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CPT 93351: Performing an ultrasound of the heart while monitoring ECG during rest, exercise, or drug-induced stress - Prior Authorization and Price

CPT code 93351 is Performing an ultrasound of the heart while monitoring ECG during rest, exercise, or drug-induced stress. See what Aetna, Anthem BCBS, Cigna, UnitedHealthcare look for before approving it, the conditions their guidelines cover, and what it typically costs.

CPT 93351

Performing an ultrasound of the heart while monitoring ECG during rest, exercise, or drug-induced stress.

Cardiac & Vascular Testing

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Payer guidelines that apply

Payer	Reviewed using	Guideline	Sections
Aetna	eviCore	Cardiac Imaging Guidelines 2.0.2026, effective Sep 1, 2026 Abdomen Imaging Guidelines 1.0.2026, effective Feb 3, 2026 Pediatric Cardiac Imaging Guidelines effective Feb 3, 2026	9 that name this code
Anthem BCBS	Carelon	Imaging of the heart effective Nov 15, 2025	9 that name this code
Cigna	eviCore	Cardiac Imaging Guidelines 2.0.2026, effective Sep 1, 2026 Abdomen Imaging Guidelines 1.0.2026, effective Feb 3, 2026 Pediatric Cardiac Imaging Guidelines 1.0.2026, effective Feb 3, 2026	9 that name this code
Medicare	CMS	—	None found
Original Medicare does not run a prior authorization program for outpatient imaging; claims are judged against the coverage policies above. Medicare Advantage plans set their own prior authorization rules.
UnitedHealthcare	UnitedHealthcare / eviCore	Commercial and Exchange Cardiovascular and Radiology Imaging Guidelines 09.2026, effective Sep 1, 2026	9 that name this code

Guidelines collected from the payers' published documents on September 29, 2026. Payers revise these documents during the year. Open the guideline link to confirm the current version before you submit.

Conditions the guidelines address for this study

These are the clinical situations where payer guidelines discuss Performing an ultrasound of the heart while monitoring ECG during rest, exercise, or drug-induced stress. Each has its own criteria for when the study is considered appropriate.

Cardiac Imaging in Transplants Aetna · Cigna · UnitedHealthcare
Hypertrophic Cardiomyopathy (HCM) Aetna · Cigna · UnitedHealthcare
Transplant Aetna · Cigna · UnitedHealthcare
Established flow-limiting CAD in asymptomatic patients Anthem BCBS
Established flow-limiting CAD in patients who have new or worsening symptoms Anthem BCBS
Established or suspected CAD Anthem BCBS
Hypertrophic obstructive cardiomyopathy Anthem BCBS
Indications are organized as follows Anthem BCBS
Pulmonary hypertension Anthem BCBS
Suspected CAD in symptomatic patients who have not had evaluation for CAD within the preceding 60 days Anthem BCBS
Valvular heart disease Anthem BCBS

Typical price

Commercial insurance, median

$906

Middle half of rates: $626 to $1,479

Medicare, hospital outpatient

$558

Facility payment

Medicare, physician fee schedule

$235

National, non-facility

Commercial figures come from negotiated rates published by 733 hospitals; Medicare figures from CMS fee schedules. Rates vary widely by hospital and plan. Pricing data from CenterIQ.

Get notified when the rules for this study change

Payers update imaging guidelines several times a year. We will email you when the criteria for Performing an ultrasound of the heart while monitoring ECG during rest, exercise, or drug-induced stress change.

CPT 93351: Performing an ultrasound of the heart while monitoring ECG during rest, exercise, or drug-induced stress - Prior Authorization and Price

Payer guidelines that apply

Conditions the guidelines address for this study

Typical price

Get notified when the rules for this study change

Frequently asked questions

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