CPT 93280 · professional fee

Pm device progr eval dual (CPT 93280): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 93280, from their published in-network rate files.

CardiologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$105

P10 to P90: $67 to $206

vs Medicare

134%

non-facility rate $78.49

Payer spread

1.27×

Cigna $116 vs Aetna $91

State spread

4.0×

AK $317 to FL $78

5,047 sampled providers6,761 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers

Cigna has the highest median for CPT 93280 in the files analyzed, at $116, 27% above Aetna ($91), the lowest of the 4 payers shown.

The state spread is 4.0×: Alaska has the highest median at $317 and Florida the lowest at $78, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 134% of the Medicare non-facility rate ($78.49), which ranks 147th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $47) and widest within UnitedHealthcare ($77).

This is a top-30 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
Cigna	$116	$88	$153	+10%	1	4,062	148% of Medicare
UnitedHealthcare	$115	$83	$160	+9%	2	4,300	147% of Medicare
Blue Cross Blue Shield	$106	$75	$141	+1%	3	3,882	135% of Medicare
Aetna	$91	$79	$126	-14%	4	3,309	116% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($78.49)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$317	+201%	n/a	n/a	27
2	Oregon	$162	+54%	UHC	BCBS	92
3	Washington	$162	+54%	UHC	BCBS	110
4	New Hampshire	$159	+50%	UHC	Aetna	117
5	Minnesota	$157	+49%	UHC	Aetna	102
5	Iowa	$157	+49%	UHC	Aetna	113
7	Wisconsin	$157	+49%	UHC	Cigna	108
8	Massachusetts	$156	+48%	UHC	Aetna	108
9	North Dakota	$152	+44%	BCBS	Aetna	30
10	Nebraska	$148	+41%	Cigna	Aetna	81
11	Georgia	$145	+38%	Cigna	Aetna	129
12	Wyoming	$141	+34%	n/a	n/a	20
12	South Dakota	$141	+34%	BCBS	Cigna	34
14	District of Columbia	$137	+30%	UHC	BCBS	80
15	Connecticut	$128	+21%	Cigna	Aetna	119
16	Utah	$123	+17%	BCBS	Aetna	97
17	Ohio	$118	+12%	Aetna	Cigna	117
18	Colorado	$118	+12%	UHC	Aetna	127
19	Idaho	$117	+11%	Cigna	UHC	63
20	Rhode Island	$115	+9%	Cigna	Aetna	91
21	Montana	$114	+8%	Cigna	BCBS	49
22	Missouri	$113	+7%	Aetna	BCBS	120
23	North Carolina	$112	+6%	UHC	Aetna	114
24	Maine	$110	+4%	BCBS	Aetna	99
25	Kansas	$109	+4%	Cigna	BCBS	121
26	Tennessee	$103	-2%	UHC	Aetna	122
27	Kentucky	$103	-2%	UHC	BCBS	128
28	Michigan	$103	-3%	BCBS	UHC	123
29	Hawaii	$102	-3%	BCBS	Cigna	56
30	Vermont	$102	-3%	UHC	BCBS	25
31	New Mexico	$102	-4%	UHC	BCBS	84
32	Illinois	$101	-5%	UHC	BCBS	119
33	West Virginia	$100	-5%	Cigna	Aetna	78
34	Pennsylvania	$99	-6%	UHC	BCBS	98
35	New Jersey	$98	-7%	UHC	Aetna	113
36	Mississippi	$97	-8%	Aetna	BCBS	131
37	Arkansas	$95	-10%	UHC	BCBS	120
38	California	$94	-11%	Cigna	Aetna	108
39	Indiana	$93	-11%	UHC	Aetna	122
40	Virginia	$93	-12%	UHC	Aetna	123
41	New York	$88	-16%	Cigna	Aetna	123
42	Louisiana	$88	-16%	Cigna	Aetna	110
43	Alabama	$88	-17%	Aetna	UHC	126
44	South Carolina	$88	-17%	UHC	Aetna	113
45	Oklahoma	$88	-17%	UHC	BCBS	119
46	Nevada	$85	-20%	BCBS	UHC	116
47	Maryland	$83	-21%	Aetna	BCBS	112
48	Arizona	$80	-24%	Cigna	Aetna	97
49	Delaware	$79	-25%	Aetna	BCBS	72
50	Texas	$79	-25%	UHC	BCBS	130
51	Florida	$78	-26%	BCBS	Aetna	111

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 93280?

In the files we analyzed, Cigna, at a median of $116 across 4,062 sampled providers. Aetna is lowest at $91, 27% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 134% of the 2026 Medicare non-facility rate of $78.49.

Which state has the highest median for CPT 93280?

Alaska has the highest median at $317; Florida has the lowest at $78.

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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