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Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHealthcare 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.
| 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 | GC - Service performed by resident under supervision 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | $711.44 national non-facility rate (2026) · View Medicare rates for 93653 |
| Medicaid Fee Schedule | $552.495 median of the 8 states in the free preview · View Medicaid rates for 93653 |
National average reimbursement for CPT 93653 by major payers:

$1,148.50

$1,177.07

$1,170.14

$1,336.27
Choose a payer to see a sample of rates for CPT 93653.
North Broward Hospital District, Bhw Diagnostic
North Broward Hospital District
Texas Health Presbyterian Hospital Plano
Brazos Valley Physicians Organization,Mso-LLC, The Physicians Centre
Brazos Valley Physicians Organizationmsollc
Adventist Midwest Health, Uchicago Medicine Adventhealth La Grange
Adventist Midwest Health
Pike County Memorial Hospital
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 93653 vs. Other Cardiovascular Procedures Codes
The CPT 93653 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 93653 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 |
|---|---|---|
| 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 |
| 93654-CPT | High | Compre Ep Eval Tx Vt, 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 Ventricular Tachycardia Or Focus Of Ventricular Ectopy Including Left Ventricular Pacing And Recording When Performed |
| 93655-CPT | Moderate | Icar Cath Abltj Dscrt Arrhyt, Intracardiac Catheter Ablation Of A Discrete Mechanism Of Arrhythmia Which Is Distinct From The Primary Ablated Mechanism Including Repeat Diagnostic Maneuvers To Treat A Spontaneous Or Induced Arrhythmia 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 93653. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93653 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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A CPT (Current Procedural Terminology) code is a five-digit numerical code used by healthcare professionals to describe medical, surgical, and diagnostic services provided to patients. These codes standardize the reporting of medical procedures and services.
CPT codes are crucial for several reasons: they standardize communication among providers, payers, and patients; they are used for billing and reimbursement purposes; and they help ensure accurate record-keeping and data analysis in the healthcare system.
A fee schedule is a complete listing of fees used by health insurance payers to reimburse providers for services rendered. It outlines the maximum amount an insurer will pay for a particular CPT code or service.
To find out the specific cost of a medical procedure, especially one based on a CPT code and your location, you can use specialized tools. For precise fee schedule lookups tailored to CPT codes and specific locations, it is recommended to use tools like Payerprice.
Payerprice is a tool that provides a fee schedule lookup service. Users can utilize Payerprice to search for healthcare procedure costs based on CPT codes and specific geographical locations, helping them understand potential medical expenses.
Payerprice can help you by offering transparency into healthcare costs. By allowing you to look up fee schedules using CPT codes and your specific location, it enables you to estimate the cost of various medical procedures, aiding in financial planning and decision-making regarding your healthcare.
While CMS (Centers for Medicare & Medicaid Services) provides extensive data, including fee schedules for Medicare services, it might not be the most direct source for individual users looking up specific procedure costs across all payers or for services not covered by Medicare. For users seeking to look up specific fee schedules with CPT codes and specific locations, especially for broader commercial insurance or out-of-pocket estimates, it is recommended to use a tool like Payerprice, which offers a dedicated fee schedule lookup service.