Billing code 93306: Echocardiogram (TTE)Medicare rate & RVUs in Florida
Report a complete chest-wall echocardiogram with spectral and color Doppler when a full evaluation of cardiac structure and function is performed.
Medicare pays $191.62–$206.83 for 93306 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
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 9 sections
What 93306 covers
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.
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 93306 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$191.62 to $206.83
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $200.80 | Unavailable |
| Miami | $206.83 | Unavailable |
| Rest Of Florida | $191.62 | Unavailable |
How the 93306 rate is calculated
Each of 93306’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 · 93306
RVUs × geographic indexes × conversion factor
Work1.42
1.42 RVUs× 1.000 GPCI
Practice expense4.39
4.39 RVUs× 1.000 GPCI
Malpractice0.08
0.08 RVUs× 1.000 GPCI
Adjusted RVUs
5.8900
Conversion factor
$33.4009
Medicare rate
$196.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93306
The CMS indicators that decide how 93306 is paid alongside other services.
CMS payment indicators · 93306
Echocardiogram (TTE)
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 6 | Diagnostic cardiovascular reduction applies to the technical component. |
| 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 | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
93306 without 26 · national office
$196.73
Echocardiogram (TTE)
93306-26 · Professional component
$67.47
Pays only the interpretation and report.
93306 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 93307Transthoracic echo
- 93306 includes spectral and color Doppler with a complete examination; 93307 is a complete transthoracic examination without Doppler.
- 93308Echocardiogram
- 93306 is a complete examination; 93308 is a follow-up or limited transthoracic study, such as a focused pericardial effusion recheck.
- 93304Transthoracic echo
- 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.
- 93350Stress echo
- 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.
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 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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