Connecticut · 93308

Ultrasound Of Heart, Follow-Up in Connecticut

Connecticut Medicare Avg
$22.52
6% below national avg
National Medicare Avg
$23.97
All states combined
Billed Charge (CT)
$260.88
What providers submit
Est. Commercial (CT)
$73.68
National avg: $66.84
Est. Cash / Self-Pay (CT)
$93.41
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

9.1K
Services in CT
654
Providers
N/A
Min Payment
N/A
Max Payment

Connecticut Pricing in Context

In Connecticut, CPT code 93308 (Ultrasound Of Heart, Follow-Up) carries an average Medicare payment of $22.52 — 6% below the national benchmark of $23.97. 654 providers across the state submitted claims for this procedure in 2023, performing 9.1K total services. Individual payments in CT ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Connecticut is $260.88, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Connecticut sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Medicine procedures, the estimated commercial insurance price in Connecticut lands near $73.68, with self-pay cash prices typically around $93.41. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Ultrasound Of Heart, Follow-Up cost in Connecticut?

The average Medicare payment for Ultrasound Of Heart, Follow-Up in Connecticut is $22.52, which is 6% below the national average of $23.97. Providers in CT typically bill $260.88 for this procedure.

What does Ultrasound Of Heart, Follow-Up cost with insurance in Connecticut?

With commercial insurance in Connecticut, Ultrasound Of Heart, Follow-Up costs an estimated $73.68. Without insurance, the estimated cash price is $93.41. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Ultrasound Of Heart, Follow-Up in Connecticut?

654 providers in Connecticut billed Medicare for Ultrasound Of Heart, Follow-Up in 2023, performing 9.1K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Ultrasound Of Heart, Follow-Up cheaper in Connecticut than the national average?

Yes — Ultrasound Of Heart, Follow-Up costs 6% below the national average in Connecticut. The state average Medicare payment is $22.52 compared to $23.97 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial