CPT 93016 · professional fee

Cv stress test supvj only (CPT 93016): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 93016, from their published in-network rate files.

CardiologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$34

P10 to P90: $22 to $61

vs Medicare

164%

non-facility rate $20.71

Payer spread

1.36×

UHC $37 vs Aetna $27

State spread

3.8×

AK $84 to AZ $22

5,016 sampled providers6,722 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers

UnitedHealthcare has the highest median for CPT 93016 in the files analyzed, at $37, 36% above Aetna ($27), the lowest of the 4 payers shown.

The state spread is 3.8×: Alaska has the highest median at $84 and Arizona the lowest at $22, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 164% of the Medicare non-facility rate ($20.71), which ranks 88th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Blue Cross Blue Shield (interquartile range $15) and widest within UnitedHealthcare ($23).

This is a top-40 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

Payer	Median	P25	P75	vs national	Rank	Providers	Position
UnitedHealthcare	$37	$28	$51	+9%	1	4,300	180% of Medicare
Cigna	$36	$29	$47	+7%	2	4,066	176% of Medicare
Blue Cross Blue Shield	$34	$27	$42	+0%	3	3,803	165% of Medicare
Aetna	$27	$23	$37	-19%	4	3,352	132% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($20.71)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$84	+146%	n/a	n/a	27
2	Georgia	$50	+47%	UHC	Aetna	129
3	Connecticut	$47	+38%	UHC	Aetna	118
4	Wisconsin	$47	+37%	UHC	Cigna	99
5	Washington	$44	+30%	UHC	BCBS	110
6	South Dakota	$44	+29%	BCBS	UHC	34
7	Massachusetts	$44	+29%	UHC	Aetna	104
8	Oregon	$43	+28%	UHC	Aetna	92
9	New Hampshire	$43	+27%	UHC	Aetna	117
10	Nebraska	$42	+24%	UHC	Aetna	80
11	Iowa	$41	+22%	UHC	Aetna	112
12	Rhode Island	$39	+14%	Cigna	BCBS	91
13	Alabama	$39	+14%	BCBS	UHC	127
14	Vermont	$38	+13%	UHC	BCBS	25
15	District of Columbia	$37	+10%	Cigna	BCBS	80
16	Wyoming	$37	+9%	n/a	n/a	20
17	North Dakota	$37	+8%	UHC	Aetna	19
18	Mississippi	$36	+6%	Aetna	UHC	132
19	Kentucky	$35	+3%	Cigna	Aetna	128
20	Ohio	$35	+3%	UHC	BCBS	117
21	Missouri	$35	+3%	UHC	Cigna	119
22	Tennessee	$35	+2%	Cigna	Aetna	122
23	Kansas	$35	+2%	UHC	BCBS	121
24	Illinois	$35	+2%	UHC	Cigna	119
25	Idaho	$34	+0%	Cigna	Aetna	63
26	Indiana	$34	-0%	Cigna	Aetna	122
27	Arkansas	$34	-1%	UHC	BCBS	120
28	North Carolina	$34	-2%	UHC	Aetna	115
29	New Jersey	$33	-3%	UHC	Aetna	113
30	Utah	$33	-4%	BCBS	UHC	97
31	Montana	$33	-4%	UHC	BCBS	48
32	Colorado	$33	-4%	UHC	Aetna	127
33	Michigan	$32	-6%	BCBS	Aetna	123
34	New Mexico	$32	-6%	UHC	BCBS	84
35	Maine	$32	-7%	BCBS	Aetna	99
35	Pennsylvania	$32	-7%	UHC	Cigna	98
37	Oklahoma	$31	-8%	UHC	Aetna	119
38	West Virginia	$30	-11%	Cigna	Aetna	78
39	California	$29	-14%	UHC	Aetna	107
40	South Carolina	$29	-15%	UHC	Aetna	113
41	Minnesota	$29	-15%	UHC	Aetna	99
42	Louisiana	$29	-16%	Cigna	Aetna	111
43	New York	$28	-18%	Cigna	Aetna	123
44	Hawaii	$28	-18%	BCBS	Cigna	56
45	Virginia	$27	-19%	UHC	BCBS	123
46	Texas	$27	-21%	UHC	Aetna	130
47	Nevada	$25	-26%	BCBS	Aetna	115
48	Florida	$25	-26%	UHC	Aetna	111
49	Delaware	$24	-28%	UHC	BCBS	72
50	Maryland	$24	-30%	Aetna	BCBS	111
51	Arizona	$22	-35%	UHC	Aetna	97

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 93016?

In the files we analyzed, UnitedHealthcare, at a median of $37 across 4,300 sampled providers. Aetna is lowest at $27, 36% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 164% of the 2026 Medicare non-facility rate of $20.71.

Which state has the highest median for CPT 93016?

Alaska has the highest median at $84; Arizona has the lowest at $22.

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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