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See a sample rate comparisonCPT 93298 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.
Rem Interrog Dev Eval Scrms, Interrogation Device Evaluation S Remote Up To 30 Days Subcutaneous Cardiac Rhythm Monitor System Including Analysis Of Recorded Heart Rhythm Data Analysis Review S And Report S By A Physician Or Other Qualified Health Care Professional
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital 49 - Independent Clinic |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $103.21 national non-facility rate (2026) · View Medicare rates for 93298 |
| Medicaid Fee Schedule | $83.235 median of the 8 states in the free preview · View Medicaid rates for 93298 |
National average reimbursement for CPT 93298 by major payers:
$73.90
$40.41
$49.66
$88.38
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CPT 93298
5 of 25 sample ratesHigher to lower in this preview
Daniel Goodman
Slocum Dickson Medical Group PLLC
$139.71Published rateTaryn Rio
Slocum Dickson Medical Group PLLC
$43.52Published rateJeffrey Kwasniewski
Slocum Dickson Medical Group PLLC
$40.95Published rateScott Peplinski
Slocum Dickson Medical Group PLLC
$32.50Published rateSt Davids Healthcare Partnership Lp LLP, Round Rock Medical Center
Lone Star Circle Of Care
$21.11Published rate
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See a sample payer proposalCPT 93298 vs. Other Cardiovascular Procedures Codes
The CPT 93298 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 93298 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 |
|---|---|---|
| 93294-CPT | Low | Rem Interrog Evl Pm Ldls Pm, Interrogation Device Evaluation S Remote Up To 90 Days Single Dual Or Multiple Lead Pacemaker System Or Leadless Pacemaker System With Interim Analysis Review S And Report S By A Physician Or Other Qualified Health Care Professional |
| 93295-CPT | Low | Interrogation Device Evaluation(S) (Remote) Up To90 Days; Single Dual Or Multiple Lead Implantable Defibrillator System With Interim Analysis Review(S) And Report(S) By A Physician Or Other Qualified Health Care Professional (Revised 01/01/15) |
| 93296-CPT | Low | Rem Interrog Evl Pm Ids, Interrogation Device Evaluation S Remote Up To 90 Days Single Dual Or Multiple Lead Pacemaker System Leadless Pacemaker System Or Implantable Defibrillator System Remote Data Acquisition S Receipt Of Transmissions And Technician Review Technical Support And Distribution Of Results |
| 93298-CPT | Low | Rem Interrog Dev Eval Scrms, Interrogation Device Evaluation S Remote Up To 30 Days Subcutaneous Cardiac Rhythm Monitor System Including Analysis Of Recorded Heart Rhythm Data Analysis Review S And Report S By A Physician Or Other Qualified Health Care Professional |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93298. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93298 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
The cost of a medical procedure or service can vary significantly based on your location, the specific healthcare provider, and your insurance plan. To get an estimate for specific services, especially using CPT codes for accurate comparison, you can utilize tools like Payerprice. Payerprice offers a fee schedule lookup tool where you can search with a CPT code and your specific location to understand typical costs. It's also highly recommended to contact your insurance provider directly, as they can provide an estimate of your out-of-pocket costs based on your individual benefits, deductible, co-pays, and co-insurance.
CPT stands for Current Procedural Terminology. CPT codes are standardized numerical codes used by healthcare providers and insurers to universally describe medical, surgical, and diagnostic services. They are crucial for accurate billing and processing insurance claims, ensuring consistency in how services are reported across the healthcare system. Knowing the CPT code for a service you received or plan to receive is important because it allows you to research the typical costs associated with that specific service. You can use these codes with tools like Payerprice to look up fee schedules and understand potential costs in your area, helping you to better interpret your medical bills and make informed decisions.
Prices for identical medical services can vary widely due to a multitude of factors. These include differences in healthcare provider fees, the geographic location of the facility, the type of facility (e.g., a hospital vs. an independent clinic or ambulatory surgery center), variations in insurance contracts and negotiated rates between providers and payers, and whether the provider is in-network or out-of-network for your specific insurance plan. Additionally, facility fees, professional fees, and bundled vs. unbundled billing practices can contribute to these price discrepancies. Understanding these variables can help you ask more targeted questions when comparing costs.
If you receive a medical bill that you believe is incorrect or unexpectedly high, you have the right to dispute it. First, thoroughly review the itemized bill for any inaccuracies, duplicate charges, or unfamiliar services. Next, contact the billing department of the healthcare provider to request clarification, an explanation of charges, or to point out potential errors. If the issue is related to your insurance coverage, contact your insurance company to understand their processing of the claim and your options for appeal. Keep detailed records of all communications, including dates, names, and what was discussed. To help you assess if a bill is unusually high, you can use resources like Payerprice to research the typical costs for specific CPT codes in your location.
Several resources are available to help you understand healthcare costs and navigate the billing process. Your insurance company's Explanation of Benefits (EOB) provides a detailed breakdown of what your insurer paid and your remaining financial responsibility. Your healthcare provider's billing department can offer itemized bills and discuss payment options. For prospective pricing and to research typical costs for specific procedures based on CPT codes and your location, online tools like Payerprice are invaluable. Additionally, patient advocacy groups and state consumer protection agencies can provide guidance and support in resolving complex billing issues.