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See a sample rate comparisonCPT 93246 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.
External Heart Recording, A Continuous Recording Of Heart Activity By An External Device. The Recording May Last From 8 To15 Days. The Full Procedure Includes Event Recording An Analysis With Report Review Of The Report And Interpretation Of Results.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | $11.69 national non-facility rate (2026) · View Medicare rates for 93246 |
| Medicaid Fee Schedule | $9.795 median of the 8 states in the free preview · View Medicaid rates for 93246 |
National average reimbursement for CPT 93246 by major payers:
$17.04
$20.80
$18.98
$31.44
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CPT 93246
5 of 25 sample ratesHigher to lower in this preview
Doantrang Du
Barnabas Health Medical Group P C
$41.02Published rateAmanda Sevrin
Cooper Health Systems
$34.61Published rateRamandeep Bhalla
$24.57Published rateHenry Kong
$13.10Published rateHenry Kong
$12.06Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 93246 vs. Other Cardiovascular Procedures Codes
The CPT 93246 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 93246 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 |
|---|---|---|
| 93245-CPT | Moderate | External Heart Recording, A Continuous Recording Of Heart Activity By An External Device. The Recording May Last From 8 To15 Days. The Full Procedure Includes Event Recording An Analysis With Report Review Of The Report And Interpretation Of Results. |
| 93246-CPT | Low | External Heart Recording, A Continuous Recording Of Heart Activity By An External Device. The Recording May Last From 8 To15 Days. The Full Procedure Includes Event Recording An Analysis With Report Review Of The Report And Interpretation Of Results. |
| 93247-CPT | Moderate | External Heart Recording, A Continuous Recording Of Heart Activity By An External Device. The Recording May Last From 8 To15 Days. The Full Procedure Includes Event Recording An Analysis With Report Review Of The Report And Interpretation Of Results. |
| 93248-CPT | Low | External Heart Recording, A Continuous Recording Of Heart Activity By An External Device. The Recording May Last From 8 To15 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 93246. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93246 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 to payers for reimbursement. They are essential for accurate billing and record-keeping in the healthcare industry.
The cost of a medical procedure can vary significantly based on your location, the healthcare provider, your insurance plan, and other factors. To get an estimate for a specific procedure using a CPT code and your location, you can utilize online tools. For accurate and up-to-date fee schedule information, consider using resources like Payerprice, which offers a fee schedule lookup tool.
A fee schedule is a comprehensive listing of fees used by healthcare providers and insurance companies to determine the amount charged or reimbursed for specific medical services, procedures, and supplies. It serves as a standardized reference for pricing in the healthcare system.
To find healthcare prices based on specific CPT codes and your location, you can use specialized online lookup tools. For a precise search, Payerprice offers a fee schedule lookup tool that allows users to search with CPT codes and specific geographical locations to find relevant pricing information.
Healthcare prices can vary widely due to several factors, including negotiated rates with different insurance companies, the type of facility (e.g., hospital vs. outpatient clinic), geographic location, the provider's expertise, and the complexity of the service. These variations make it important to research costs for specific procedures.