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 93563 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.
Njx Cgen Car Cth Slctv C Ang, Injection Procedure During Cardiac Catheterization Including Imaging Supervision Interpretation And Report For Selective Coronary Angiography During Congenital Heart Catheterization List Separately In Addition To Code For Primary Procedure
| 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 | 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | $50.44 national non-facility rate (2026) · View Medicare rates for 93563 |
| Medicaid Fee Schedule | $39.915 median of the 8 states in the free preview · View Medicaid rates for 93563 |
National average reimbursement for CPT 93563 by major payers:
$83.95
$77.96
$76.69
$96.89
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 93563.
CPT 93563
5 of 25 sample ratesHigher to lower in this preview
St Vincent'S Medical Center
Svmc Holdings Inc
$10,617.00Published rateGlens Falls Hospital Inc
Albany Med Health System
$3,166.00Published rateMetro West
Memorial Hermann Health System
$2,307.00Published ratePresence Central And Suburban Hospitals Network, Presence St. Mary'S Hospital
$1,623.00Published rateWinnie Community Hospital, LLC
$173.00Published 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 93563 vs. Other Cardiovascular Procedures Codes
The CPT 93563 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 93563 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 |
|---|---|---|
| 93461-CPT | High | R L Hrt Art Ventricle Angio, Catheter Placement In Coronary Artery S For Coronary Angiography Including Intraprocedural Injection S For Coronary Angiography Imaging Supervision And Interpretation With Right And Left Heart Catheterization Including Intraprocedural Injection S For Left Ventriculography When Performed Catheter Placement S In Bypass Graft S Internal Mammary Free Arterial Venous Grafts With Bypass Graft Angiography |
| 93503-CPT | Low | Insrt & Placemnt Of Flow Direct Cathet (Eg Swan-Ganz) For, Insertion And Placement Of Flow Directed Catheter (Eg Swan-Ganz) For |
| 93505-CPT | Moderate | Biopsy Of Heart Wall, A Sample Of Tissue From The Wall Dividing The Two Sides Of The Heart Is Removed By Inserting A Catheter Into A Leg Artery And Guiding It Up Into The Heart. The Tissue Sample Is Tested In A Lab. |
| 93563-CPT | Low | Njx Cgen Car Cth Slctv C Ang, Injection Procedure During Cardiac Catheterization Including Imaging Supervision Interpretation And Report For Selective Coronary Angiography During Congenital Heart Catheterization List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93563. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93563 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 93563) and we'll show you how you compare in 15 minutes or less.