CPT 93294 · professional fee

Rem interrog evl pm/ldls pm (CPT 93294): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 93294, from their published in-network rate files.

CardiologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$48

P10 to P90: $31 to $85

vs Medicare

163%

non-facility rate $29.39

Payer spread

1.37×

Cigna $52 vs Aetna $38

State spread

3.7×

AK $117 to AZ $32

5,045 sampled providers6,765 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 93294 in the files analyzed, at $52, 37% above Aetna ($38), the lowest of the 4 payers shown.

The state spread is 3.7×: Alaska has the highest median at $117 and Arizona the lowest at $32, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 163% of the Medicare non-facility rate ($29.39), which ranks 90th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Cigna (interquartile range $24) and widest within UnitedHealthcare ($29).

This is a top-28 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	$52	$42	$66	+9%	1	4,069	178% of Medicare
UnitedHealthcare	$52	$40	$68	+9%	2	4,300	178% of Medicare
Blue Cross Blue Shield	$46	$37	$61	-4%	3	3,882	156% of Medicare
Aetna	$38	$32	$52	-21%	4	3,325	130% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($29.39)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$117	+145%	n/a	n/a	27
2	Georgia	$66	+38%	Cigna	Aetna	129
3	Wisconsin	$66	+38%	UHC	Cigna	99
4	Oregon	$64	+32%	UHC	Aetna	92
5	North Dakota	$63	+30%	UHC	Aetna	29
6	Washington	$62	+29%	UHC	BCBS	110
7	New Hampshire	$62	+28%	UHC	Aetna	117
8	Massachusetts	$61	+27%	UHC	Aetna	103
9	District of Columbia	$61	+27%	Cigna	BCBS	80
10	Iowa	$61	+26%	UHC	Aetna	113
11	South Dakota	$60	+25%	BCBS	UHC	34
12	Connecticut	$60	+24%	Cigna	Aetna	118
13	Nebraska	$58	+20%	UHC	Aetna	81
14	Rhode Island	$55	+15%	Cigna	BCBS	91
15	North Carolina	$54	+13%	UHC	Aetna	127
16	Ohio	$53	+11%	UHC	Cigna	117
17	Vermont	$52	+9%	UHC	BCBS	25
18	Wyoming	$52	+8%	n/a	n/a	20
19	Kansas	$51	+6%	UHC	Aetna	121
20	Kentucky	$50	+4%	Cigna	Aetna	128
21	Missouri	$49	+1%	Cigna	BCBS	120
22	Idaho	$48	+1%	UHC	Aetna	63
23	Indiana	$48	+1%	BCBS	Aetna	122
24	Tennessee	$48	-0%	UHC	Aetna	123
25	Mississippi	$47	-2%	Cigna	BCBS	132
26	New Jersey	$47	-3%	UHC	Aetna	113
27	New Mexico	$46	-3%	Cigna	BCBS	83
28	Colorado	$46	-4%	UHC	Aetna	127
29	Arkansas	$46	-4%	Cigna	BCBS	120
30	West Virginia	$46	-4%	Cigna	Aetna	80
31	Montana	$46	-5%	UHC	Cigna	48
32	Utah	$46	-5%	BCBS	UHC	97
33	Illinois	$46	-5%	UHC	BCBS	119
34	South Carolina	$45	-6%	BCBS	Aetna	117
35	Maine	$45	-7%	BCBS	Aetna	98
36	Pennsylvania	$44	-8%	UHC	Cigna	98
37	Alabama	$44	-8%	Aetna	BCBS	126
38	Maryland	$44	-8%	Cigna	BCBS	112
39	Michigan	$44	-9%	BCBS	UHC	123
40	Oklahoma	$43	-10%	UHC	Aetna	119
41	Minnesota	$42	-12%	UHC	Aetna	99
42	California	$42	-13%	Cigna	Aetna	107
43	Virginia	$41	-14%	Cigna	BCBS	123
44	Louisiana	$41	-15%	Cigna	Aetna	110
45	Delaware	$39	-19%	Cigna	BCBS	72
46	Texas	$39	-19%	UHC	BCBS	130
47	Nevada	$37	-23%	UHC	Aetna	116
48	Hawaii	$36	-25%	BCBS	Cigna	56
49	Florida	$36	-26%	UHC	Aetna	111
50	New York	$35	-26%	Cigna	Aetna	123
51	Arizona	$32	-34%	Cigna	Aetna	97

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 93294?

In the files we analyzed, Cigna, at a median of $52 across 4,069 sampled providers. Aetna is lowest at $38, 37% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 163% of the 2026 Medicare non-facility rate of $29.39.

Which state has the highest median for CPT 93294?

Alaska has the highest median at $117; Arizona has the lowest at $32.

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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