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See a sample rate comparisonCPT 93786 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.
24+ Hr Blood Pressure Monitor, Blood Pressure Monitoring Worn During Routine Daily Activities For A Period Of 24 Hours Or Longer. The Monitoring Helps Determine The Frequency And Severity Of High Blood Pressure Readings.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 11 - Office |
| Common Modifiers | PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments GT - Via interactive audio and video telecommunication systems |
| Complexity Level | Low |
| Medicare Fee Schedule | $23.72 national non-facility rate (2026) · View Medicare rates for 93786 |
| Medicaid Fee Schedule | $20.05 median of the 8 states in the free preview · View Medicaid rates for 93786 |
National average reimbursement for CPT 93786 by major payers:
$35.53
$34.64
$41.13
$46.73
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CPT 93786
5 of 25 sample ratesHigher to lower in this preview
Trilok Shah
Ascension Medical Group-Fox Valley Wisconsin Inc
$93.33Published rateSonam Verma
$52.16Published rateMatthew Niedzwiecki
$44.54Published rateAmanda Rizzari
$37.45Published rateArthur Traugott
Carle Health Care Incorporated
$29.01Published rate
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See a sample payer proposalCPT 93786 vs. Other Cardiovascular Procedures Codes
The CPT 93786 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 93786 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 |
|---|---|---|
| 93784-CPT | Low | Ambulatory Blood Pressure Moni, Ambulatory Blood Pressure Monitoring Utilizing Report-Generating Software Automated Worn Continuously For 24 Hours Or Longer Including Recording Scanning Analysis Interpretation And Report |
| 93786-CPT | Low | 24+ Hr Blood Pressure Monitor, Blood Pressure Monitoring Worn During Routine Daily Activities For A Period Of 24 Hours Or Longer. The Monitoring Helps Determine The Frequency And Severity Of High Blood Pressure Readings. |
| 93788-CPT | Low | 24+ Hr Blood Pressure Monitor, Blood Pressure Monitoring Worn During Routine Daily Activities For A Period Of 24 Hours Or Longer. The Monitoring Helps Determine The Frequency And Severity Of High Blood Pressure Readings. |
| 93790-CPT | Low | 24+ Hr Blood Pressure Monitor, Blood Pressure Monitoring Worn During Routine Daily Activities For A Period Of 24 Hours Or Longer. The Monitoring Helps Determine The Frequency And Severity Of High Blood Pressure Readings. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93786. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93786 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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