CPT 93000 · professional fee

Electrocardiogram complete (CPT 93000): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 93000, from their published in-network rate files.

CardiologyInternal medicineSnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee
Median rate
$24
P10 to P90: $15 to $44
vs Medicare
159%
non-facility rate $15.36
Payer spread
1.37×
UHC $26 vs Aetna $19
State spread
2.4×
AK $43 to AZ $18
38,612 sampled providers33,873 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers
1

UnitedHealthcare has the highest median for CPT 93000 in the files analyzed, at $26, 37% above Aetna ($19), the lowest of the 4 payers shown.

2

The state spread is 2.4×: Alaska has the highest median at $43 and Arizona the lowest at $18, a gap larger than the gap between the highest and lowest payer.

3

Commercial rates run 159% of the Medicare non-facility rate ($15.36), which ranks 97th of 228 tracked codes by commercial-to-Medicare ratio.

4

Rates are tightest within Aetna (interquartile range $10) and widest within UnitedHealthcare ($16).

5

This is a top-11 code for cardiology by Medicare allowed dollars, so it carries real revenue weight for that specialty.

Rates by payer

Median of per-provider median rates, with interquartile range
PayerMedianP25P75vs nationalRankProvidersPosition
UnitedHealthcare$26$19$35+8%131,616
172% of Medicare
Cigna$26$20$34+5%231,140
167% of Medicare
Blue Cross Blue Shield$26$19$32+4%328,390
166% of Medicare
Aetna$19$16$25-21%422,426
126% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($15.36)
$13$20$28$35$43$50UnitedHealthcareCignaBlue Cross Blue ShieldAetnaMedicare

Rates by state

Median across payers · 51 states with enough data
RankStateMedianvs nationalHighest payerLowest payerProvidersLevel
1Alaska$43+75%BCBSCigna325
2Wisconsin$36+46%BCBSCigna760
3Connecticut$35+43%BCBSAetna930
4Oregon$33+36%UHCAetna801
5Georgia$33+35%BCBSAetna973
6South Dakota$32+32%BCBSAetna472
7New Hampshire$32+31%UHCAetna729
8Washington$31+28%UHCBCBS866
9North Dakota$31+27%UHCAetna364
10Iowa$31+26%UHCAetna709
11Vermont$30+24%CignaAetna335
11Massachusetts$30+24%UHCAetna888
13Nebraska$30+24%UHCAetna599
14Illinois$29+17%UHCAetna873
15California$28+16%BCBSAetna839
16North Carolina$28+13%CignaAetna897
17Mississippi$27+12%BCBSUHC774
18Alabama$25+4%BCBSUHC947
19District of Columbia$25+4%CignaBCBS517
20Rhode Island$25+2%CignaBCBS630
21Wyoming$25+2%UHCAetna270
22Utah$25+1%BCBSUHC813
23Ohio$24+0%UHCAetna928
24Indiana$24+0%CignaAetna961
25Kansas$24-1%BCBSAetna785
26Colorado$24-3%UHCAetna935
27New Mexico$24-4%UHCBCBS609
28Missouri$23-4%BCBSAetna950
29Maine$23-5%BCBSAetna645
30Pennsylvania$23-5%UHCAetna886
31Arkansas$23-6%CignaAetna783
32Kentucky$23-7%UHCAetna974
33New Jersey$23-7%BCBSUHC880
34Delaware$23-7%UHCAetna456
35Idaho$23-7%UHCAetna617
36Minnesota$23-8%UHCAetna822
36Montana$23-8%UHCAetna435
38West Virginia$22-9%UHCAetna598
39Tennessee$22-11%UHCAetna932
40Louisiana$21-13%BCBSAetna909
41Nevada$21-14%BCBSAetna766
42South Carolina$21-14%CignaAetna839
43Virginia$20-17%UHCBCBS891
44Maryland$20-18%UHCBCBS839
45New York$20-20%CignaAetna937
46Oklahoma$19-21%UHCAetna831
47Texas$19-22%UHCAetna1,020
48Florida$19-23%BCBSAetna880
49Michigan$19-23%CignaBCBS870
50Hawaii$18-24%BCBSCigna515
51Arizona$18-27%UHCAetna808

Frequently asked questions

Answers use this page's data
Which payer has the highest median rate for CPT 93000?

In the files we analyzed, UnitedHealthcare, at a median of $26 across 31,616 sampled providers. Aetna is lowest at $19, 37% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 159% of the 2026 Medicare non-facility rate of $15.36.

Which state has the highest median for CPT 93000?

Alaska has the highest median at $43; Arizona has the lowest at $18.

Is this a professional fee?

These are professional (physician) fees only. Facility, device and implant payments are priced separately and are not included.

How current is this data?

It is the August 2026 snapshot of each payer's in-network rate file. Sources and filters are listed in the methodology below.

Methodology

How these numbers are calculated
  • Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
  • Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
  • Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
  • Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
  • Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
  • Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.

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