CPT 93298 · professional fee

Rem interrog dev eval scrms (CPT 93298): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 93298, 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: $28 to $198

vs Medicare

51%

non-facility rate $103.21

Payer spread

2.70×

BCBS $100 vs Aetna $37

State spread

5.4×

OR $174 to DE $32

5,066 sampled providers6,928 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 93298 in the files analyzed, at $100, 170% above Aetna ($37), the lowest of the 4 payers shown.

The state spread is 5.4×: Oregon has the highest median at $174 and Delaware the lowest at $32, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 51% of the Medicare non-facility rate ($103.21), which ranks 228th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within UnitedHealthcare (interquartile range $41) and widest within Cigna ($89).

This is a top-18 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	$100	$47	$155	+90%	1	4,007	96% of Medicare
Cigna	$53	$40	$128	+2%	2	4,069	52% of Medicare
UnitedHealthcare	$49	$35	$76	-6%	3	4,300	48% of Medicare
Aetna	$37	$29	$66	-30%	4	3,285	36% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($103.21)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Oregon	$174	+232%	UHC	Aetna	92
2	Alaska	$167	+220%	n/a	n/a	27
3	Montana	$160	+207%	BCBS	UHC	49
4	Nebraska	$136	+159%	BCBS	UHC	81
5	Hawaii	$128	+144%	Cigna	BCBS	56
6	Massachusetts	$125	+139%	BCBS	Aetna	108
7	Iowa	$107	+104%	BCBS	Cigna	113
8	North Dakota	$105	+101%	BCBS	Aetna	30
9	Wyoming	$100	+92%	n/a	n/a	20
10	Arizona	$94	+79%	BCBS	UHC	98
11	New Hampshire	$92	+77%	BCBS	Aetna	117
12	Wisconsin	$84	+61%	Cigna	Aetna	108
13	Minnesota	$83	+58%	BCBS	Aetna	100
14	Colorado	$79	+52%	BCBS	Cigna	127
15	Washington	$72	+37%	UHC	Aetna	110
16	Kansas	$71	+35%	Aetna	Cigna	121
17	West Virginia	$69	+32%	Cigna	Aetna	80
18	Alabama	$68	+30%	Aetna	UHC	126
19	Georgia	$67	+28%	UHC	Aetna	129
20	Ohio	$67	+28%	Aetna	BCBS	117
21	Utah	$63	+21%	UHC	Cigna	97
22	Vermont	$60	+15%	UHC	BCBS	25
23	South Dakota	$60	+15%	BCBS	Cigna	34
24	District of Columbia	$59	+12%	UHC	BCBS	80
25	New York	$58	+12%	BCBS	Aetna	123
26	Connecticut	$54	+3%	Cigna	Aetna	119
27	New Jersey	$54	+3%	BCBS	Aetna	113
28	Rhode Island	$52	-1%	Cigna	Aetna	91
29	Texas	$51	-2%	BCBS	Aetna	130
30	Missouri	$51	-3%	Aetna	UHC	120
31	Pennsylvania	$50	-4%	BCBS	Aetna	98
32	Kentucky	$49	-7%	Aetna	BCBS	128
33	Mississippi	$48	-8%	Aetna	UHC	132
34	Illinois	$47	-10%	Cigna	BCBS	119
35	North Carolina	$47	-10%	UHC	Aetna	127
36	New Mexico	$46	-12%	Cigna	Aetna	83
37	Tennessee	$46	-12%	Cigna	Aetna	123
38	Maine	$45	-13%	UHC	Aetna	99
39	Virginia	$45	-14%	BCBS	Aetna	123
40	Idaho	$43	-18%	BCBS	Aetna	63
41	Indiana	$43	-19%	BCBS	Aetna	122
42	Arkansas	$42	-19%	BCBS	Aetna	120
43	Oklahoma	$42	-20%	UHC	Aetna	119
44	California	$41	-21%	UHC	Aetna	108
45	Maryland	$41	-21%	Cigna	BCBS	112
46	Louisiana	$41	-22%	Cigna	Aetna	110
47	Michigan	$38	-28%	BCBS	UHC	123
48	South Carolina	$37	-29%	BCBS	Aetna	117
49	Nevada	$34	-35%	BCBS	Aetna	116
50	Florida	$33	-37%	BCBS	Aetna	111
51	Delaware	$32	-38%	Cigna	BCBS	72

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 93298?

In the files we analyzed, Blue Cross Blue Shield, at a median of $100 across 4,007 sampled providers. Aetna is lowest at $37, 170% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 51% of the 2026 Medicare non-facility rate of $103.21.

Which state has the highest median for CPT 93298?

Oregon has the highest median at $174; Delaware 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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