CPT code 93356: Strain imaging, speckle-tracking analysis2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $42.28 for 93356 in the office and $10.81 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 93356 nationwide

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

What 93356 covers

This service analyzes echocardiographic images with speckle-tracking software to assess how the heart muscle deforms during the cardiac cycle, including measurements such as longitudinal strain. Cardiologists may use the results when evaluating cardiomyopathy, suspected cardiac amyloidosis, or changes in cardiac function during potentially cardiotoxic treatment. A sonographer typically acquires the images, and a qualified physician interprets the strain findings and includes them in the report.

Report 93356 only with an eligible primary echocardiography procedure; it is not a stand-alone service. The record should support that speckle-tracking strain analysis was performed and interpreted, with the findings documented alongside the primary echocardiogram. CMS treats this as an add-on paid within the primary procedure’s global period. The strain analysis is distinct from the standard measurements and Doppler components of an echocardiogram, so the report should make clear that myocardial strain imaging was performed.

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 93356

Across 109 of 109 payment localities, the office rate for 93356 runs from $32.41 in Arkansas to $49.82 in San Benito County, CA. Washington, DC area pays $42.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

93356 rates by state

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

See 93356 in every payment locality

How the 93356 rate is calculated

Each of 93356’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.

Payment rules and modifiers for 93356

The CMS indicators that decide how 93356 is paid alongside other services.

Codes related to 93356

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

How 93356 has changed in Washington, DC area

Price 93356 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

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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

Open CMS sourceHow we calculate rates