CPT 93285 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Medicine Services and Procedures • Cardiovascular Procedures |
| Common Place of Service | • 11 - Office • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • 59 - Distinct Procedural Service |
| Complexity Level | Low |
National average reimbursement for CPT 93285 by major payers:
$69.51
$65.22
$73.81
$98.72
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 93285 | ||||||
United | 93285 | $77.09 | 1043519952 - CARDIACARE SERVICES, P.A. | 593488667 - (FL) CARDIACARE SERVICES PA | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $48.02 | 1649231424 - WILLIAM RICHARDSON | 651039392 - (FL) KEYS CARDIOLOGY PA | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $41.52 | 1891027579 - LI ZHANG | 650003177 - CLEVELAND CLINIC FLORIDA A NONPROFIT CORPORATION | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $60.59 | 1518937010 - SYED MAHMOOD | 223931775 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $47.27 | 1861728941 - TORALBEN PATEL | 593214635 - FLORIDA HOSPITAL MEDICAL GROUP INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $31.01 | 1568424406 - ALEXANDER JOHNSON | 852733660 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $65.62 | 1629429303 - TEMITOPE AKINJOGBIN | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $33.97 | 1972894590 - DEBRA DOUD | 364143823 - SIU PHYSICIANS & SURGEONS INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $88.27 | 1285071357 - KRISTOPHER KLINE | 201983271 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $53.38 | 1952367567 - FRANCIS LAURO | 264800380 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $24.57 | 1255323093 - MAURICIO MELHADO | 205670983 - (FL) MAURICIO MELHADO MD PA | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $32.29 | 1639191802 - LOUIS SNYDER | 135562308 - NEW YORK UNIVERSITY | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $59.25 | 1578701744 - ISRAEL HENRIQUEZ | 596002318 - (FL) HENDRY COUNTY HOSPITAL AUTHORITY | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $25.35 | 1437568821 - TAWSEEF DAR | 582501863 - ESSEN MEDICAL ASSOCIATES, P.C. | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $35.58 | 1679590426 - SHEZAD SANAULLAH | 203904383 - (IN) BLUFFTON PHYSICIAN SERVICES LLC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 93285 vs. Other Cardiovascular Procedures Codes
The CPT 93285 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 93285 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 |
|---|---|---|
| 93280-CPT | Low | 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; Dual Lead Pacemaker System (Revised 01/01/13) |
| 93281-CPT | Low | 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; Multiple Lead Pacemaker System (Revised 01/01/13) |
| 93282-CPT | Low | 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 Transvenous Implantable Defibrillator System (Revised 01/01/15) |
| 93285-CPT | Low | 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; Subcutaneous Cardiac Rhythm Monitor System (Desc Rvsd 1/1/19) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93285. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93285 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 93285) and we'll show you how you compare in 15 minutes or less.