Cardiology · Indiana

Cardiology commercial reimbursement in Indiana

How Indiana cardiology rates compare with the national market.

Cardiology in Indiana

38 codes · 122 sampled providers
Index vs national
88
12% below
Rank among states
42 of 51
1 = highest
Codes above national
5 of 38
median code at 88%
Providers
122
sampled

What the data shows

1

Cardiology ranks 42nd of 51 states in Indiana with an index of 88 (100 = the specialty's national median), across 38 codes and 122 sampled providers.

2

Of the 38 cardiology codes with enough data in Indiana, 5 pay above the national median and 33 below; the typical code sits at 88% of the national median.

3

Largest premium over the national median: CPT 75574 (Ct angio hrt w/3d image) at 116%; largest discount: CPT 93297 (Rem interrog dev eval icpms) at 71%.

4

Measured against Medicare, Indiana cardiology rates have a median of 131% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeIndianaNationalGapProv.
75574
Ct angio hrt w/3d image
$576$495+16%122
93015
Cv stress test supvj i&r
$136$120+13%121
93296
Rem interrog evl pm/ids
$43$39+11%122
93306
Tte w/doppler complete
$325$317+2%122
93294
Rem interrog evl pm/ldls pm
$48$48+1%122

Lowest vs national

CodeIndianaNationalGapProv.
93297
Rem interrog dev eval icpms
$37$52-29%122
93925
Lower extremity study
$277$349-20%122
36465
Njx noncmpnd sclrsnt 1 vein
$148$185-20%122
99457
Rpm tx mgmt 1st 20 min
$42$53-20%122
93298
Rem interrog dev eval scrms
$43$52-19%122

All cardiology codes in Indiana

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeIndianaNationalGap% of MedicareProvidersTINsLevel
CPT 75574
Ct angio hrt w/3d image
$576$495+16%177%122248
CPT 93015
Cv stress test supvj i&r
$136$120+13%185%121250
CPT 93296
Rem interrog evl pm/ids
$43$39+11%136%122251
CPT 93306
Tte w/doppler complete
$325$317+3%165%122249
CPT 93294
Rem interrog evl pm/ldls pm
$48$48+1%164%122252
CPT 93016
Cv stress test supvj only
$34$34-0%164%122253
CPT 93351
Stress tte complete
$355$366-3%152%122247
CPT 92928
Prq tcat plmt ntrac st 1 les
$859$887-3%185%122248
CPT 93000
Electrocardiogram complete
$24$25-4%159%122252
CPT 33208
Insrt heart pm atrial & vent
$752$819-8%165%122252
CPT 99212
Office o/p est sf 10 min
$46$51-9%78%122251
CPT 99203
Office o/p new low 30 min
$110$122-10%94%122251
CPT 99490
Chrnc care mgmt staff 1st 20
$54$60-10%81%121244
CPT 99214
Office o/p est mod 30 min
$117$131-10%87%122251
CPT 93010
Electrocardiogram report
$11$13-11%135%122255
CPT 93280
Pm device progr eval dual
$93$105-11%119%122250
CPT 99213
Office o/p est low 20 min
$80$91-11%84%122251
CPT 93656
Compre ep eval abltj atr fib
$1,430$1,615-11%177%122249
CPT 93308
Tte f-up or lmtd
$137$155-12%135%122249
CPT 99204
Office o/p new mod 45 min
$169$192-12%95%122252
CPT 93312
Echo transesophageal
$338$387-13%141%122248
CPT 78452
Ht muscle image spect mult
$531$609-13%124%122252
CPT 99454
Rem mntr physiol param 16-30
$65$75-13%125%122246
CPT 93880
Extracranial bilat study
$246$283-13%130%122251
CPT 33361
Replace aortic valve perq
$1,679$1,938-13%156%122250
CPT 20610
Drain/inj joint/bursa w/o us
$72$83-14%104%122248
CPT 36482
Endoven ther chem adhes 1st
$238$278-14%150%119205
CPT 99215
Office o/p est hi 40 min
$157$185-15%82%122251
CPT 99205
Office o/p new hi 60 min
$212$250-15%90%122252
CPT 93970
Extremity study
$232$275-16%126%122251
CPT 33285
Insj subq car rhythm mntr
$114$135-16%150%119205
CPT 93458
L hrt artery/ventricle angio
$1,319$1,573-16%131%119183
CPT 93229
Remote 30 day ecg tech supp
$896$1,088-18%118%121241
CPT 93298
Rem interrog dev eval scrms
$43$52-19%41%122250
CPT 99457
Rpm tx mgmt 1st 20 min
$42$53-20%82%122245
CPT 36465
Njx noncmpnd sclrsnt 1 vein
$148$185-20%140%122245
CPT 93925
Lower extremity study
$277$349-20%117%122250
CPT 93297
Rem interrog dev eval icpms
$37$52-29%61%122250

Frequently asked questions

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

Indiana ranks 42nd of 51 states with an index of 88; 5 of 38 codes are above the national median.

Which cardiology code has the biggest premium in Indiana?

CPT 75574 (Ct angio hrt w/3d image), at 116% 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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