CPT 93010 · professional fee

Electrocardiogram report (CPT 93010): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 93010, from their published in-network rate files.

CardiologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee
Median rate
$13
P10 to P90: $8 to $23
vs Medicare
151%
non-facility rate $8.35
Payer spread
1.31×
UHC $14 vs Aetna $11
State spread
3.8×
AK $32 to AZ $9
5,026 sampled providers6,731 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 93010 in the files analyzed, at $14, 31% above Aetna ($11), the lowest of the 4 payers shown.

2

The state spread is 3.8×: Alaska has the highest median at $32 and Arizona the lowest at $9, a gap larger than the gap between the highest and lowest payer.

3

Commercial rates run 151% of the Medicare non-facility rate ($8.35), which ranks 113th of 228 tracked codes by commercial-to-Medicare ratio.

4

Rates are tightest within Cigna (interquartile range $7) and widest within UnitedHealthcare ($8).

5

This is a top-14 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$14$10$18+10%14,300
166% of Medicare
Cigna$14$11$18+10%24,061
166% of Medicare
Blue Cross Blue Shield$12$10$17-3%33,824
146% of Medicare
Aetna$11$9$14-16%43,440
126% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($8.35)
$7$11$15$18$22$26UnitedHealthcareCignaBlue Cross Blue ShieldAetnaMedicare

Rates by state

Median across payers · 51 states with enough data
RankStateMedianvs nationalHighest payerLowest payerProvidersLevel
1Alaska$32+157%n/an/a27
2Georgia$18+45%CignaAetna129
3Connecticut$18+45%BCBSAetna118
4Wisconsin$18+42%UHCCigna102
5Massachusetts$17+37%UHCAetna104
6New Hampshire$17+35%BCBSAetna117
6Washington$17+35%UHCBCBS110
8Vermont$17+34%UHCBCBS25
9Oregon$17+33%UHCAetna92
10Iowa$17+32%UHCAetna113
11South Dakota$17+32%BCBSUHC34
12District of Columbia$16+30%UHCBCBS80
13Nebraska$16+27%UHCAetna81
14Rhode Island$15+18%CignaBCBS91
15Alabama$15+17%BCBSUHC127
16North Dakota$15+16%UHCAetna19
17Wyoming$14+11%n/an/a20
18Kansas$14+9%UHCAetna121
19Ohio$13+7%UHCAetna117
20Missouri$13+5%AetnaCigna120
20Kentucky$13+5%CignaAetna128
22Tennessee$13+3%CignaAetna122
23North Carolina$13+3%UHCBCBS115
24Idaho$13+2%CignaAetna63
25Arkansas$13+1%CignaBCBS120
26Montana$13+0%UHCCigna48
27Utah$13-1%BCBSAetna98
28Colorado$13-1%UHCAetna127
28New Jersey$13-1%UHCAetna113
30Mississippi$12-1%AetnaBCBS132
31Illinois$12-2%UHCBCBS119
32Pennsylvania$12-5%UHCCigna98
32Maine$12-5%BCBSAetna99
34New Mexico$12-5%UHCBCBS84
35Oklahoma$12-6%UHCAetna119
36West Virginia$12-6%UHCBCBS78
37Indiana$11-11%CignaAetna122
38Maryland$11-12%AetnaBCBS112
39Louisiana$11-12%CignaUHC111
40California$11-12%UHCAetna107
41Virginia$11-13%UHCAetna123
42South Carolina$11-15%BCBSAetna113
43Texas$11-17%UHCAetna130
44Minnesota$10-17%UHCAetna99
45Michigan$10-19%AetnaBCBS124
46Hawaii$10-22%BCBSCigna56
47New York$10-22%CignaAetna123
48Florida$10-24%UHCAetna111
49Nevada$10-24%CignaUHC116
50Delaware$9-27%UHCBCBS72
51Arizona$9-32%CignaAetna97

Frequently asked questions

Answers use this page's data
Which payer has the highest median rate for CPT 93010?

In the files we analyzed, UnitedHealthcare, at a median of $14 across 4,300 sampled providers. Aetna is lowest at $11, 31% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 151% of the 2026 Medicare non-facility rate of $8.35.

Which state has the highest median for CPT 93010?

Alaska has the highest median at $32; Arizona has the lowest at $9.

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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