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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $22.71 national non-facility rate (2026) · View Medicare rates for 93244 |
| Medicaid Fee Schedule | $18.94 median of the 8 states in the free preview · View Medicaid rates for 93244 |
National average reimbursement for CPT 93244 by major payers:

$30.19

$33.80

$32.40

$47.86
Choose a payer to see a sample of rates for CPT 93244.
Ahmed Abdel-Megid
Rheumatology Center Of New Jersey Inc
Sean Naini
Behdokht Daneshvar
Behdokht Daneshvar LLC
Andrea Barbier
Andrea Barbier Do LLC
Guillermo Munoz
Union Square Medical Associates PC
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Rate Benchmarking
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See a sample payer proposalCPT 93244 vs. Other Cardiovascular Procedures Codes
The CPT 93244 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 93244 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 |
|---|---|---|
| 93042-CPT | Low | Physician Report Of Ekg Test, Physician Interpretation And Report Of Electrocardiogram (Ecg Or Ekg) Heart Rhythm Test Results. |
| 93241-CPT | Moderate | External Heart Recording, A Continuous Recording Of Heart Activity By An External Device. The Recording May Last From Two To 7 Days. The Full Procedure Includes Event Recording An Analysis With Report Review Of The Report And Interpretation Of Results. |
| 93243-CPT | Moderate | External Heart Recording, A Continuous Recording Of Heart Activity By An External Device. The Recording May Last From Two To 7 Days. The Full Procedure Includes Event Recording An Analysis With Report Review Of The Report And Interpretation Of Results. |
| 93244-CPT | Low | External Heart Recording, A Continuous Recording Of Heart Activity By An External Device. The Recording May Last From Two To 7 Days. The Full Procedure Includes Event Recording An Analysis With Report Review Of The Report And Interpretation Of Results. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93244. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93244 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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To find out the cost of a specific medical procedure, especially one identified by a CPT code in your specific location, you can use online tools designed for this purpose. Payerprice offers a fee schedule lookup tool that allows you to search for costs using a CPT code and your location, providing more precise estimates. For final personalized costs, always confirm with your insurance provider and healthcare facility.
A CPT (Current Procedural Terminology) code is a standardized five-digit code used by medical professionals to describe medical, surgical, and diagnostic services. They are crucial for consistent communication between doctors, patients, and insurance companies. Understanding the CPT code for a service helps you identify exactly what procedure was performed and is often necessary when researching its cost, for instance, by using tools like Payerprice.
To look up the fee schedule for a medical service in your specific area, Payerprice provides a dedicated fee schedule lookup tool. You can use this tool to search for costs based on the CPT code of the service and your particular geographic location, offering insights into expected charges.
The price of a medical procedure can be influenced by several factors, including the healthcare provider's negotiated rates with insurance companies, the facility where the service is performed (e.g., hospital vs. outpatient clinic), geographic location, the complexity of the procedure, and whether you are insured or uninsured. These factors contribute to the variation in costs that tools like Payerprice aim to help you navigate by providing location-specific fee schedule data.
Payerprice is designed to help users find fee schedules and estimated costs for medical procedures based on CPT codes and specific locations. It offers a tool to look up this information, aiming to provide transparency in healthcare pricing. For specific, real-time cost estimates that apply to your individual insurance plan and provider, it's always recommended to verify with your insurance company and healthcare provider directly.