CPT 93297 · professional fee

Rem interrog dev eval icpms (CPT 93297): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 93297, from their published in-network rate files.

CardiologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$52

P10 to P90: $27 to $120

vs Medicare

86%

non-facility rate $60.79

Payer spread

1.78×

BCBS $62 vs Aetna $35

State spread

5.6×

AK $167 to DE $30

5,057 sampled providers6,877 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers

Blue Cross Blue Shield has the highest median for CPT 93297 in the files analyzed, at $62, 78% above Aetna ($35), the lowest of the 4 payers shown.

The state spread is 5.6×: Alaska has the highest median at $167 and Delaware the lowest at $30, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 86% of the Medicare non-facility rate ($60.79), which ranks 223rd of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Blue Cross Blue Shield (interquartile range $49) and widest within Aetna ($31).

This is a top-36 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
Blue Cross Blue Shield	$62	$46	$95	+19%	1	3,989	102% of Medicare
Cigna	$52	$38	$83	+0%	2	4,069	86% of Medicare
UnitedHealthcare	$48	$34	$72	-8%	3	4,300	79% of Medicare
Aetna	$35	$27	$58	-33%	4	2,774	58% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($60.79)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$167	+220%	n/a	n/a	27
2	Oregon	$102	+96%	UHC	Aetna	92
3	Massachusetts	$101	+92%	BCBS	Aetna	107
4	Montana	$95	+82%	Cigna	UHC	48
5	Maine	$92	+75%	UHC	Aetna	98
6	New Hampshire	$89	+71%	BCBS	Aetna	117
7	Washington	$83	+58%	UHC	Aetna	109
8	Minnesota	$82	+56%	BCBS	Aetna	100
9	Nebraska	$81	+55%	BCBS	UHC	81
10	Wyoming	$80	+53%	n/a	n/a	20
11	Wisconsin	$78	+49%	BCBS	Aetna	108
12	Hawaii	$74	+42%	UHC	BCBS	56
13	Iowa	$73	+40%	BCBS	Aetna	113
14	North Dakota	$72	+38%	BCBS	Aetna	30
15	Colorado	$66	+26%	BCBS	Cigna	127
16	Georgia	$64	+22%	UHC	Aetna	129
17	Utah	$63	+21%	UHC	Cigna	97
18	West Virginia	$61	+16%	Cigna	Aetna	80
19	District of Columbia	$60	+16%	UHC	Aetna	80
20	Ohio	$60	+15%	Aetna	BCBS	117
21	Kansas	$58	+12%	Aetna	Cigna	121
22	Vermont	$58	+12%	UHC	BCBS	25
23	Maryland	$56	+8%	Cigna	Aetna	111
24	South Dakota	$56	+7%	BCBS	Cigna	34
25	Arizona	$56	+7%	BCBS	Cigna	97
26	Alabama	$53	+1%	Aetna	UHC	126
26	North Carolina	$53	+1%	UHC	Aetna	127
28	New York	$52	+0%	BCBS	Aetna	123
29	Texas	$52	-0%	BCBS	Aetna	130
30	Rhode Island	$52	-0%	BCBS	Aetna	91
31	Connecticut	$51	-2%	Cigna	Aetna	118
32	Pennsylvania	$50	-5%	BCBS	Aetna	98
33	New Jersey	$49	-6%	BCBS	Aetna	113
34	Kentucky	$48	-8%	Aetna	BCBS	128
35	Illinois	$47	-11%	Cigna	BCBS	119
36	Virginia	$46	-12%	BCBS	Aetna	123
37	New Mexico	$46	-12%	Cigna	Aetna	83
38	Missouri	$45	-13%	Cigna	UHC	120
39	Arkansas	$44	-16%	BCBS	Aetna	120
40	Tennessee	$43	-18%	Cigna	Aetna	123
41	Idaho	$43	-18%	BCBS	Aetna	61
42	Louisiana	$41	-21%	Cigna	Aetna	110
43	Oklahoma	$40	-23%	Aetna	BCBS	119
44	Mississippi	$40	-24%	Aetna	BCBS	132
45	Indiana	$37	-29%	BCBS	Aetna	122
46	Michigan	$36	-32%	BCBS	UHC	123
47	South Carolina	$35	-32%	BCBS	Aetna	117
48	California	$35	-33%	UHC	Aetna	108
49	Florida	$34	-36%	UHC	Aetna	111
50	Nevada	$30	-42%	BCBS	Aetna	116
51	Delaware	$30	-43%	BCBS	UHC	72

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 93297?

In the files we analyzed, Blue Cross Blue Shield, at a median of $62 across 3,989 sampled providers. Aetna is lowest at $35, 78% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 86% of the 2026 Medicare non-facility rate of $60.79.

Which state has the highest median for CPT 93297?

Alaska has the highest median at $167; Delaware has the lowest at $30.

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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