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 93642 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.
Electrophysiology Evaluation, Electrophysiologic Evaluation Of Single Or Dual Chamber Transvenous Pacing Cardioverter Defibrillator Includes Defibrillation Threshold Evaluation Induction Of Arrhythmia Evaluation Of Sensing And Pacing For Arrhythmia Termination And Programming Or Reprogramming Of Sensing Or Therapeutic Parameters
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $330.00 national non-facility rate (2026) · View Medicare rates for 93642 |
| Medicaid Fee Schedule | $278.845 median of the 8 states in the free preview · View Medicaid rates for 93642 |
National average reimbursement for CPT 93642 by major payers:
$395.55
$528.15
$484.87
$586.24
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 93642.
CPT 93642
5 of 25 sample ratesHigher to lower in this preview
Diana Sieciechowicz
Pediatric Faculty Foundation In
$860.66Published rateSrishti Nangia
$649.57Published rateAqeel Khan
Presence Healthcare Services
$514.84Published ratePaul Berkowitz
Brightside Medical
$364.51Published rateIllinois Professionals Health Program, LLC
Illinois Professionals Health Progr
$134.36Published 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 93642 vs. Other Cardiovascular Procedures Codes
The CPT 93642 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 93642 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 |
|---|---|---|
| 93642-CPT | Moderate | Electrophysiology Evaluation, Electrophysiologic Evaluation Of Single Or Dual Chamber Transvenous Pacing Cardioverter Defibrillator Includes Defibrillation Threshold Evaluation Induction Of Arrhythmia Evaluation Of Sensing And Pacing For Arrhythmia Termination And Programming Or Reprogramming Of Sensing Or Therapeutic Parameters |
| 93644-CPT | Moderate | Electrophysiology Evaluation, Electrophysiologic Evaluation Of Subcutaneous Implantable Defibrillator Includes Defibrillation Threshold Evaluation Induction Of Arrhythmia Evaluation Of Sensing For Arrhythmia Termination And Programming Or Reprogramming Of Sensing Or Therapeutic Parameters |
| 93650-CPT | Moderate | Intracardiac Catheter Ablation, Intracardiac Catheter Ablation Of Atrioventricularnode Function Atrioventricular Conduction For Cr Eation Of Complete Heart Block With Or Without Temporary Pacemaker Placement |
| 93653-CPT | High | Compre Ep Eval Tx Svt, Comprehensive Electrophysiologic Evaluation With Insertion And Repositioning Of Multiple Electrode Catheters Induction Or Attempted Induction Of An Arrhythmia With Right Atrial Pacing And Recording And Catheter Ablation Of Arrhythmogenic Focus Including Intracardiac Electrophysiologic 3 Dimensional Mapping Right Ventricular Pacing And Recording Left Atrial Pacing And Recording From Coronary Sinus Or Left Atrium And His Bundle Recording When Performed With Treatment Of Supraventricular Tachycardia By Ablation Of Fast Or Slow Atrioventricular Pathway Accessory Atrioventricular Connection Cavo Tricuspid Isthmus Or Other Single Atrial Focus Or Source Of Atrial Re Entry |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93642. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93642 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 93642) and we'll show you how you compare in 15 minutes or less.