CPT 93296 · professional fee

Rem interrog evl pm/ids (CPT 93296): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 93296, from their published in-network rate files.

CardiologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$39

P10 to P90: $24 to $68

vs Medicare

123%

non-facility rate $31.73

Payer spread

1.45×

UHC $44 vs Aetna $30

State spread

3.0×

AK $86 to FL $29

5,055 sampled providers6,812 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 93296 in the files analyzed, at $44, 45% above Aetna ($30), the lowest of the 4 payers shown.

The state spread is 3.0×: Alaska has the highest median at $86 and Florida the lowest at $29, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 123% of the Medicare non-facility rate ($31.73), which ranks 163rd of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $14) and widest within Blue Cross Blue Shield ($23).

This is a top-35 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	$44	$33	$56	+11%	1	4,300	137% of Medicare
Cigna	$41	$33	$52	+6%	2	4,068	130% of Medicare
Blue Cross Blue Shield	$40	$32	$54	+2%	3	3,938	126% of Medicare
Aetna	$30	$25	$39	-23%	4	3,114	95% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($31.73)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$86	+121%	n/a	n/a	27
2	Wisconsin	$64	+64%	BCBS	Cigna	108
3	Iowa	$59	+51%	UHC	Aetna	112
4	Massachusetts	$56	+42%	UHC	Aetna	104
5	New Hampshire	$54	+39%	UHC	Aetna	117
6	Connecticut	$53	+37%	UHC	Aetna	118
7	Georgia	$53	+35%	BCBS	Aetna	128
8	Oregon	$51	+30%	UHC	Aetna	92
9	Washington	$50	+29%	Aetna	BCBS	110
10	North Dakota	$49	+25%	UHC	Aetna	29
11	South Dakota	$47	+21%	BCBS	UHC	34
12	District of Columbia	$47	+20%	Cigna	BCBS	80
13	Rhode Island	$45	+16%	Cigna	BCBS	91
14	Illinois	$45	+16%	UHC	Aetna	119
15	Vermont	$44	+14%	Cigna	BCBS	25
16	Minnesota	$44	+13%	UHC	Aetna	102
17	North Carolina	$44	+13%	UHC	Aetna	127
18	Indiana	$43	+11%	BCBS	Aetna	122
19	New Jersey	$42	+6%	UHC	BCBS	113
20	California	$41	+6%	Cigna	Aetna	108
21	Kansas	$41	+6%	BCBS	Aetna	121
22	Ohio	$41	+6%	BCBS	Aetna	117
23	Nebraska	$40	+2%	UHC	Aetna	81
24	Mississippi	$38	-2%	Cigna	Aetna	132
25	Kentucky	$38	-2%	UHC	Aetna	128
26	Colorado	$38	-3%	UHC	Aetna	127
26	Wyoming	$38	-3%	n/a	n/a	20
28	Missouri	$38	-3%	Cigna	Aetna	120
29	Tennessee	$38	-4%	UHC	Aetna	123
30	Michigan	$38	-4%	BCBS	Aetna	123
31	Pennsylvania	$38	-4%	UHC	BCBS	98
32	Idaho	$37	-6%	Cigna	BCBS	63
33	Utah	$36	-7%	BCBS	UHC	97
34	Arkansas	$36	-9%	Cigna	Aetna	120
35	West Virginia	$35	-9%	UHC	Aetna	80
36	New Mexico	$35	-9%	UHC	BCBS	82
37	Nevada	$35	-10%	UHC	Aetna	116
38	South Carolina	$35	-10%	BCBS	Aetna	117
39	Delaware	$35	-10%	Cigna	BCBS	72
40	Maryland	$35	-11%	UHC	BCBS	112
41	Maine	$35	-11%	BCBS	Aetna	98
42	Alabama	$35	-12%	BCBS	UHC	126
43	Montana	$34	-14%	UHC	BCBS	48
44	Hawaii	$33	-15%	BCBS	UHC	56
45	Oklahoma	$32	-17%	UHC	Aetna	119
46	Virginia	$32	-18%	UHC	BCBS	123
47	Louisiana	$31	-21%	UHC	Aetna	110
48	Arizona	$30	-22%	UHC	Aetna	97
49	Texas	$30	-24%	UHC	BCBS	130
50	New York	$30	-24%	Cigna	Aetna	122
51	Florida	$29	-26%	UHC	Cigna	111

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 93296?

In the files we analyzed, UnitedHealthcare, at a median of $44 across 4,300 sampled providers. Aetna is lowest at $30, 45% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 123% of the 2026 Medicare non-facility rate of $31.73.

Which state has the highest median for CPT 93296?

Alaska has the highest median at $86; Florida has the lowest at $29.

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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