CPT 93566 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 | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 93566 |
National average reimbursement for CPT 93566 by major payers:
$149.67
$203.67
$157.53
$152.53
| 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 93566 | ||||||
United | 93566 | $404.00 | 1285280057 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER, CHRISTUS GOOD SHEPHERD MEDICAL CENTER - MARSHALL | 750974351 - (TX) CHRISTUS GOOD SHEPHERD MEDICAL CENTER | TX | General Acute Care Hospital (282N00000X) |
United | 93566 | $952.00 | 1205018439 - LAKE POINTE OPERATING COMPANY, LLC, BAYLOR SCOTT & WHITE MEDICAL CENTER LAKE POINTE | 260194016 - (TX) LAKE POINTE OPERATING COMPANY LLC | TX | General Acute Care Hospital (282N00000X) |
United | 93566 | $2414.00 | 1710140322 - MCKEE MEDICAL CENTER | 840826332 - (CO) MCKEE MEDICAL CENTER | CO | General Acute Care Hospital (282N00000X) |
United | 93566 | $645.00 | 1619191079 - VICTOR VALLEY COMMUNITY HOSPITAL | 273777887 - (CA) VICTOR VALLEY GLOBAL MEDICAL CENTER | CA | General Acute Care Hospital (282N00000X) |
United | 93566 | $843.00 | 1295431765 - CATHOLIC HEALTH INITIATIVES COLORADO, ST. FRANCIS HOSPITAL - INTERQUEST | 840405257 - CATHOLIC HEALTH INITIATIVES COLORADO | CO | General Acute Care Hospital (282N00000X) |
United | 93566 | $4837.00 | 1083937593 - METHODIST HEALTH CENTERS, HOUSTON METHODIST WEST HOSPITAL | 760545192 - METHODIST HOSPITAL | TX | General Acute Care Hospital (282N00000X) |
United | 93566 | $252.00 | 1033445960 - MOTHER FRANCES HOSPITAL-WINNSBORO | 752771569 - (TX) MOTHER FRANCES HOSPITAL-WINNSBORO | TX | General Acute Care Hospital (282N00000X) |
United | 93566 | $296.00 | 1972576247 - COCKE COUNTY HMA, LLC, TENNOVA HEALTHCARE-NEWPORT MEDICAL CENTER | 452528314 - (TN) COCKE COUNTY HMA LLC | TN | General Acute Care Hospital (282N00000X) |
United | 93566 | $130.00 | 1407121189 - PREFERRED HOSPITAL LEASING COLEMAN, INC., COLEMAN COUNTY MEDICAL CENTER | 453780407 | TX | Critical Access Hospital (282NC0060X) |
United | 93566 | $3518.00 | 1619935640 - METRO WEST | 741152597 - (TX) MEMORIAL HERMANN HEALTH SYSTEM | TX | General Acute Care Hospital (282N00000X) |
United | 93566 | $130.16 | 1033162565 - HAGERSTOWN IMAGING LLC | 203132833 - (MD) HAGERSTOWN IMAGING LLC | MD | Radiology Clinic/Center (261QR0200X) |
United | 93566 | $143.00 | 1407304256 - KANSAS MEDICAL CENTER, LLC, KMC PHYSICIANS PART A | 201853760 - (KS) KANSAS MEDICAL CENTER, LLC | KS | General Acute Care Hospital (282N00000X) |
United | 93566 | $983.00 | 1679336747 - FRANCISCAN HEALTH MICHIGAN CITY | 350876394 - (IN) FRANCISCAN HEALTH MICHIGAN CITY | IN | General Acute Care Hospital (282N00000X) |
United | 93566 | $2000.00 | 1871911016 - NORTH TEXAS, MEDICAL CITY ALLIANCE | 464027347 - (TX) NORTH TEXAS | TX | General Acute Care Hospital (282N00000X) |
United | 93566 | $947.00 | 1225083785 - CAMBRIDGE PUBLIC HEALTH COMMISSION | 43320571 | MA | General Acute Care Hospital (282N00000X) |
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 93566 vs. Other Cardiovascular Procedures Codes
The CPT 93566 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 93566 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 | Catheter Placement In Coronary Artery(S) For Coronoary 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 Fraft(S) With Bypass Graft Angiography |
| 93564-CPT | Low | Injection Procdure During Cardiac Catheterization Including Imaging Supervision Interpretation And Report; For Selective Opacification Of Aortocoronary Venous Or Arterial Bypass Graft(S) (Eg Aortocoronary Sapheous Vein Free Radial Artery Or Free Mammary Artery Graft) To One Or More Coronary Arteries And In Situ Arterial Conduits (Eg Internal Mammary) Whether Native Or Used For Bypass To One Or More Coronary Arteries During Congential Heart Catheterization When Performed (List Separately |
| 93565-CPT | Low | Injection Procedure During Cardiac Catheterization Including Imaging Supervision, Interpretation, And Report; For Selective Left Ventricular Or Left Atrial Angiography (List Separately In Addition To Code For Primary Procedure) |
| 93566-CPT | Low | Injection Procedure During Cardiac Catheterization Including Imaging Supervision, Interpretation, And Report; For Selective Right Ventricular Or Right Atrial Angiography (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 93566. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93566 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 93566) and we'll show you how you compare in 15 minutes or less.