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CPT code 93350: Stress echo, echo service only2026 Medicare rate & RVUs in Washington, DC area

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, 2026One payment locality63.3K Medicare services in 2024

In Washington, DC area, Medicare pays $212.34 for 93350 in the office.

$212.34Office (non-facility)
Not available in this settingHospital or facility
+14.5%vs the national office rate ($185.37)

Check a contract rate as a % of Medicare · 93350 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 93350 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 93350 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 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.

How Washington, DC area compares for 93350

Across 109 of 109 payment localities, the office rate for 93350 runs from $165.12 in Arkansas to $249.45 in San Benito County, CA. Washington, DC area pays $212.34. The RVUs are the same everywhere; the geographic indexes change the dollars.

93350 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$212.34
  2. Los Angeles, CA · California$211.35−$0.99
  3. Miami, FL · Florida$194.51−$17.83
  4. Chicago, IL · Illinois$189.41−$22.93
  5. Manhattan, NY · New York$211.75−$0.59
  6. Alaska · Alaska$216.85+$4.51
  7. Alabama · Alabama$167.41−$44.93

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

Every other payment area

93350 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$165.12—
ArizonaArizona$180.83—
Bakersfield, CACalifornia$198.38—
Chico, CACalifornia$198.11—
El Centro, CACalifornia$198.13—
Fresno, CACalifornia$198.11—
Hanford, CACalifornia$198.11—
Madera, CACalifornia$198.11—

93350 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.

$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

See 93350 in every payment locality

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.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,082

Code
93350
Physician work
1.42
Practice expense
4.06
Malpractice
0.07

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 93350 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.42× 1.0541.4967
Practice expense4.06× 1.1784.7827
Malpractice0.07× 1.1130.0779
Total RVUs6.3573
Conversion factor× 33.4009

Office rate, Washington, DC area$212.34

Office: (1.42 × 1.054 + 4.06 × 1.178 + 0.07 × 1.113) × $33.4009 = $212.34

Open 93350 in the RVU calculator

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

Codes related to 93350

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

Codes related to 93350
CodeHow it relatesOffice range, Washington, DC area
Same family
93351Stress echocardiogram, ECG monitoring includedStress echo service that also includes continuous ECG monitoring and the cardiovascular stress-test service.$267.73
Often billed with
93015Cardiac stress test, global: supervision, tracing, interpretationMay report the separately performed cardiovascular stress-test service alongside 93350.$83.45
Used instead
93306Echocardiogram (TTE), complete, with spectral and color DopplerComplete resting transthoracic echocardiography, rather than imaging during cardiovascular stress.$225.69
93308Echocardiogram, follow-up or limited studyLimited or follow-up transthoracic echocardiography, rather than a stress echocardiography study.$116.98

How 93350 has changed in Washington, DC area

93350 · Office / nonfacility

$212.34

Effective 2026-10-01

The base rate is $7.86 higher than on 2025-10-01, moving from $204.48 to $212.34 (3.8%).

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

    $204.48changed to$212.34

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.46 changed to 1.42
    • Practice expense RVU 3.95 changed to 4.06
    • Malpractice RVU 0.06 changed to 0.07
    • 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

    $214.00changed to$204.48

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.03 changed to 3.95
    • Malpractice RVU 0.07 changed to 0.06

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $210.50changed to$214.00

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $220.13changed to$210.50

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.02 changed to 4.03
    • Malpractice RVU 0.06 changed to 0.07
    • 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

    $231.33changed to$220.13

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.09 changed to 4.02
    • Malpractice RVU 0.07 changed to 0.06
    • 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

    $234.11changed to$231.33

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.11 changed to 4.09

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $227.27changed to$234.11

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.83 changed to 4.11
    • 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

    $222.30changed to$227.27

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.79 changed to 3.83
    • Malpractice RVU 0.06 changed to 0.07
    • 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

    $247.24changed to$222.30

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.36 changed to 3.79
    • Malpractice RVU 0.07 changed to 0.06

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $286.01changed to$247.24

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.27 changed to 4.36
    • 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

    $285.52changed to$286.01

    • Conversion factor 35.8043 changed to 35.8887
    • 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

    $285.68changed to$285.52

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.25 changed to 5.27

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $284.26changed to$285.68

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $283.14changed to$284.26

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.24 changed to 5.25
    • Malpractice RVU 0.06 changed to 0.07
    • 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

    $232.53changed to$283.14

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.37 changed to 5.24
    • 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: $232.53

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$212.34Not available in this settingRVU26D
2026-07-01$212.34Not available in this settingRVU26C
2026-04-01$212.34Not available in this settingRVU26B
2026-01-01$212.34Not available in this settingRVU26A
2025-10-01$204.48Not available in this settingRVU25D
2025-07-01$204.48Not available in this settingRVU25C
2025-04-01$204.48Not available in this settingRVU25B
2025-01-01$204.48Not available in this settingRVU25A
2024-10-01$214.00Not available in this settingRVU24D
2024-07-01$214.00Not available in this settingRVU24C
2024-04-01$214.00Not available in this settingRVU24B
2024-03-09$214.00Not available in this settingRVU24AR
2024-01-01$210.50Not available in this settingRVU24A
2023-10-01$220.13Not available in this settingRVU23D
2023-07-01$220.13Not available in this settingRVU23C
2023-04-01$220.13Not available in this settingRVU23B
2023-01-01$220.13Not available in this settingRVU23A
2022-10-01$231.33Not available in this settingRVU22D
2022-07-01$231.33Not available in this settingRVU22C
2022-04-01$231.33Not available in this settingRVU22B
2022-01-01$231.33Not available in this settingRVU22A
2021-10-01$234.11Not available in this settingRVU21D
2021-07-01$234.11Not available in this settingRVU21C
2021-04-01$234.11Not available in this settingRVU21B
2021-01-01$234.11Not available in this settingRVU21A
2020-10-01$227.27Not available in this settingRVU20D
2020-07-01$227.27Not available in this settingRVU20C
2020-04-01$227.27Not available in this settingRVU20B
2020-01-01$227.27Not available in this settingRVU20A
2019-10-01$222.30Not available in this settingRVU19D
2019-07-01$222.30Not available in this settingRVU19C
2019-04-01$222.30Not available in this settingRVU19B
2019-01-01$222.30Not available in this settingRVU19A
2018-10-01$247.24Not available in this settingRVU18D
2018-07-01$247.24Not available in this settingRVU18C
2018-04-01$247.24Not available in this settingRVU18B
2018-01-01$247.24Not available in this settingRVU18AR1
2017-10-01$286.01Not available in this settingRVU17D
2017-07-01$286.01Not available in this settingRVU17C
2017-04-01$286.01Not available in this settingRVU17B
2017-01-01$286.01Not available in this settingRVU17A
2016-10-01$285.52Not available in this settingRVU16D
2016-07-01$285.52Not available in this settingRVU16C
2016-04-01$285.52Not available in this settingRVU16B
2016-01-01$285.52Not available in this settingRVU16A
2015-10-01$285.68Not available in this settingRVU15D
2015-07-01$285.68Not available in this settingRVU15C
2015-04-01$284.26Not available in this settingRVU15B
2015-01-01$284.26Not available in this settingRVU15A
2014-10-01$283.14Not available in this settingRVU14D
2014-07-01$283.14Not available in this settingRVU14C
2014-04-01$283.14Not available in this settingRVU14B
2014-01-01$283.14Not available in this settingRVU14A
2013-10-01$232.53Not available in this settingRVU13D
2013-07-01$232.53Not available in this settingRVU13C
2013-04-01$232.53Not available in this settingRVU13B
2013-01-01$232.53Not available in this settingRVU13AR

Price 93350 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

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)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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