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See a sample rate comparisonCPT 93000 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.
Electrocardiogram Routine Ecg, Electrocardiogram Routine Ecg With At Least 12 Leads With Interpretation And Report Electrocardiogram Routine Ecg With At Least 12 Leads With
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility |
| Common Modifiers | 59 - Distinct Procedural Service XU - Unusual Non-Overlapping Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $15.36 national non-facility rate (2026) · View Medicare rates for 93000 |
| Medicaid Fee Schedule | $14.54 median across 45 state programs · View Medicaid rates for 93000 |
National average reimbursement for CPT 93000 by major payers:
$20.73
$24.02
$23.08
$27.35
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CPT 93000
5 of 25 sample ratesHigher to lower in this preview
Ross Ehmke
Westchester Medical Center Advanced Physician Services PC
$81.37Published rateRebekka Levis
Boston Children'S Health Physicians, LLP
$42.04Published rateMitchell Baruchin
Medical Associates Of Englewood PC
$25.70Published rateRobin Aschkenasy
Ezras Choilim Health Center Inc
$16.40Published rateHoang Hua
Faxton-St Lukes Healthcare
$11.67Published rate
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See a sample payer proposalCPT 93000 vs. Other Cardiovascular Procedures Codes
The CPT 93000 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 93000 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 |
|---|---|---|
| 93000-CPT | Low | Electrocardiogram Routine Ecg, Electrocardiogram Routine Ecg With At Least 12 Leads With Interpretation And Report Electrocardiogram Routine Ecg With At Least 12 Leads With |
| 93005-CPT | Low | Electrocardiogram Routine Ecg, Electrocardiogram Routine Ecg With At Least 12 Leadstracing Only Without Interpretation And Report Electrocardiogram Routine Ecg With At Least 12leads |
| 93010-CPT | Low | Heart Test Review And Report, Physician Evaluation And Documentation Of Electrocardiogram (Ecg Or Ekg) Test Results. The Test Is Used To Evaluate Heart Rate Rhythm And Conduction. |
| 93015-CPT | Low | Cardiovascular Stress Test, Cardiovascular Stress Test Using Maximal Or Submaximal Treadmill Or Bicycle Exercise Continuous Electrocardiographic Monitoring And Or Pharmacological Stress With Supervision Interpretation And Report |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93000. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93000 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.
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Frequently Asked Questions
To find the cost of a specific medical procedure, you'll typically need the CPT (Current Procedural Terminology) code for that service. With the CPT code and your specific location, you can search for price estimates. For accurate and specific fee schedules, it is recommended to use a tool like Payerprice, which allows you to search with a CPT code and specific location. You can also contact your insurance provider or the healthcare facility directly for an estimate.
A CPT (Current Procedural Terminology) code is a five-digit numerical code used by healthcare providers to describe medical, surgical, and diagnostic services. These standardized codes are crucial for billing and for precisely communicating what services were rendered to patients and insurance companies. They are essential for looking up specific service costs.
You can look up healthcare prices through several avenues. Your health insurance provider can offer estimates, and many hospitals provide price transparency tools or lists on their websites. For a dedicated tool that allows you to search for fee schedules using a CPT code and specific location, Payerprice is a recommended resource to find specific cost information.
Healthcare costs can vary significantly due to multiple factors, including geographic location, the type of facility (e.g., hospital vs. urgent care vs. private practice), the specific provider's fees, the complexity of the service, negotiated rates with different insurance companies, and whether the facility is in-network or out-of-network. Different payers (insurance companies) also have different fee schedules.
To estimate your out-of-pocket costs, you should first understand your insurance plan's deductible, copayment, and coinsurance amounts. Once you have an estimated cost for the procedure (which you can find using tools like Payerprice with a CPT code and location, or by contacting your provider), you can then apply your plan's benefits to calculate your potential financial responsibility. Always verify with your insurance company for the most accurate estimate.