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CMS RVU26D · Effective 2026-10-01

93306 in Delaware

Office / nonfacility

$194.94

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Cardiovascular ultrasound

About 93306: Complete transthoracic echocardiogram with spectral and color Doppler

Report a complete chest-wall echocardiogram with spectral and color Doppler when a full evaluation of cardiac structure and function is performed.

A sonographer obtains chest-wall images of the cardiac chambers, valves, pericardium, and proximal great vessels, using spectral Doppler and color flow mapping to assess blood flow and valve function. A cardiologist or other qualified physician interprets the images and reports findings such as chamber size, wall motion, ejection fraction, and valve function. Common reasons for the study include heart failure, a new murmur, atrial fibrillation, suspected valve disease, or syncope with suspected structural heart disease. The examination may take place in a cardiology office, hospital echo lab, or at the bedside.

Report 93306 once for a complete study with spectral and color Doppler; do not add separate codes for those Doppler services. Documentation should support a complete examination, identify structures that could not be adequately visualized, and include an interpretation. Modifier TC identifies the equipment and staff portion, while modifier 26 identifies the physician interpretation; billing without either modifier represents the global service. In a hospital, the interpreting physician typically bills with modifier 26. CMS applies a cardiovascular diagnostic multiple-procedure reduction to the technical component when eligible tests are furnished to the same patient on the same date.

CMS billing rules for 93306

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Multiple procedures
Cardiovascular diagnostic multiple procedure reduction applies to the technical component.

Where the value comes from

  • Work RVU1.42 · 24%
  • Practice expense (office) RVU4.39 · 75%
  • Malpractice RVU0.08 · 1%

6.8M

Medicare services in 2024 · #31 by national volume

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.

93306 compared with similar codes

Office rates for Delaware, from the same CMS release.

93307

Transthoracic echo

Complete, without Doppler

$136.65

93306 includes spectral and color Doppler with a complete examination; 93307 is a complete transthoracic examination without Doppler.

93308

Echocardiogram

Follow-up or limited study

$100.17

93306 is a complete examination; 93308 is a follow-up or limited transthoracic study, such as a focused pericardial effusion recheck.

93304

Transthoracic echo

Congenital, limited or follow-up

$152.10

93304 is a follow-up or limited examination of congenital cardiac anomalies, with applicable Doppler services reported separately when performed. 93306 is a complete transthoracic examination with Doppler included.

93350

Stress echo

Echo service only

$183.75

93350 reports echocardiographic imaging at rest and during stress, without the stress-test supervision components. 93306 reports a complete resting examination with spectral and color Doppler.

The same code, a different location

How does Delaware compare?

93306 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $194.94

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $224.61

    $29.67 higher than Delaware

  3. Dc + Md/Va Suburbs

    $225.69

    $30.75 higher than Delaware

  4. Miami

    $206.83

    $11.89 higher than Delaware

  5. Chicago

    $201.26

    $6.32 higher than Delaware

  6. Manhattan

    $225.09

    $30.15 higher than Delaware

  7. Alaska*

    $228.78

    $33.84 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 93306 ranges from $174.76 in Arkansas to $265.52 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 93306

    Office

    $177.24

    Facility

    Unavailable

    $17.70 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 93306

    Office

    $174.76

    Facility

    Unavailable

    $20.18 lower than Delaware for the office setting.

  • Arizona

    Arizona · 93306

    Office

    $191.80

    Facility

    Unavailable

    $3.14 lower than Delaware for the office setting.

  • Bakersfield

    California · 93306

    Office

    $210.66

    Facility

    Unavailable

    $15.72 higher than Delaware for the office setting.

  • Chico

    California · 93306

    Office

    $210.37

    Facility

    Unavailable

    $15.43 higher than Delaware for the office setting.

  • El Centro

    California · 93306

    Office

    $210.39

    Facility

    Unavailable

    $15.45 higher than Delaware for the office setting.

  • Fresno

    California · 93306

    Office

    $210.37

    Facility

    Unavailable

    $15.43 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 93306

    Office

    $210.37

    Facility

    Unavailable

    $15.43 higher than Delaware for the office setting.

  • Madera

    California · 93306

    Office

    $210.37

    Facility

    Unavailable

    $15.43 higher than Delaware for the office setting.

  • Merced

    California · 93306

    Office

    $210.37

    Facility

    Unavailable

    $15.43 higher than Delaware for the office setting.

  • Modesto

    California · 93306

    Office

    $210.37

    Facility

    Unavailable

    $15.43 higher than Delaware for the office setting.

  • Napa

    California · 93306

    Office

    $245.03

    Facility

    Unavailable

    $50.09 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 93306

    Office

    $223.74

    Facility

    Unavailable

    $28.80 higher than Delaware for the office setting.

  • Redding

    California · 93306

    Office

    $210.37

    Facility

    Unavailable

    $15.43 higher than Delaware for the office setting.

  • Rest Of California

    California · 93306

    Office

    $210.37

    Facility

    Unavailable

    $15.43 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 93306

    Office

    $211.27

    Facility

    Unavailable

    $16.33 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 93306

    Office

    $221.10

    Facility

    Unavailable

    $26.16 higher than Delaware for the office setting.

  • Salinas

    California · 93306

    Office

    $220.28

    Facility

    Unavailable

    $25.34 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 93306

    Office

    $225.67

    Facility

    Unavailable

    $30.73 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 93306

    Office

    $259.91

    Facility

    Unavailable

    $64.97 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 93306

    Office

    $259.82

    Facility

    Unavailable

    $64.88 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 93306

    Office

    $265.52

    Facility

    Unavailable

    $70.58 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 93306

    Office

    $265.15

    Facility

    Unavailable

    $70.21 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 93306

    Office

    $216.68

    Facility

    Unavailable

    $21.74 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 93306

    Office

    $228.01

    Facility

    Unavailable

    $33.07 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 93306

    Office

    $221.16

    Facility

    Unavailable

    $26.22 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 93306

    Office

    $230.35

    Facility

    Unavailable

    $35.41 higher than Delaware for the office setting.

  • Stockton

    California · 93306

    Office

    $210.37

    Facility

    Unavailable

    $15.43 higher than Delaware for the office setting.

  • Vallejo

    California · 93306

    Office

    $244.90

    Facility

    Unavailable

    $49.96 higher than Delaware for the office setting.

  • Visalia

    California · 93306

    Office

    $210.37

    Facility

    Unavailable

    $15.43 higher than Delaware for the office setting.

  • Yuba City

    California · 93306

    Office

    $210.37

    Facility

    Unavailable

    $15.43 higher than Delaware for the office setting.

  • Colorado

    Colorado · 93306

    Office

    $206.10

    Facility

    Unavailable

    $11.16 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 93306

    Office

    $209.53

    Facility

    Unavailable

    $14.59 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 93306

    Office

    $200.80

    Facility

    Unavailable

    $5.86 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 93306

    Office

    $191.62

    Facility

    Unavailable

    $3.32 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 93306

    Office

    $199.76

    Facility

    Unavailable

    $4.82 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 93306

    Office

    $181.41

    Facility

    Unavailable

    $13.53 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 93306

    Office

    $215.69

    Facility

    Unavailable

    $20.75 higher than Delaware for the office setting.

  • Iowa

    Iowa · 93306

    Office

    $182.66

    Facility

    Unavailable

    $12.28 lower than Delaware for the office setting.

  • Idaho

    Idaho · 93306

    Office

    $183.59

    Facility

    Unavailable

    $11.35 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 93306

    Office

    $187.71

    Facility

    Unavailable

    $7.23 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 93306

    Office

    $185.48

    Facility

    Unavailable

    $9.46 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 93306

    Office

    $203.09

    Facility

    Unavailable

    $8.15 higher than Delaware for the office setting.

  • Indiana

    Indiana · 93306

    Office

    $184.65

    Facility

    Unavailable

    $10.29 lower than Delaware for the office setting.

  • Kansas

    Kansas · 93306

    Office

    $181.33

    Facility

    Unavailable

    $13.61 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 93306

    Office

    $180.23

    Facility

    Unavailable

    $14.71 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 93306

    Office

    $188.44

    Facility

    Unavailable

    $6.50 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 93306

    Office

    $179.76

    Facility

    Unavailable

    $15.18 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 93306

    Office

    $226.83

    Facility

    Unavailable

    $31.89 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 93306

    Office

    $204.72

    Facility

    Unavailable

    $9.78 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 93306

    Office

    $208.83

    Facility

    Unavailable

    $13.89 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 93306

    Office

    $198.75

    Facility

    Unavailable

    $3.81 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 93306

    Office

    $183.99

    Facility

    Unavailable

    $10.95 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 93306

    Office

    $194.43

    Facility

    Unavailable

    $0.51 lower than Delaware for the office setting.

  • Detroit

    Michigan · 93306

    Office

    $193.43

    Facility

    Unavailable

    $1.51 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 93306

    Office

    $184.32

    Facility

    Unavailable

    $10.62 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 93306

    Office

    $199.10

    Facility

    Unavailable

    $4.16 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 93306

    Office

    $187.73

    Facility

    Unavailable

    $7.21 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 93306

    Office

    $189.70

    Facility

    Unavailable

    $5.24 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 93306

    Office

    $176.43

    Facility

    Unavailable

    $18.51 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 93306

    Office

    $175.65

    Facility

    Unavailable

    $19.29 lower than Delaware for the office setting.

  • Montana**

    Montana · 93306

    Office

    $196.73

    Facility

    Unavailable

    $1.79 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 93306

    Office

    $185.94

    Facility

    Unavailable

    $9.00 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 93306

    Office

    $195.14

    Facility

    Unavailable

    $0.20 higher than Delaware for the office setting.

  • Nebraska

    Nebraska · 93306

    Office

    $183.78

    Facility

    Unavailable

    $11.16 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 93306

    Office

    $202.41

    Facility

    Unavailable

    $7.47 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 93306

    Office

    $223.36

    Facility

    Unavailable

    $28.42 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 93306

    Office

    $212.38

    Facility

    Unavailable

    $17.44 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 93306

    Office

    $185.10

    Facility

    Unavailable

    $9.84 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 93306

    Office

    $196.43

    Facility

    Unavailable

    $1.49 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 93306

    Office

    $229.77

    Facility

    Unavailable

    $34.83 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 93306

    Office

    $213.36

    Facility

    Unavailable

    $18.42 higher than Delaware for the office setting.

  • Queens

    New York · 93306

    Office

    $227.63

    Facility

    Unavailable

    $32.69 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 93306

    Office

    $188.61

    Facility

    Unavailable

    $6.33 lower than Delaware for the office setting.

  • Ohio

    Ohio · 93306

    Office

    $184.00

    Facility

    Unavailable

    $10.94 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 93306

    Office

    $180.45

    Facility

    Unavailable

    $14.49 lower than Delaware for the office setting.

  • Portland

    Oregon · 93306

    Office

    $213.08

    Facility

    Unavailable

    $18.14 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 93306

    Office

    $195.35

    Facility

    Unavailable

    $0.41 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 93306

    Office

    $204.11

    Facility

    Unavailable

    $9.17 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 93306

    Office

    $184.56

    Facility

    Unavailable

    $10.38 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 93306

    Office

    $198.30

    Facility

    Unavailable

    $3.36 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 93306

    Office

    $202.18

    Facility

    Unavailable

    $7.24 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 93306

    Office

    $185.19

    Facility

    Unavailable

    $9.75 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 93306

    Office

    $194.96

    Facility

    Unavailable

    $0.02 higher than Delaware for the office setting.

  • Tennessee

    Tennessee · 93306

    Office

    $182.15

    Facility

    Unavailable

    $12.79 lower than Delaware for the office setting.

  • Austin

    Texas · 93306

    Office

    $205.03

    Facility

    Unavailable

    $10.09 higher than Delaware for the office setting.

  • Beaumont

    Texas · 93306

    Office

    $183.34

    Facility

    Unavailable

    $11.60 lower than Delaware for the office setting.

  • Brazoria

    Texas · 93306

    Office

    $195.20

    Facility

    Unavailable

    $0.26 higher than Delaware for the office setting.

  • Dallas

    Texas · 93306

    Office

    $196.19

    Facility

    Unavailable

    $1.25 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 93306

    Office

    $194.76

    Facility

    Unavailable

    $0.18 lower than Delaware for the office setting.

  • Galveston

    Texas · 93306

    Office

    $195.62

    Facility

    Unavailable

    $0.68 higher than Delaware for the office setting.

  • Houston

    Texas · 93306

    Office

    $197.09

    Facility

    Unavailable

    $2.15 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 93306

    Office

    $188.99

    Facility

    Unavailable

    $5.95 lower than Delaware for the office setting.

  • Utah

    Utah · 93306

    Office

    $187.66

    Facility

    Unavailable

    $7.28 lower than Delaware for the office setting.

  • Virginia

    Virginia · 93306

    Office

    $193.45

    Facility

    Unavailable

    $1.49 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 93306

    Office

    $198.30

    Facility

    Unavailable

    $3.36 higher than Delaware for the office setting.

  • Vermont

    Vermont · 93306

    Office

    $193.94

    Facility

    Unavailable

    $1.00 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 93306

    Office

    $204.48

    Facility

    Unavailable

    $9.54 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 93306

    Office

    $231.90

    Facility

    Unavailable

    $36.96 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 93306

    Office

    $188.72

    Facility

    Unavailable

    $6.22 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 93306

    Office

    $178.67

    Facility

    Unavailable

    $16.27 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 93306

    Office

    $196.04

    Facility

    Unavailable

    $1.10 higher than Delaware for the office setting.

See how rates vary across the country

93306 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$174.76

$237.95

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$228.781
AL$177.241
AR$174.761
AZ$191.801
CA$210.37–$265.5229
CO$206.101
CT$209.531
DC$225.691
DE$194.941
FL$191.62–$206.833
GA$181.41–$199.762
GU$215.691
HI$215.691
IA$182.661
ID$183.591
IL$185.48–$203.094
IN$184.651
KS$181.331
KY$180.231
LA$179.76–$188.442
MA$204.72–$226.832
MD$198.75–$225.693
ME$183.99–$194.432
MI$184.32–$193.432
MN$199.101
MO$176.43–$189.703
MS$175.651
MT$196.731
NC$185.941
ND$195.141
NE$183.781
NH$202.411
NJ$212.38–$223.362
NM$185.101
NV$196.431
NY$188.61–$229.775
OH$184.001
OK$180.451
OR$195.35–$213.082
PA$184.56–$204.112
PR$198.301
RI$202.181
SC$185.191
SD$194.961
TN$182.151
TX$183.34–$205.038
UT$187.661
VA$193.45–$225.692
VI$198.301
VT$193.941
WA$204.48–$231.902
WI$188.721
WV$178.671
WY$196.041

Explore 93306 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Delaware →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 93306 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$214.43

$194.94 × 110% = $214.43

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 93306 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

12,046

Code
93306
Physician work
1.42
Practice expense
4.39
Malpractice
0.08

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 93306 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.42× 1.0051.4271
Practice expense4.39× 0.9884.3373
Malpractice0.08× 0.8990.0719
Total RVUs5.8363
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$194.94

Open 93306 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.421.005
Practice expense4.390.988
Malpractice0.080.899

(1.42 × 1.005 + 4.39 × 0.988 + 0.08 × 0.899) × $33.4009 = $194.94

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

93306 · Office / nonfacility

$194.94

Effective 2026-10-01

The base rate is $7.80 higher than on 2025-10-01, moving from $187.14 to $194.94 (4.2%).

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

    $187.14changed to$194.94

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.46 changed to 1.42
    • Practice expense RVU 4.28 changed to 4.39
    • Malpractice RVU 0.07 changed to 0.08
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $187.14

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$194.94Not available in this settingRVU26D
2026-07-01$194.94Not available in this settingRVU26C
2026-04-01$194.94Not available in this settingRVU26B
2026-01-01$194.94Not available in this settingRVU26A
2025-10-01$187.14Not available in this settingRVU25D
2025-07-01$187.14Not available in this settingRVU25C
2025-04-01$187.14Not available in this settingRVU25B
2025-01-01$187.14Not available in this settingRVU25A

93306 billing questions

Can 93320 and 93325 be billed with 93306?

No. Spectral Doppler and color flow mapping are included in 93306. Those services may be separately reported with other eligible echocardiography codes when performed.

When should 93307 be used instead of 93306?

Use 93307 for a complete transthoracic study performed without Doppler. Use 93306 when the complete examination includes both spectral and color Doppler.

What modifier does the interpreting cardiologist use for a hospital study?

The physician appends modifier 26 to bill only the interpretation of a study performed using hospital equipment and staff. The hospital bills its technical services under its own payment system.

What if poor acoustic windows prevent some views from being obtained?

A complete study can still be reported when the required examination was attempted and the report explains which structures could not be adequately visualized. An examination intentionally restricted to selected structures or a focused question is reported with 93308.

Is strain imaging separately reportable with a complete TTE?

Yes. When speckle-tracking myocardial strain imaging is performed and documented, report add-on code 93356 with 93306, such as during chemotherapy-related cardiac monitoring.

Does 93306 apply to an examination of congenital cardiac anomalies?

Use the congenital transthoracic codes 93303 or 93304 when the examination evaluates congenital cardiac anomalies. Report applicable Doppler codes separately when those services are performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 93306PPRRVU2026_Oct_nonQPP.csv, line 12,046 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet