Cardiology · Arizona

Cardiology commercial reimbursement in Arizona

How Arizona cardiology rates compare with the national market.

Cardiology in Arizona

38 codes · 98 sampled providers
Index vs national
69
31% below
Rank among states
51 of 51
1 = highest
Codes above national
2 of 38
median code at 69%
Providers
98
sampled

What the data shows

1

Cardiology ranks 51st of 51 states in Arizona with an index of 69 (100 = the specialty's national median), across 38 codes and 98 sampled providers.

2

Of the 38 cardiology codes with enough data in Arizona, 2 pay above the national median and 36 below; the typical code sits at 69% of the national median.

3

Largest premium over the national median: CPT 93298 (Rem interrog dev eval scrms) at 179%; largest discount: CPT 93000 (Electrocardiogram complete) at 62%.

4

Measured against Medicare, Arizona cardiology rates have a median of 103% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeArizonaNationalGapProv.
93298
Rem interrog dev eval scrms
$94$52+79%98
93297
Rem interrog dev eval icpms
$56$52+7%97
75574
Ct angio hrt w/3d image
$396$495-20%94
78452
Ht muscle image spect mult
$479$609-21%98
93296
Rem interrog evl pm/ids
$30$39-22%97

Lowest vs national

CodeArizonaNationalGapProv.
93000
Electrocardiogram complete
$16$25-38%98
93656
Compre ep eval abltj atr fib
$1,024$1,615-37%97
93015
Cv stress test supvj i&r
$77$120-36%98
93016
Cv stress test supvj only
$22$34-35%97
93306
Tte w/doppler complete
$206$317-35%98

All cardiology codes in Arizona

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeArizonaNationalGap% of MedicareProvidersTINsLevel
CPT 93298
Rem interrog dev eval scrms
$94$52+79%91%98257
CPT 93297
Rem interrog dev eval icpms
$56$52+7%92%97255
CPT 75574
Ct angio hrt w/3d image
$396$495-20%122%94248
CPT 78452
Ht muscle image spect mult
$479$609-21%112%98260
CPT 93296
Rem interrog evl pm/ids
$30$39-22%96%97255
CPT 93280
Pm device progr eval dual
$80$105-24%102%97256
CPT 99454
Rem mntr physiol param 16-30
$55$75-27%105%97250
CPT 99457
Rpm tx mgmt 1st 20 min
$39$53-27%74%97250
CPT 20610
Drain/inj joint/bursa w/o us
$60$83-27%88%97254
CPT 99490
Chrnc care mgmt staff 1st 20
$43$60-28%65%97252
CPT 93229
Remote 30 day ecg tech supp
$769$1,088-29%101%98250
CPT 99212
Office o/p est sf 10 min
$36$51-30%60%98257
CPT 36465
Njx noncmpnd sclrsnt 1 vein
$129$185-30%123%98247
CPT 93308
Tte f-up or lmtd
$108$155-30%107%97256
CPT 36482
Endoven ther chem adhes 1st
$193$278-30%122%97246
CPT 33285
Insj subq car rhythm mntr
$94$135-30%124%97255
CPT 93351
Stress tte complete
$253$366-31%109%97254
CPT 99214
Office o/p est mod 30 min
$91$131-31%67%98263
CPT 93925
Lower extremity study
$241$349-31%101%97257
CPT 93458
L hrt artery/ventricle angio
$1,081$1,573-31%107%97255
CPT 99203
Office o/p new low 30 min
$84$122-32%71%97258
CPT 33208
Insrt heart pm atrial & vent
$559$819-32%123%97253
CPT 93970
Extremity study
$188$275-32%102%98257
CPT 93010
Electrocardiogram report
$9$13-32%103%97257
CPT 93880
Extracranial bilat study
$192$283-32%102%98256
CPT 99204
Office o/p new mod 45 min
$130$192-32%73%98263
CPT 33361
Replace aortic valve perq
$1,312$1,938-32%122%96252
CPT 92928
Prq tcat plmt ntrac st 1 les
$599$887-33%129%97257
CPT 99205
Office o/p new hi 60 min
$168$250-33%71%97259
CPT 99215
Office o/p est hi 40 min
$124$185-33%64%97259
CPT 93312
Echo transesophageal
$257$387-34%107%97256
CPT 93294
Rem interrog evl pm/ldls pm
$32$48-34%108%97255
CPT 99213
Office o/p est low 20 min
$59$91-35%62%98260
CPT 93306
Tte w/doppler complete
$206$317-35%105%98263
CPT 93016
Cv stress test supvj only
$22$34-35%106%97256
CPT 93015
Cv stress test supvj i&r
$77$120-36%105%98260
CPT 93656
Compre ep eval abltj atr fib
$1,024$1,615-37%127%97256
CPT 93000
Electrocardiogram complete
$16$25-38%103%98260

Frequently asked questions

How do Arizona cardiology rates compare with the rest of the country?

Arizona ranks 51st of 51 states with an index of 69; 2 of 38 codes are above the national median.

Which cardiology code has the biggest premium in Arizona?

CPT 93298 (Rem interrog dev eval scrms), at 179% of the national median.

Are these Medicare or commercial rates?

Commercial in-network negotiated rates from four national payers' published files; the Medicare comparison column uses the CY2026 Medicare physician fee schedule.

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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