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.

CMS RVU26DEffective Oct 1, 2026109 payment localities63.3K Medicare services in 2024

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

Office or facility?

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.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 93350 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

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

$165.12$207.28$249.45
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

93350 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$167.41Unavailable
Alaska$216.85Unavailable
Arizona$180.83Unavailable
Arkansas$165.12Unavailable
Atlanta, GA$188.16Unavailable
Austin, TX$193.07Unavailable
Bakersfield, CA$198.38Unavailable
Baltimore area, MD$196.59Unavailable
Beaumont, TX$173.00Unavailable
Brazoria, TX$184.02Unavailable

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
93350 office rate range by state
State / territoryOffice rate rangeLocalities
AK$216.851
AL$167.411
AR$165.121
AZ$180.831
CA$198.11–$249.4529
CO$194.111
CT$197.261
DC$212.341
DE$183.751
FL$180.58–$194.513
GA$171.18–$188.162
GU$202.971
HI$202.971
IA$172.441
ID$173.291
IL$174.89–$191.174
IN$174.271
KS$171.201
KY$170.121
LA$169.68–$177.692
MA$192.85–$213.372
MD$187.28–$212.343
ME$173.64–$183.292
MI$173.88–$182.232
MN$187.661
MO$166.60–$178.873
MS$165.921
MT$185.371
NC$175.451
ND$183.991
NE$173.481
NH$190.641
NJ$199.97–$210.222
NM$174.591
NV$185.121
NY$177.90–$216.045
OH$173.601
OK$170.341
OR$184.14–$200.592
PA$174.13–$192.242
PR$186.831
RI$190.501
SC$174.721
SD$183.821
TN$171.951
TX$173.00–$193.078
UT$177.001
VA$182.38–$212.342
VI$186.831
VT$182.861
WA$192.62–$218.102
WI$178.061
WV$168.621
WY$184.771

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

Office or facility?

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

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

93350 without 26 · national office

$185.37

Stress echo, echo service only

93350-26 · Professional component

$67.47

Pays only the interpretation and report.

When to use modifier 26

93350 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 93350

    Stress echo, echo service only1.42 wRVU

    $185.37

  • 93351

    Stress echocardiogram, ECG monitoring included1.71 wRVU

    $233.47+$48.10

  • 93306

    Echocardiogram (TTE), complete, with spectral and color Doppler1.42 wRVU

    $196.73+$11.36

  • 93015

    Cardiac stress test, global: supervision, tracing, interpretation0.73 wRVU

    $73.48−$111.89

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
RVUs for 93350PPRRVU2026_Oct_nonQPP.csv, line 12,082 (RVU26D)

Open CMS sourceHow we calculate rates

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