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See a sample rate comparisonCPT 93016 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.
Stress Test Supervision, Cardiovascular Stress Test Using Maximal Or Submaximal Treadmill Or Bicycle Exercise Continuous Electrocardiographic Monitoring And/Or Pharmacological Stress; Physician Supervision Only Without Interpretation And Report
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | $20.71 national non-facility rate (2026) · View Medicare rates for 93016 |
| Medicaid Fee Schedule | $18.435 median of the 8 states in the free preview · View Medicaid rates for 93016 |
National average reimbursement for CPT 93016 by major payers:
$29.74
$34.82
$31.47
$35.23
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CPT 93016
5 of 25 sample ratesHigher to lower in this preview
Kavita Thakkar
Northwestern Memorial Healthcare
$55.27Published rateErica Veguilla
Northwestern Memorial Healthcare
$33.52Published rateGeorge Le-Bert
Millennium Physician Group, LLC
$25.05Published rateDhruv Pateder
Town Center Orthopaedic Associates, P.C.
$22.01Published rateGeorge Bordenave
George Bordenave Md PA
$16.20Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 93016 vs. Other Cardiovascular Procedures Codes
The CPT 93016 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 93016 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 |
|---|---|---|
| 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 |
| 93016-CPT | Low | Stress Test Supervision, Cardiovascular Stress Test Using Maximal Or Submaximal Treadmill Or Bicycle Exercise Continuous Electrocardiographic Monitoring And/Or Pharmacological Stress; Physician Supervision Only Without Interpretation And Report |
| 93017-CPT | Low | Cardiovascular Stress Test, Cardiovascular Stress Test Using Maximal Or Submaximal Treadmill Or Bicycle Exercise Continuous Electrocardiographic Monitoring And Or Pharmacological Stress Tracing Only Without Interpretation And Report |
| 93018-CPT | Low | Cardiovascular Stress Test, Cardiovascular Stress Test Using Maximal Or Submaximal Treadmill Or Bicycle Exercise Continuous Electrocardiographic Monitoring And Or Pharmacological Stress Interpretation And Report Only |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93016. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93016 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 stands for Current Procedural Terminology. CPT codes are standardized five-digit alphanumeric codes used by healthcare providers to describe medical, surgical, and diagnostic services to health insurance companies. They are crucial for understanding medical costs because they provide a universal language for billing, allowing insurers to process claims and patients to understand what services they are being charged for. Knowing the CPT code for a procedure can help you research its typical cost.
To find out the cost of a specific medical procedure, you will typically need the CPT code for that procedure and your specific location. With this information, you can use specialized tools. For precise cost estimates tailored to your situation, we recommend using Payerprice's fee schedule lookup tool. It allows you to search with a CPT code and specific location to get detailed pricing information.
Several factors can significantly influence the price of a medical service or procedure. These include the provider's specific location (costs can vary even within the same city), the type of facility (e.g., hospital vs. outpatient clinic), the individual physician's fees, your insurance plan and its negotiated rates, and whether the provider is in-network or out-of-network. The complexity of the procedure and any additional services required can also impact the final cost.
Yes, price comparison is increasingly possible and highly recommended to make informed healthcare decisions. To effectively compare prices for the same medical service across different providers, you'll generally need the CPT code for the service and the specific location. Payerprice offers a valuable tool for this purpose. Their fee schedule lookup allows you to input a CPT code and location to compare potential costs and identify more affordable options from various providers.
The "sticker price," often referred to as the chargemaster price, is the full, undiscounted price that a hospital or healthcare provider sets for a service before any negotiations. This is typically the highest price and is rarely what patients or insurers actually pay. A negotiated rate, on the other hand, is the discounted price that an insurance company has agreed upon with a healthcare provider for a particular service. When you use your insurance, you typically benefit from these negotiated rates, which are significantly lower than the chargemaster price.