CPT 93656 · professional fee

Compre ep eval abltj atr fib (CPT 93656): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 93656, from their published in-network rate files.

CardiologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$1,615

P10 to P90: $1,034 to $2,891

vs Medicare

200%

non-facility rate $806.63

Payer spread

1.51×

UHC $1,920 vs Aetna $1,275

State spread

3.6×

AK $3,738 to AZ $1,024

5,054 sampled providers6,907 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 93656 in the files analyzed, at $1,920, 51% above Aetna ($1,275), the lowest of the 4 payers shown.

The state spread is 3.6×: Alaska has the highest median at $3,738 and Arizona the lowest at $1,024, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 200% of the Medicare non-facility rate ($806.63), which ranks 34th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $584) and widest within UnitedHealthcare ($1,083).

This is a top-33 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	$1,920	$1,452	$2,535	+19%	1	4,296	238% of Medicare
Cigna	$1,694	$1,343	$2,181	+5%	2	4,057	210% of Medicare
Blue Cross Blue Shield	$1,583	$1,246	$2,070	-2%	3	3,963	196% of Medicare
Aetna	$1,275	$1,054	$1,638	-21%	4	3,117	158% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($806.63)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$3,738	+131%	n/a	n/a	27
2	Georgia	$2,318	+43%	UHC	Aetna	128
3	North Carolina	$2,221	+37%	UHC	Aetna	127
4	Oregon	$2,174	+35%	UHC	Aetna	92
5	Connecticut	$2,170	+34%	Cigna	Aetna	119
6	Minnesota	$2,162	+34%	UHC	Aetna	102
7	Wisconsin	$2,134	+32%	UHC	Cigna	100
8	Washington	$2,039	+26%	Aetna	BCBS	110
9	New Hampshire	$2,024	+25%	UHC	Aetna	117
10	District of Columbia	$2,019	+25%	Cigna	BCBS	80
11	Rhode Island	$2,010	+24%	Cigna	Aetna	91
12	South Dakota	$1,973	+22%	Cigna	BCBS	34
13	Iowa	$1,944	+20%	UHC	Aetna	113
14	North Dakota	$1,830	+13%	UHC	Aetna	30
15	Massachusetts	$1,786	+11%	UHC	Aetna	108
16	Utah	$1,762	+9%	UHC	Aetna	97
17	Nebraska	$1,732	+7%	UHC	Aetna	81
18	Kansas	$1,696	+5%	Cigna	BCBS	121
19	Ohio	$1,674	+4%	UHC	BCBS	117
20	Wyoming	$1,659	+3%	n/a	n/a	20
21	Alabama	$1,638	+1%	BCBS	UHC	126
22	Arkansas	$1,620	+0%	UHC	BCBS	120
23	Missouri	$1,617	+0%	UHC	BCBS	120
24	Idaho	$1,614	-0%	Cigna	BCBS	63
25	New Jersey	$1,604	-1%	UHC	Aetna	113
26	Kentucky	$1,604	-1%	UHC	Aetna	128
27	Illinois	$1,593	-1%	UHC	Aetna	119
28	New Mexico	$1,588	-2%	UHC	BCBS	83
29	Mississippi	$1,583	-2%	Cigna	BCBS	131
29	Tennessee	$1,583	-2%	UHC	Aetna	123
31	Maine	$1,571	-3%	BCBS	Aetna	99
32	Vermont	$1,565	-3%	Cigna	BCBS	25
33	Oklahoma	$1,515	-6%	UHC	Aetna	119
34	Colorado	$1,512	-6%	UHC	Aetna	127
35	Maryland	$1,508	-7%	UHC	BCBS	112
36	New York	$1,478	-8%	Cigna	Aetna	123
37	Pennsylvania	$1,460	-10%	UHC	Cigna	98
38	Montana	$1,456	-10%	UHC	Cigna	49
39	Louisiana	$1,451	-10%	UHC	Cigna	110
40	Indiana	$1,430	-11%	UHC	Aetna	122
41	South Carolina	$1,378	-15%	BCBS	Aetna	117
42	West Virginia	$1,361	-16%	Cigna	BCBS	80
43	Florida	$1,346	-17%	UHC	Aetna	111
44	California	$1,343	-17%	UHC	Aetna	107
45	Virginia	$1,341	-17%	UHC	BCBS	123
46	Nevada	$1,330	-18%	Cigna	Aetna	116
47	Michigan	$1,328	-18%	UHC	BCBS	123
48	Texas	$1,296	-20%	UHC	BCBS	130
49	Delaware	$1,260	-22%	UHC	BCBS	72
50	Hawaii	$1,095	-32%	UHC	Cigna	54
51	Arizona	$1,024	-37%	Cigna	BCBS	97

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 93656?

In the files we analyzed, UnitedHealthcare, at a median of $1,920 across 4,296 sampled providers. Aetna is lowest at $1,275, 51% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 200% of the 2026 Medicare non-facility rate of $806.63.

Which state has the highest median for CPT 93656?

Alaska has the highest median at $3,738; Arizona has the lowest at $1,024.

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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