Cardiology · Maryland

Cardiology commercial reimbursement in Maryland

How Maryland cardiology rates compare with the national market.

Cardiology in Maryland

38 codes · 112 sampled providers
Index vs national
90
10% below
Rank among states
37 of 51
1 = highest
Codes above national
3 of 38
median code at 90%
Providers
112
sampled

What the data shows

1

Cardiology ranks 37th of 51 states in Maryland with an index of 90 (100 = the specialty's national median), across 38 codes and 112 sampled providers.

2

Of the 38 cardiology codes with enough data in Maryland, 3 pay above the national median and 35 below; the typical code sits at 90% of the national median.

3

Largest premium over the national median: CPT 93297 (Rem interrog dev eval icpms) at 108%; largest discount: CPT 93016 (Cv stress test supvj only) at 70%.

4

Measured against Medicare, Maryland cardiology rates have a median of 119% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeMarylandNationalGapProv.
93297
Rem interrog dev eval icpms
$56$52+8%111
93306
Tte w/doppler complete
$331$317+5%112
93000
Electrocardiogram complete
$25$25+0%112
99203
Office o/p new low 30 min
$121$122-1%112
93351
Stress tte complete
$359$366-2%112

Lowest vs national

CodeMarylandNationalGapProv.
93016
Cv stress test supvj only
$24$34-30%111
93312
Echo transesophageal
$284$387-27%112
93308
Tte f-up or lmtd
$114$155-26%112
36482
Endoven ther chem adhes 1st
$208$278-25%110
36465
Njx noncmpnd sclrsnt 1 vein
$140$185-24%111

All cardiology codes in Maryland

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeMarylandNationalGap% of MedicareProvidersTINsLevel
CPT 93297
Rem interrog dev eval icpms
$56$52+8%93%111185
CPT 93306
Tte w/doppler complete
$331$317+5%168%112187
CPT 93000
Electrocardiogram complete
$25$25+0%166%112186
CPT 99203
Office o/p new low 30 min
$121$122-1%103%112188
CPT 93351
Stress tte complete
$359$366-2%154%112185
CPT 99212
Office o/p est sf 10 min
$50$51-2%84%112188
CPT 99204
Office o/p new mod 45 min
$183$192-4%103%112188
CPT 99205
Office o/p new hi 60 min
$239$250-4%101%112188
CPT 75574
Ct angio hrt w/3d image
$468$495-5%144%111184
CPT 93656
Compre ep eval abltj atr fib
$1,508$1,615-7%187%112184
CPT 93925
Lower extremity study
$325$349-7%137%112187
CPT 93015
Cv stress test supvj i&r
$112$120-7%152%112187
CPT 99215
Office o/p est hi 40 min
$172$185-7%89%112188
CPT 99214
Office o/p est mod 30 min
$122$131-7%90%112188
CPT 93458
L hrt artery/ventricle angio
$1,461$1,573-7%145%112184
CPT 99213
Office o/p est low 20 min
$84$91-7%88%112189
CPT 93294
Rem interrog evl pm/ldls pm
$44$48-8%150%112185
CPT 20610
Drain/inj joint/bursa w/o us
$76$83-9%110%112187
CPT 33208
Insrt heart pm atrial & vent
$738$819-10%162%112186
CPT 92928
Prq tcat plmt ntrac st 1 les
$795$887-10%171%112185
CPT 93296
Rem interrog evl pm/ids
$35$39-11%109%112185
CPT 93010
Electrocardiogram report
$11$13-12%133%112184
CPT 99490
Chrnc care mgmt staff 1st 20
$52$60-13%78%111186
CPT 93880
Extracranial bilat study
$246$283-13%130%112187
CPT 93970
Extremity study
$238$275-14%129%112187
CPT 93229
Remote 30 day ecg tech supp
$888$1,088-18%117%110182
CPT 33361
Replace aortic valve perq
$1,568$1,938-19%145%112186
CPT 99457
Rpm tx mgmt 1st 20 min
$42$53-20%81%111186
CPT 33285
Insj subq car rhythm mntr
$108$135-20%143%112188
CPT 93280
Pm device progr eval dual
$83$105-21%106%112186
CPT 93298
Rem interrog dev eval scrms
$41$52-21%40%112185
CPT 99454
Rem mntr physiol param 16-30
$58$75-22%112%111187
CPT 78452
Ht muscle image spect mult
$475$609-22%111%111189
CPT 36465
Njx noncmpnd sclrsnt 1 vein
$140$185-24%133%111188
CPT 36482
Endoven ther chem adhes 1st
$208$278-25%131%110186
CPT 93308
Tte f-up or lmtd
$114$155-27%112%112187
CPT 93312
Echo transesophageal
$284$387-27%119%112184
CPT 93016
Cv stress test supvj only
$24$34-30%115%111184

Frequently asked questions

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

Maryland ranks 37th of 51 states with an index of 90; 3 of 38 codes are above the national median.

Which cardiology code has the biggest premium in Maryland?

CPT 93297 (Rem interrog dev eval icpms), at 108% 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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