Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 93278 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.
Detailed Heart Test (Ekg), An Electrocardiogram (Ecg Or Ekg) Measures The Heart Rhythm Through Wires Attached To The Chest. Electric Signals From The Heart Are Measured Over A Period Of Time.
| 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 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $33.07 national non-facility rate (2026) · View Medicare rates for 93278 |
| Medicaid Fee Schedule | $28.21 median of the 8 states in the free preview · View Medicaid rates for 93278 |
National average reimbursement for CPT 93278 by major payers:
$39.92
$46.50
$41.85
$54.05
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 93278.
CPT 93278
5 of 25 sample ratesHigher to lower in this preview
Mark Alter
$59.16Published rateMatthew Lilley
The Orthopedic And Neurosurgical Center Of The Cascades
$41.76Published rateJohn Millichap
Osf Multi-Specialty Group
$27.48Published ratePriti Singh
Associates In Pediatric Neurology Sc
$22.40Published rateChicago Neurology Group Sc
Chicago Neurology Group, S.C.
$17.75Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 93278 vs. Other Cardiovascular Procedures Codes
The CPT 93278 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 93278 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 |
|---|---|---|
| 93228-CPT | Low | External Mobile Cardiovascular Telemetry With Electrocardiographic Recording Concurrent Computerized Real Time Data Analysis And Greater Than 24 Hours Of Accessible Ecg Data Storage (Retrievable With Query) With Ecg Triggered And Patient Selected Events Transmitted To A Remote Attended Surveillance Center For Up To 30 Days; Review And Interpretation With Report By A Physician Or Other Qualified Health Care Professional (Revised 01/01/13) |
| 93260-CPT | Low | Prgrmg Dev Eval Impltbl Sys, Programming Device Evaluation In Person With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimal Permanent Programmed Values With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional Implantable Subcutaneous Lead Defibrillator System |
| 93278-CPT | Low | Detailed Heart Test (Ekg), An Electrocardiogram (Ecg Or Ekg) Measures The Heart Rhythm Through Wires Attached To The Chest. Electric Signals From The Heart Are Measured Over A Period Of Time. |
| 93279-CPT | Low | Prgrmg Dev Eval Pm Ldls Pm, Programming Device Evaluation In Person With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimal Permanent Programmed Values With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional Single Lead Pacemaker System Or Leadless Pacemaker System In One Cardiac Chamber |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93278. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93278 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 93278) and we'll show you how you compare in 15 minutes or less.