Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 92937 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Cardiovascular Surgery, Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass Graft (Internal Mammary Free Arterial Venous) Any Combination Of Intracoronary Stent Atherectomy And Angioplasty Including Distal Protection When Performed; Single Major Coronary Artery And/Or Its Branches Vessel
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | LC - Left circumflex coronary artery RC - Right coronary artery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $523.73 national non-facility rate (2026) · View Medicare rates for 92937 |
| Medicaid Fee Schedule | $405.93 median of the 8 states in the free preview · View Medicaid rates for 92937 |
National average reimbursement for CPT 92937 by major payers:
$828.73
$819.10
$786.14
$947.23
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 92937.
CPT 92937
5 of 25 sample ratesHigher to lower in this preview
Southeast Hospital, Mercy Hospital Southeast
Southeast Hospital
$65,243.64Published rateLancaster Hospital Corporation, Palmdale Regional Medical Center
Lancaster Hospital Corporation
$11,396.00Published rateCurators Of The University Of Missouri, University Of Missouri Health Care
$7,314.00Published rateTouchette Regional Hospital, Inc.
Touchette Regional Hospital Inc
$3,700.00Published rateWest Ascension Parish Hospital Service District, Prevost Memorial Hospital
$858.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 92937 vs. Other Cardiovascular Procedures Codes
The CPT 92937 code is part of the Medicine Services and Procedures services used for Cardiovascular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 92937 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 92920-CPT | Moderate | Prq Cardiac Angioplast 1 Art, Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch (Accessed Through The Skin) Each Additional Artery Or Branch |
| 92928-CPT | Moderate | Prq Tcat Plmt Ntrac St 1 Les, Percutaneous Transcatheter Placement Of Intracoronary Stent(S) With Coronary Angioplasty When Performed Single Major Coronary Artery And/Or Its Branch(Es); 1 Lesion Involving 1 Or More Coronary Segments |
| 92937-CPT | Moderate | Cardiovascular Surgery, Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass Graft (Internal Mammary Free Arterial Venous) Any Combination Of Intracoronary Stent Atherectomy And Angioplasty Including Distal Protection When Performed; Single Major Coronary Artery And/Or Its Branches Vessel |
| 92941-CPT | Moderate | Cardiovascular Surgery, Percutaneous Transluminal Revascularization Of Acute Total/Subtotal Occlusion During Acute Myocardial Infarction Coronary Artery Or Coronary Artery Bypass Graft Any Combination Of Intracoronary Stent Atherectomy And Angioplasty Including Aspiration Thrombectomy When Performed Single Vessel Major Coronary Artery And/Or Its Branches Or Single Bypass Graft And/Or Its Subtended Branches |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92937. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92937 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 92937) and we'll show you how you compare in 15 minutes or less.