Cost analysis for CPT 93351 — Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report
Average Medicare Payment
$131.23
2023 data
Total Payments (2023)
$22.5M
Services (2023)
151.4K
Price Change (2014–2023)
-16.4%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $156.90 | $40.5M | 238.2K | — |
| 2015 | $150.58 | $38.0M | 231.9K | -4.0% |
| 2016 | $145.50 | $36.9M | 230.2K | -3.4% |
| 2017 | $146.39 | $35.7M | 221.7K | +0.6% |
| 2018 | $130.35 | $30.6M | 213.2K | -11.0% |
| 2019 | $130.64 | $30.7M | 213.3K | +0.2% |
| 2020 | $132.10 | $21.9M | 148.3K | +1.1% |
| 2021 | $135.82 | $24.9M | 162.6K | +2.8% |
| 2022 | $133.32 | $23.3M | 153.0K | -1.8% |
| 2023 | $131.23 | $22.5M | 151.4K | -1.6% |
The most expensive state pays 3.5x more than the cheapest for this procedure. DC averages $201.22 vs VT at $57.09.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| DC | $201.22 | $77.7K | 386 | 12 |
| CA | $192.20 | $8.3M | 43.3K | 801 |
| MD | $189.98 | $664.0K | 3.5K | 63 |
| AK | $186.51 | $52.6K | 282 | 12 |
| NY | $185.10 | $4.2M | 22.9K | 468 |
| NJ | $177.58 | $554.2K | 3.1K | 77 |
| WY | $173.76 | $69.3K | 399 | 7 |
| NV | $170.04 | $27.0K | 159 | 4 |
| HI | $166.91 | $95.6K | 573 | 13 |
| KS | $152.50 | $142.1K | 932 | 12 |
| TX | $152.17 | $1.3M | 8.8K | 224 |
| AL | $143.11 | $151.1K | 1.1K | 23 |
| MT | $139.38 | $176.2K | 1.3K | 21 |
| RI | $139.24 | $60.8K | 437 | 20 |
| FL | $135.70 | $584.9K | 4.3K | 137 |
| AZ | $134.95 | $397.8K | 2.9K | 64 |
| DE | $133.49 | $14.7K | 110 | 6 |
| VA | $126.71 | $366.4K | 2.9K | 99 |
| SC | $123.17 | $135.7K | 1.1K | 43 |
| MS | $119.95 | $71.0K | 592 | 12 |
| GA | $119.89 | $82.5K | 688 | 28 |
| NC | $117.29 | $521.3K | 4.4K | 148 |
| CO | $117.10 | $49.3K | 421 | 22 |
| IA | $113.56 | $45.2K | 398 | 17 |
| OR | $113.50 | $50.1K | 441 | 18 |
| MA | $113.43 | $513.5K | 4.5K | 145 |
| NE | $113.20 | $114.6K | 1.0K | 35 |
| WA | $109.69 | $306.3K | 2.8K | 79 |
| PA | $108.57 | $696.4K | 6.4K | 235 |
| LA | $103.70 | $122.3K | 1.2K | 44 |
| SD | $103.08 | $17.6K | 171 | 3 |
| MI | $99.98 | $374.8K | 3.7K | 137 |
| ID | $88.13 | $15.5K | 176 | 9 |
| IL | $87.97 | $587.7K | 6.7K | 192 |
| CT | $87.61 | $135.7K | 1.5K | 43 |
| AR | $84.76 | $216.5K | 2.6K | 47 |
| NM | $83.45 | $15.6K | 187 | 10 |
| OK | $82.82 | $24.3K | 293 | 12 |
| KY | $80.94 | $32.3K | 399 | 19 |
| MN | $77.48 | $181.2K | 2.3K | 69 |
| WI | $77.21 | $170.0K | 2.2K | 97 |
| UT | $77.10 | $42.9K | 556 | 19 |
| OH | $71.76 | $153.1K | 2.1K | 93 |
| NH | $69.29 | $75.0K | 1.1K | 29 |
| TN | $67.31 | $62.9K | 935 | 34 |
| MO | $66.92 | $204.3K | 3.1K | 78 |
| IN | $66.09 | $68.0K | 1.0K | 49 |
| ND | $59.30 | $15.0K | 253 | 5 |
| ME | $58.06 | $24.8K | 428 | 21 |
| VT | $57.09 | $10.8K | 190 | 2 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Michael Levine | Cardiology | NY | $216.8K | 1.1K | $204.29 |
| Meyer Abittan | Cardiology | NY | $160.4K | 740 | $216.78 |
| Afshine Emrani | Cardiology | CA | $138.8K | 721 | $192.47 |
| Mark Bergman | Cardiology | NY | $99.3K | 474 | $209.45 |
| Rasoul Mokabberi | Cardiology | PA | $98.3K | 489 | $201.09 |
| Bonnie Floyd | Cardiology | TX | $97.9K | 578 | $169.39 |
| Leo Polosajian | Cardiology | CA | $90.1K | 421 | $214.06 |
| Dimitri Sherev | Cardiology | CA | $84.1K | 415 | $202.62 |
| Jack Flyer | Cardiology | MD | $81.9K | 432 | $189.54 |
| Uri Ben-Zur | Cardiology | CA | $72.3K | 339 | $213.33 |
| H Roger Rizi | Cardiology | CA | $67.5K | 341 | $198.00 |
| Kim Swanson | Cardiology | CA | $66.2K | 318 | $208.21 |
| Dalpinder Sandhu | Cardiology | CA | $65.5K | 353 | $185.46 |
| Khawar Gul | Cardiology | CA | $65.2K | 375 | $173.85 |
| Wassim Shaheen | Interventional Cardiology | KS | $62.4K | 386 | $161.64 |
| Newton Coutinho | Cardiology | MT | $58.1K | 312 | $186.15 |
| Vincent Mustaciuolo | Cardiology | NY | $56.8K | 274 | $207.20 |
| Durga Madala | Cardiology | CA | $56.4K | 246 | $229.08 |
| Joann Urquhart | Cardiology | MD | $55.8K | 277 | $201.39 |
| George Grifka | Cardiac Surgery | CA | $55.5K | 266 | $208.69 |
The data suggests significant pricing inconsistencies for CPT 93351. With a 3.5x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
While costs have decreased 16.4% since 2014, the wide state-by-state variation suggests the pricing formula may not adequately account for regional differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.