Cardiology · Maine

Cardiology commercial reimbursement in Maine

How Maine cardiology rates compare with the national market.

Cardiology Maine

Cardiology in Maine

38 codes · 100 sampled providers

Index vs national

3% below

Rank among states

30 of 51

1 = highest

Codes above national

15 of 38

median code at 97%

Providers

100

sampled

What the data shows

Cardiology ranks 30th of 51 states in Maine with an index of 97 (100 = the specialty's national median), across 38 codes and 100 sampled providers.

Of the 38 cardiology codes with enough data in Maine, 15 pay above the national median and 23 below; the typical code sits at 97% of the national median.

Largest premium over the national median: CPT 93297 (Rem interrog dev eval icpms) at 175%; largest discount: CPT 93298 (Rem interrog dev eval scrms) at 87%.

Measured against Medicare, Maine cardiology rates have a median of 147% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

Code	Maine	National	Gap	Prov.
93297 Rem interrog dev eval icpms	$92	$52	+75%	98
99205 Office o/p new hi 60 min	$282	$250	+13%	100
99212 Office o/p est sf 10 min	$57	$51	+11%	100
99213 Office o/p est low 20 min	$101	$91	+11%	100
99214 Office o/p est mod 30 min	$142	$131	+8%	100

Lowest vs national

Code	Maine	National	Gap	Prov.
93298 Rem interrog dev eval scrms	$45	$52	-13%	99
93296 Rem interrog evl pm/ids	$35	$39	-11%	98
93015 Cv stress test supvj i&r	$108	$120	-10%	100
93000 Electrocardiogram complete	$23	$25	-8%	100
93016 Cv stress test supvj only	$32	$34	-7%	99

All cardiology codes in Maine

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium

Code	Maine	National	Gap	% of Medicare	Providers	TINs
CPT 93297 Rem interrog dev eval icpms	$92	$52	+75%	151%	98	95
CPT 99205 Office o/p new hi 60 min	$282	$250	+13%	119%	100	105
CPT 99212 Office o/p est sf 10 min	$57	$51	+11%	95%	100	105
CPT 99213 Office o/p est low 20 min	$101	$91	+11%	106%	100	105
CPT 99214 Office o/p est mod 30 min	$142	$131	+9%	105%	100	105
CPT 93229 Remote 30 day ecg tech supp	$1,180	$1,088	+8%	156%	98	91
CPT 99204 Office o/p new mod 45 min	$207	$192	+8%	117%	100	105
CPT 99215 Office o/p est hi 40 min	$200	$185	+8%	104%	100	105
CPT 99457 Rpm tx mgmt 1st 20 min	$57	$53	+8%	110%	97	97
CPT 99454 Rem mntr physiol param 16-30	$80	$75	+7%	154%	97	97
CPT 99490 Chrnc care mgmt staff 1st 20	$64	$60	+7%	97%	98	95
CPT 93280 Pm device progr eval dual	$110	$105	+4%	140%	99	97
CPT 99203 Office o/p new low 30 min	$127	$122	+4%	108%	100	105
CPT 20610 Drain/inj joint/bursa w/o us	$85	$83	+3%	124%	99	100
CPT 36482 Endoven ther chem adhes 1st	$282	$278	+1%	178%	98	95
CPT 93458 L hrt artery/ventricle angio	$1,573	$1,573	+0%	156%	98	94
CPT 33285 Insj subq car rhythm mntr	$133	$135	-2%	175%	99	98
CPT 93925 Lower extremity study	$341	$349	-2%	144%	99	96
CPT 93351 Stress tte complete	$356	$366	-3%	153%	99	98
CPT 93656 Compre ep eval abltj atr fib	$1,571	$1,615	-3%	195%	99	97
CPT 36465 Njx noncmpnd sclrsnt 1 vein	$180	$185	-3%	171%	99	96
CPT 78452 Ht muscle image spect mult	$591	$609	-3%	138%	98	97
CPT 93970 Extremity study	$265	$275	-4%	144%	100	99
CPT 93308 Tte f-up or lmtd	$149	$155	-4%	147%	100	100
CPT 93306 Tte w/doppler complete	$304	$317	-4%	155%	100	100
CPT 33208 Insrt heart pm atrial & vent	$785	$819	-4%	172%	99	98
CPT 92928 Prq tcat plmt ntrac st 1 les	$848	$887	-4%	183%	99	98
CPT 93010 Electrocardiogram report	$12	$13	-5%	144%	99	102
CPT 75574 Ct angio hrt w/3d image	$471	$495	-5%	145%	98	93
CPT 93312 Echo transesophageal	$366	$387	-5%	153%	98	96
CPT 33361 Replace aortic valve perq	$1,812	$1,938	-6%	168%	99	97
CPT 93880 Extracranial bilat study	$264	$283	-7%	140%	100	99
CPT 93294 Rem interrog evl pm/ldls pm	$45	$48	-7%	152%	98	96
CPT 93016 Cv stress test supvj only	$32	$34	-7%	153%	99	100
CPT 93000 Electrocardiogram complete	$23	$25	-8%	152%	100	103
CPT 93015 Cv stress test supvj i&r	$108	$120	-10%	148%	100	99
CPT 93296 Rem interrog evl pm/ids	$35	$39	-11%	109%	98	96
CPT 93298 Rem interrog dev eval scrms	$45	$52	-13%	44%	99	98

Frequently asked questions

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

Maine ranks 30th of 51 states with an index of 97; 15 of 38 codes are above the national median.

Which cardiology code has the biggest premium in Maine?

CPT 93297 (Rem interrog dev eval icpms), at 175% 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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