CPT 93320: Complete Doppler Echocardiography with Spectral Display
Medicare pays $36 and commercial payers pay $106 on average nationally for this procedure.
CPT code 93320 describes a complete Doppler echocardiography study that combines two‑dimensional imaging of cardiac structures with Doppler spectral display to measure the speed and direction of blood flow; the service includes pulsed wave (alternating transmission and reception) and continuous wave (simultaneous transmission and reception) Doppler methods. The service type is diagnostic transthoracic echocardiography with Doppler, and the typical site of service is an outpatient imaging center, hospital outpatient department, or cardiology clinic where comprehensive cardiac ultrasound is performed.
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 rate for CPT 93320 sits at $35.7, substantially lower than BUCA’s mean commercial benchmark of $105.9, indicating Medicare reimburses roughly one-third of this average commercial level. This gap underscores a meaningful payer-type differential between federal fee schedules and commercial contract norms for this echocardiography code.
Dispersion measured by the interquartile range (P75–P25) varies notably: Blue Cross Blue Shield has the widest IQR at $26.0 (P75 $151.0 minus P25 $125.0), while Aetna’s IQR is $34.5 (P75 $62.2 minus P25 $26.7) and Cigna’s IQR is $51.3 (P75 $84.6 minus P25 $31.8). UnitedHealth Group’s IQR is $47.0 (P75 $81.1 minus P25 $33.9). BUCA’s IQR is $33.6 (P75 $118.9 minus P25 $84.6) and Medicare’s IQR is $31.5 (P75 $49.5 minus P25 $18.0). Cigna shows the widest spread in the middle 50% while Blue Cross Blue Shield and Aetna demonstrate relatively tighter central clusters.