
| SD | $183.82 | 1 |
| TN | $171.95 | 1 |
| TX | $173.00–$193.07 | 8 |
| UT | $177.00 | 1 |
| VA | $182.38–$212.34 | 2 |
| VI | $186.83 | 1 |
| VT | $182.86 | 1 |
| WA | $192.62–$218.10 | 2 |
| WI | $178.06 | 1 |
| WV | $168.62 | 1 |
| WY | $184.77 | 1 |
How the 93350 rate is calculated
Each of 93350’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 · 93350
RVUs × geographic indexes × conversion factor
Work1.42
1.42 RVUs× 1.000 GPCI
Practice expense4.06
4.06 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
5.5500
Conversion factor
$33.4009
Medicare rate
$185.37
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93350
The CMS indicators that decide how 93350 is paid alongside other services.
CMS payment indicators · 93350
Stress echo, echo service only
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 6 | Diagnostic cardiovascular reduction applies to the technical component. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
93350 without 26 · national office
$185.37
Stress echo, echo service only
93350-26 · Professional component
$67.47
Pays only the interpretation and report.
93350 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 93351Stress echocardiogramECG monitoring included
- Choose 93351 when the service includes continuous ECG monitoring and the cardiovascular stress-test service along with stress echocardiography; 93350 reports the echo service.
- 93306Echocardiogram (TTE)Complete, with spectral and color Doppler
- 93306 describes a complete resting transthoracic study. 93350 is selected for rest and stress images obtained to evaluate cardiac response to exercise or pharmacologic stress.
- 93015Cardiac stress testGlobal: supervision, tracing, interpretation
- 93015 reports the cardiovascular stress-test service, not the echocardiographic imaging and interpretation reported by 93350.
93350 billing questions
How is 93350 different from 93351?
93350 reports the stress echocardiography service. 93351 also includes continuous ECG monitoring and the cardiovascular stress-test service.
Can the ECG stress test be reported separately with 93350?
The ECG stress-test service is not included in 93350 and may be separately reported when performed and documented. Use the code that reflects the stress-test service provided.
What do modifiers 26 and TC represent?
Modifier 26 identifies the professional interpretation; TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
Does the multiple-procedure reduction affect both components?
CMS applies the cardiovascular diagnostic multiple-procedure reduction to the technical component. It does not apply to the professional component.
What documentation supports 93350?
Document the clinical indication, whether stress was exercise-based or pharmacologic, the rest and stress image findings, and the interpretation.
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
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