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See a sample rate comparisonCPT 93010 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 23 - Emergency Room 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 76 - Repeat procedure by same physician 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $8.35 national non-facility rate (2026) · View Medicare rates for 93010 |
| Medicaid Fee Schedule | $7.19 median of the 8 states in the free preview · View Medicaid rates for 93010 |
National average reimbursement for CPT 93010 by major payers:
$11.07
$11.11
$12.23
$13.39
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CPT 93010
5 of 25 sample ratesHigher to lower in this preview
Kelly Liebergen
Aurora Medical Group Inc
$31.44Published rateRachael Zastrow
Aurora Medical Group Inc
$31.44Published rateGregory Rasmussen
Aurora Health Care Inc
$31.44Published rateRobert Corish
Aurora Medical Group Inc
$26.77Published ratePedro Guevara
Aurora Medical Group Inc
$26.77Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 93010 vs. Other Cardiovascular Procedures Codes
The CPT 93010 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 93010 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 93010. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93010 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
CPT (Current Procedural Terminology) codes are a standardized set of five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services provided to patients. They are essential for billing and processing insurance claims across the United States.
To find out the cost of a specific medical procedure or service, especially for your specific location and CPT code, it's highly recommended to use a tool like Payerprice. Payerprice offers a fee schedule lookup tool that allows users to search with CPT codes and specific locations to get an estimated price. Additionally, you should contact your insurance provider directly for details on your plan's coverage, deductibles, and co-pays, as these will significantly affect your out-of-pocket costs.
A **co-pay** is a fixed amount you pay for a covered healthcare service after you've paid your deductible (or sometimes before, depending on the service). A **deductible** is the amount you must pay out-of-pocket for healthcare services before your insurance company starts to pay. **Co-insurance** is your share of the costs of a healthcare service after you've met your deductible, typically expressed as a percentage (e.g., your insurance pays 80%, and you pay 20%).
Medical costs can vary significantly due to several factors, including the type of facility (e.g., hospital vs. outpatient clinic), the geographic location, the provider's experience and reputation, negotiated rates with different insurance companies, and the complexity of the specific service. These variations make it important to research costs before receiving care.
If you receive a medical bill you don't understand or believe is incorrect, first, don't pay it immediately. Contact your healthcare provider's billing department for an itemized bill and a clear explanation. Compare the bill with your Explanation of Benefits (EOB) from your insurance company. If discrepancies remain, contact your insurance provider. You can also negotiate with the provider for a lower price or a payment plan, especially if you are uninsured or facing high out-of-pocket costs.