$216.75
Choose 93351 when the service includes continuous ECG monitoring and the cardiovascular stress-test service along with stress echocardiography; 93350 reports the echo service.
On this page
CMS RVU26D · Effective 2026-10-01
93350 Stress echo Medicare reimbursement rates in Iowa
Reports transthoracic ultrasound images and interpretation at rest and during exercise or pharmacologic stress to assess cardiac function and wall motion. Compare 93350 office and facility rates across CMS payment localities in Iowa.
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.
What does Medicare pay for 93350 in Iowa?
Iowa has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$172.44
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Cardiac imaging
About 93350: Transthoracic stress echocardiography
Reports transthoracic ultrasound images and interpretation at rest and during exercise or pharmacologic stress to assess cardiac function and wall motion.
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.
CMS billing rules for 93350
- 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 · 26%
- Practice expense (office) RVU4.06 · 73%
- Malpractice RVU0.07 · 1%
63.3K
Medicare services in 2024 · #698 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.
93350 compared with similar codes
Office rates for Iowa, from the same CMS release.
$182.66
93306 describes a complete resting transthoracic study. 93350 is selected for rest and stress images obtained to evaluate cardiac response to exercise or pharmacologic stress.
$68.62
93015 reports the cardiovascular stress-test service, not the echocardiographic imaging and interpretation reported by 93350.
Compare 93350 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Iowa →
Office / nonfacility
$172.44
Facility
Unavailable
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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 93350 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
12,082
- Code
- 93350
- Physician work
- 1.42
- Practice expense
- 4.06
- Malpractice
- 0.07
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.42 | × 1.000 | 1.4200 |
| Practice expense | 4.06 | × 0.915 | 3.7149 |
| Malpractice | 0.07 | × 0.397 | 0.0278 |
| Total RVUs | 5.1627 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$172.44
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.42 | 1 |
| Practice expense | 4.06 | 0.915 |
| Malpractice | 0.07 | 0.397 |
(1.42 × 1 + 4.06 × 0.915 + 0.07 × 0.397) × $33.4009 = $172.44
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.
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 under the rule supplied for this code.
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 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.
12,07993325,,Doppler echo color flow mapg,A,,0.07,0.64,,0.64,NA,0.00,0.71,0.71,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,08093325,26,Doppler echo color flow mapg,A,,0.07,0.03,,0.03,,0.00,0.10,0.10,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,08193325,TC,Doppler echo color flow mapg,A,,0.00,0.61,,0.61,NA,0.00,0.61,0.61,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,08293350,,Stress tte only,A,,1.42,4.06,,4.06,NA,0.07,5.55,5.55,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,17.17,17.17,0.15
12,08393350,26,Stress tte only,A,,1.42,0.55,,0.55,,0.05,2.02,2.02,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,08493350,TC,Stress tte only,A,,0.00,3.51,,3.51,NA,0.02,3.53,3.53,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,02,0,99,16.62,16.62,0.10
12,08593351,,Stress tte complete,A,,1.71,5.18,,5.18,NA,0.10,6.99,6.99,1,XXX,0.00,0.00,0.00,6,0,9,9,9,9,,33.4009,09,0,99,17.23,17.23,0.21
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136