Billing code 93352: Contrast administrationMedicare rate & RVUs
Reports administration of an ultrasound-enhancing agent during stress echocardiography to improve cardiac image definition, commonly for assessment of left ventricular wall motion.
Medicare pays $35.74 for 93352 nationally in the office. Local office rates run $31.36–$48.82.
Medicare rate · 93352
Contrast administration
Swap in your local Medicare rate.
- Work RVUs
- 0.19
- Total RVUs
- 1.07
- Global days
- ZZZ
National rate · 2026
$35.74
Office setting, before claim adjustments.
See every locality for 93352 → · 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.
On this page 10 sections
What 93352 covers
During a stress echocardiogram, an ultrasound-enhancing agent may be administered when standard images do not clearly show the left ventricular endocardial border. Better border definition can help the interpreting clinician assess wall motion during stress. This service is typically performed in a cardiology or hospital echocardiography setting as part of an exercise- or pharmacologic-stress study.
Report 93352 only with the primary stress echocardiography procedure, typically 93350 or 93351; it is not a stand-alone stress test or echocardiogram. Documentation should identify the stress study, the reason contrast was used, and its administration during the examination. The CMS add-on rule means payment for 93352 is made only with the primary procedure and within that procedure's global period.
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 93352 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
$31.36 to $48.82
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $31.86 | Unavailable |
| Alaska* | $40.48 | Unavailable |
| Arizona | $34.75 | Unavailable |
| Arkansas | $31.36 | Unavailable |
| Atlanta | $36.35 | Unavailable |
| Austin | $37.34 | Unavailable |
| Bakersfield | $38.36 | Unavailable |
| Baltimore/Surr. Cntys | $38.10 | Unavailable |
| Beaumont | $33.11 | Unavailable |
| Brazoria | $35.38 | Unavailable |
| Chicago | $36.79 | Unavailable |
| Chico | $38.29 | Unavailable |
| Colorado | $37.51 | Unavailable |
| Connecticut | $38.22 | Unavailable |
| Dallas | $35.59 | Unavailable |
| Dc + Md/Va Suburbs | $41.27 | Unavailable |
| Delaware | $35.36 | Unavailable |
| Detroit | $35.19 | Unavailable |
| East St. Louis | $34.12 | Unavailable |
| El Centro | $38.30 | Unavailable |
| Fort Lauderdale | $36.65 | Unavailable |
| Fort Worth | $35.31 | Unavailable |
| Fresno | $38.29 | Unavailable |
| Galveston | $35.47 | Unavailable |
| Hanford-Corcoran | $38.29 | Unavailable |
| Hawaii, Guam | $39.39 | Unavailable |
| Houston | $35.84 | Unavailable |
| Idaho | $33.09 | Unavailable |
| Indiana | $33.30 | Unavailable |
| Iowa | $32.89 | Unavailable |
| Kansas | $32.65 | Unavailable |
| Kentucky | $32.49 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $41.03 | Unavailable |
| Madera | $38.29 | Unavailable |
| Manhattan | $41.19 | Unavailable |
| Merced | $38.29 | Unavailable |
| Metropolitan Boston | $41.50 | Unavailable |
| Metropolitan Kansas City | $33.97 | Unavailable |
| Metropolitan Philadelphia | $37.16 | Unavailable |
| Metropolitan St. Louis | $34.36 | Unavailable |
| Miami | $37.94 | Unavailable |
| Minnesota | $36.10 | Unavailable |
| Mississippi | $31.57 | Unavailable |
| Modesto | $38.29 | Unavailable |
| Montana** | $35.74 | Unavailable |
| Napa | $44.94 | Unavailable |
| Nebraska | $33.11 | Unavailable |
| Nevada** | $35.66 | Unavailable |
| New Hampshire | $36.83 | Unavailable |
| New Mexico | $33.49 | Unavailable |
| New Orleans | $34.14 | Unavailable |
| North Carolina | $33.57 | Unavailable |
| North Dakota** | $35.34 | Unavailable |
| Northern Nj | $40.78 | Unavailable |
| Nyc Suburbs/Long Island | $42.15 | Unavailable |
| Ohio | $33.25 | Unavailable |
| Oklahoma | $32.52 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $40.89 | Unavailable |
| Portland | $38.86 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $38.89 | Unavailable |
| Puerto Rico | $36.04 | Unavailable |
| Queens | $41.67 | Unavailable |
| Redding | $38.29 | Unavailable |
| Rest Of California | $38.29 | Unavailable |
| Rest Of Florida | $34.81 | Unavailable |
| Rest Of Georgia | $32.76 | Unavailable |
| Rest Of Illinois | $33.62 | Unavailable |
| Rest Of Louisiana | $32.41 | Unavailable |
| Rest Of Maine | $33.19 | Unavailable |
| Rest Of Maryland | $36.09 | Unavailable |
| Rest Of Massachusetts | $37.23 | Unavailable |
| Rest Of Michigan | $33.33 | Unavailable |
| Rest Of Missouri | $31.76 | Unavailable |
| Rest Of New Jersey | $38.70 | Unavailable |
| Rest Of New York | $34.10 | Unavailable |
| Rest Of Oregon | $35.43 | Unavailable |
| Rest Of Pennsylvania | $33.35 | Unavailable |
| Rest Of Texas | $34.21 | Unavailable |
| Rest Of Washington | $37.18 | Unavailable |
| Rhode Island | $36.74 | Unavailable |
| Riverside-San Bernardino-Ontario | $38.51 | Unavailable |
| Sacramento-Roseville-Folsom | $40.34 | Unavailable |
| Salinas | $40.19 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $41.25 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $47.76 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $47.73 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $48.82 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $48.73 | Unavailable |
| San Luis Obispo-Paso Robles | $39.53 | Unavailable |
| Santa Cruz-Watsonville | $41.74 | Unavailable |
| Santa Maria-Santa Barbara | $40.38 | Unavailable |
| Santa Rosa-Petaluma | $42.17 | Unavailable |
| Seattle (King Cnty) | $42.45 | Unavailable |
| South Carolina | $33.46 | Unavailable |
| South Dakota** | $35.30 | Unavailable |
| Southern Maine | $35.23 | Unavailable |
| Stockton | $38.29 | Unavailable |
| Suburban Chicago | $37.07 | Unavailable |
| Tennessee | $32.82 | Unavailable |
| Utah | $33.95 | Unavailable |
| Vallejo | $44.91 | Unavailable |
| Vermont | $35.12 | Unavailable |
| Virgin Islands | $36.04 | Unavailable |
| Virginia | $35.05 | Unavailable |
| Visalia | $38.29 | Unavailable |
| West Virginia | $32.26 | Unavailable |
| Wisconsin | $34.07 | Unavailable |
| Wyoming** | $35.57 | Unavailable |
| Yuba City | $38.29 | Unavailable |
93352 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.
$31.36
$43.56
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 | $40.48 | 1 |
| AL | $31.86 | 1 |
| AR | $31.36 | 1 |
| AZ | $34.75 | 1 |
| CA | $38.29–$48.82 | 29 |
| CO | $37.51 | 1 |
| CT | $38.22 | 1 |
| DC | $41.27 | 1 |
| DE | $35.36 | 1 |
| FL | $34.81–$37.94 | 3 |
| GA | $32.76–$36.35 | 2 |
| GU | $39.39 | 1 |
| HI | $39.39 | 1 |
| IA | $32.89 | 1 |
| ID | $33.09 | 1 |
| IL | $33.62–$37.07 | 4 |
| IN | $33.30 | 1 |
| KS | $32.65 | 1 |
| KY | $32.49 | 1 |
| LA | $32.41–$34.14 | 2 |
| MA | $37.23–$41.50 | 2 |
| MD | $36.09–$41.27 | 3 |
| ME | $33.19–$35.23 | 2 |
| MI | $33.33–$35.19 | 2 |
| MN | $36.10 | 1 |
| MO | $31.76–$34.36 | 3 |
| MS | $31.57 | 1 |
| MT | $35.74 | 1 |
| NC | $33.57 | 1 |
| ND | $35.34 | 1 |
| NE | $33.11 | 1 |
| NH | $36.83 | 1 |
| NJ | $38.70–$40.78 | 2 |
| NM | $33.49 | 1 |
| NV | $35.66 | 1 |
| NY | $34.10–$42.15 | 5 |
| OH | $33.25 | 1 |
| OK | $32.52 | 1 |
| OR | $35.43–$38.86 | 2 |
| PA | $33.35–$37.16 | 2 |
| PR | $36.04 | 1 |
| RI | $36.74 | 1 |
| SC | $33.46 | 1 |
| SD | $35.30 | 1 |
| TN | $32.82 | 1 |
| TX | $33.11–$37.34 | 8 |
| UT | $33.95 | 1 |
| VA | $35.05–$41.27 | 2 |
| VI | $36.04 | 1 |
| VT | $35.12 | 1 |
| WA | $37.18–$42.45 | 2 |
| WI | $34.07 | 1 |
| WV | $32.26 | 1 |
| WY | $35.57 | 1 |
How the 93352 rate is calculated
Each of 93352’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 · 93352
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.19Practice expense 0.86Malpractice 0.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93352
The CMS indicators that decide how 93352 is paid alongside other services.
CMS payment indicators · 93352
Contrast administration
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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 | 0 | Physician service: no professional/technical split. |
93352 compared with similar codes
Compare codes
93352 vs 93350 vs 93351 vs 93306: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93350Stress echo
- 93350 reports the primary stress echocardiography service. Add 93352 when an ultrasound-enhancing agent is administered during that study.
- 93351Stress echocardiogram
- 93351 is a primary stress-echo service; 93352 is the add-on for contrast administration during stress echocardiography.
- 93306Echocardiogram (TTE)
- 93306 is a complete resting transthoracic echocardiogram, while 93352 applies only to contrast administration during a stress echocardiogram.
93352 billing questions
Can 93352 be billed by itself?
No. It is an add-on for contrast administration during stress echocardiography and must be billed with the applicable primary stress-echo procedure, typically 93350 or 93351.
How do 93350 and 93351 differ when paired with 93352?
Select the primary code based on the stress echocardiography service performed and documented. 93352 reports the contrast administration, not the choice of stress-echo primary code.
Does 93352 report the stress echocardiogram itself?
No. It reports administration of the ultrasound-enhancing agent during the study; the stress-echo service is reported with its primary procedure code.
What should the record support for 93352?
Document the stress echocardiogram, why contrast was needed to improve image definition, and that the agent was administered during the study.
Is 93352 paid as a stand-alone service?
No. CMS treats it as an add-on payable only with its primary procedure and within that procedure's global period.
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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