CPT 93458 · professional fee

L hrt artery/ventricle angio (CPT 93458): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 93458, from their published in-network rate files.

CardiologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee
Median rate
$1,573
P10 to P90: $983 to $2,920
vs Medicare
156%
non-facility rate $1,010.04
Payer spread
1.42×
UHC $1,804 vs Aetna $1,268
State spread
3.8×
AK $4,153 to AZ $1,081
5,019 sampled providers6,562 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers
1

UnitedHealthcare has the highest median for CPT 93458 in the files analyzed, at $1,804, 42% above Aetna ($1,268), the lowest of the 4 payers shown.

2

The state spread is 3.8×: Alaska has the highest median at $4,153 and Arizona the lowest at $1,081, a gap larger than the gap between the highest and lowest payer.

3

Commercial rates run 156% of the Medicare non-facility rate ($1,010.04), which ranks 105th of 228 tracked codes by commercial-to-Medicare ratio.

4

Rates are tightest within Aetna (interquartile range $601) and widest within Blue Cross Blue Shield ($1,126).

5

This is a top-15 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
PayerMedianP25P75vs nationalRankProvidersPosition
UnitedHealthcare$1,804$1,355$2,484+15%14,299
179% of Medicare
Cigna$1,689$1,348$2,253+7%24,056
167% of Medicare
Blue Cross Blue Shield$1,485$896$2,022-6%33,662
147% of Medicare
Aetna$1,268$1,108$1,709-19%43,322
126% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($1,010.04)
$490$1,085$1,680$2,275$2,870$3,465UnitedHealthcareCignaBlue Cross Blue ShieldAetnaMedicare

Rates by state

Median across payers · 51 states with enough data
RankStateMedianvs nationalHighest payerLowest payerProvidersLevel
1Alaska$4,153+164%n/an/a27
2Georgia$2,403+53%UHCAetna129
3Connecticut$2,344+49%UHCAetna118
4Washington$2,265+44%AetnaBCBS110
5Minnesota$2,259+44%UHCAetna101
6Oregon$2,183+39%UHCBCBS92
7New Hampshire$2,180+39%UHCAetna117
8Wisconsin$2,178+38%UHCCigna102
9Massachusetts$2,090+33%UHCAetna104
10Iowa$2,019+28%UHCAetna113
11North Dakota$2,013+28%UHCAetna30
12South Dakota$1,948+24%BCBSCigna34
12Nebraska$1,948+24%UHCAetna81
14District of Columbia$1,908+21%CignaBCBS80
15Wyoming$1,843+17%n/an/a20
16Mississippi$1,751+11%BCBSUHC132
17Ohio$1,702+8%UHCCigna115
18Missouri$1,683+7%UHCBCBS119
19Rhode Island$1,675+6%CignaBCBS91
20Tennessee$1,635+4%UHCAetna122
21Utah$1,621+3%BCBSAetna97
22Montana$1,617+3%UHCBCBS48
23Alabama$1,585+1%AetnaUHC127
24New Jersey$1,582+1%UHCAetna113
25Maine$1,573+0%BCBSAetna98
26Kansas$1,573-0%UHCBCBS121
27Idaho$1,564-1%CignaAetna63
28Colorado$1,553-1%UHCAetna127
29Pennsylvania$1,549-2%UHCCigna98
30Vermont$1,523-3%UHCBCBS25
31Illinois$1,518-3%UHCBCBS119
32Kentucky$1,505-4%CignaAetna127
33North Carolina$1,487-5%UHCBCBS116
34New Mexico$1,468-7%UHCBCBS84
35Maryland$1,461-7%AetnaBCBS112
36Arkansas$1,428-9%UHCBCBS120
37California$1,406-11%UHCAetna107
38Michigan$1,396-11%BCBSAetna119
39West Virginia$1,395-11%CignaAetna77
40Virginia$1,369-13%UHCBCBS121
41New York$1,341-15%CignaAetna123
42South Carolina$1,327-16%UHCAetna113
43Hawaii$1,323-16%CignaUHC54
44Indiana$1,319-16%UHCBCBS119
45Oklahoma$1,312-17%UHCBCBS119
46Louisiana$1,310-17%UHCAetna109
47Nevada$1,262-20%BCBSAetna116
48Delaware$1,253-20%UHCBCBS72
49Florida$1,180-25%UHCAetna111
50Texas$1,149-27%UHCBCBS130
51Arizona$1,081-31%CignaAetna97

Frequently asked questions

Answers use this page's data
Which payer has the highest median rate for CPT 93458?

In the files we analyzed, UnitedHealthcare, at a median of $1,804 across 4,299 sampled providers. Aetna is lowest at $1,268, 42% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 156% of the 2026 Medicare non-facility rate of $1,010.04.

Which state has the highest median for CPT 93458?

Alaska has the highest median at $4,153; Arizona has the lowest at $1,081.

Is this the surgeon, physician or facility payment?

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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