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See a sample rate comparisonCPT 93458 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
L Hrt Artery Ventricle Angio, Catheter Placement In Coronary Artery S For Coronary Angiography Including Intraprocedural Injection S For Coronary Angiography Imaging Supervision And Interpretation With Left Heart Catheterization Including Intraprocedural Injection S For Left Ventriculography When Performed
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | $1,010.04 national non-facility rate (2026) · View Medicare rates for 93458 |
| Medicaid Fee Schedule | $827.77 median of the 8 states in the free preview · View Medicaid rates for 93458 |
National average reimbursement for CPT 93458 by major payers:
$1,046.24
$1,435.54
$1,480.95
$1,701.44
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CPT 93458
5 of 25 sample ratesHigher to lower in this preview
Antoni Ribas
$3,777.28Published ratePelbreton Balfour
Sentara Medical Group
$1,582.21Published rateNaveed Rana
Franciscan Physician Network
$1,147.56Published rateHarry Aldrich
Cardiovascular Medicine Associates, P.A.
$596.09Published rateVictor Soriano
$251.82Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 93458 vs. Other Cardiovascular Procedures Codes
The CPT 93458 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 93458 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 |
|---|---|---|
| 93452-CPT | Moderate | Heart Study With Imaging, Heart Study Where A Thin Tube (Catheter) Is Inserted Into The Heart Through An Arm Or Leg Blood Vessel. Imaging With Contrast Dye May Be Part Of The Procedure. |
| 93453-CPT | High | R L Hrt Cath W Ventriclgrphy, Combined Right And Left Heart Catheterization Including Intraprocedural Injection S For Left Ventriculography Imaging Supervision And Interpretation When Performed |
| 93454-CPT | Moderate | Catheter Placement In Coronary, Catheter Placement In Coronary Artery(S) For Coronary Angiography Including Intraprocedural Injection(S) For Coronary Angiography Imaging Supervision And Interpretation |
| 93458-CPT | High | L Hrt Artery Ventricle Angio, Catheter Placement In Coronary Artery S For Coronary Angiography Including Intraprocedural Injection S For Coronary Angiography Imaging Supervision And Interpretation With Left Heart Catheterization Including Intraprocedural Injection S For Left Ventriculography When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93458. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93458 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 standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services for billing and documentation purposes. They help ensure consistency in reporting medical procedures and services.
To get an accurate estimate for a specific medical procedure, it's best to first contact your healthcare provider's billing department and your insurance company. For general price transparency and to look up typical fee schedules based on CPT code and specific location, you can utilize tools like Payerprice, which offers a fee schedule lookup tool for users.
A fee schedule is a comprehensive list of fees used by health insurance plans and government programs to determine the maximum amount they will reimburse for specific medical services, procedures, and supplies. It dictates how much a provider will be paid for a covered service.
For specific healthcare service prices or fee schedules based on CPT code and your location, you can use specialized tools designed for price transparency. Payerprice offers a fee schedule lookup tool that allows users to search with CPT codes and specific geographic locations to find relevant pricing information.
Prices for the same medical service can vary significantly due to several factors. These include the specific healthcare provider or facility (hospital vs. outpatient clinic), geographic location, negotiated rates with different insurance companies, the patient's insurance plan, whether the service is in-network or out-of-network, and the complexity of the case.