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Transesophageal Echo for a Congenital Heart Defect

Montana rates for HCPCS 93315

An ultrasound of the heart taken from inside the food pipe with a probe passed down the throat, performed specifically to assess a heart defect present from birth. Because the probe sits directly behind the heart it gives a clear view of holes, valve problems and abnormal connections that are hard to see from the chest wall. It covers placing the probe, taking the images, and reporting the findings.

Rates data updated October 2026.

How much does Transesophageal Echo for a Congenital Heart Defect cost?

$331

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $389 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$309$195 to $398
FacilityA hospital or hospital-owned outpatient department$389$170 to $427

How much rates vary

Facilitymedian $389 · 10th to 90th $155 to $457Professionalmedian $309 · 10th to 90th $155 to $813
$100$1K$10K$100K$1Mfacility $389professional $309

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$588.84
Median
$676.08
Typical High
$1,096.48
BCBS
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$194.98
Typical High
$537.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$269.15
Typical High
$457.09
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$346.74
Typical High
$389.05
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$398.11
Typical High
$457.09
MountainHealth Co-op
Setting
Professional
Modifier
None (both parts)
Typical Low
$100.00
Median
$165.96
Typical High
$457.09
Providence
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$269.15
Typical High
$457.09
Providence
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$239.88
Typical High
$398.11
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$575.44
Median
$977.24
Typical High
$1,230.27
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$177.83
Median
$218.78
Typical High
$251.19
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$354.81
Median
$776.25
Typical High
$1,023.29

Where Montana sits

The same service costs 3.1 times more in Alaska than in Washington. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 50th of 51

$331

AK $1,000WA $324

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.