CPT 93312: Transesophageal Echocardiography, 2D, Multiple Transducers
Medicare pays $166 and commercial payers pay $746 on average nationally for this procedure.
CPT code 93312 denotes transesophageal echocardiography (TEE) with multiple transducers or a rotating transducer to obtain two-dimensional (2D) images of the heart, a diagnostic cardiac imaging procedure used to evaluate valve and chamber structure and function; service type: diagnostic echocardiography, typical site of service: hospital or outpatient cardiac imaging suite where TEE testing is performed under appropriate monitoring.
For related coverage guidance, see recent payer policy updates: Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA), Cardiovascular Disease Risk Assessment, Biomarkers for Myocardial Infarction and Chronic Heart Failure.
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National Reimbursement Benchmarks
Medicare’s mean of $165.90 sits well below BUCA’s average commercial mean of $746.20, indicating a substantial gap between federal reimbursement and BUCA’s commercial positioning for CPT 93312. This spread underscores how Medicare payment levels serve as a low anchor while some commercial agreements, especially BUCA, reimburse several times higher on average.
Examining dispersion (P75 minus P25) highlights payers with tighter versus wider rate spreads. Blue Cross Blue Shield shows the widest interquartile spread at $507.10 ($1,386.00 - $847.90), followed by UnitedHealth Group at $192.50 ($357.00 - $166.50) and Cigna at $184.40 ($370.00 - $158.60). Aetna displays the tightest spread at $153.80 ($260.70 - $106.90); BUCA’s IQR is $468.90 ($933.10 - $546.20) and Medicare’s IQR is $121.50 ($231.50 - $110.00).