Cardiology · Nevada

Cardiology commercial reimbursement in Nevada

How Nevada cardiology rates compare with the national market.

Cardiology in Nevada

38 codes · 116 sampled providers
Index vs national
76
24% below
Rank among states
50 of 51
1 = highest
Codes above national
0 of 38
median code at 77%
Providers
116
sampled

What the data shows

1

Cardiology ranks 50th of 51 states in Nevada with an index of 76 (100 = the specialty's national median), across 38 codes and 116 sampled providers.

2

Of the 38 cardiology codes with enough data in Nevada, 0 pay above the national median and 38 below; the typical code sits at 77% of the national median.

3

Largest premium over the national median: CPT 93296 (Rem interrog evl pm/ids) at 90%; largest discount: CPT 93297 (Rem interrog dev eval icpms) at 58%.

4

Measured against Medicare, Nevada cardiology rates have a median of 115% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeNevadaNationalGapProv.
93296
Rem interrog evl pm/ids
$35$39-10%116
99454
Rem mntr physiol param 16-30
$66$75-12%116
93229
Remote 30 day ecg tech supp
$913$1,088-16%115
99457
Rpm tx mgmt 1st 20 min
$44$53-17%116
93656
Compre ep eval abltj atr fib
$1,330$1,615-18%116

Lowest vs national

CodeNevadaNationalGapProv.
93297
Rem interrog dev eval icpms
$30$52-42%116
93298
Rem interrog dev eval scrms
$34$52-35%116
36465
Njx noncmpnd sclrsnt 1 vein
$132$185-29%115
33208
Insrt heart pm atrial & vent
$585$819-29%116
33285
Insj subq car rhythm mntr
$98$135-27%116

All cardiology codes in Nevada

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeNevadaNationalGap% of MedicareProvidersTINsLevel
CPT 93296
Rem interrog evl pm/ids
$35$39-10%111%116116
CPT 99454
Rem mntr physiol param 16-30
$66$75-11%127%116118
CPT 93229
Remote 30 day ecg tech supp
$913$1,088-16%120%115114
CPT 99457
Rpm tx mgmt 1st 20 min
$44$53-17%85%116118
CPT 93656
Compre ep eval abltj atr fib
$1,330$1,615-18%165%116118
CPT 93970
Extremity study
$226$275-18%123%116118
CPT 93000
Electrocardiogram complete
$20$25-19%133%116115
CPT 93280
Pm device progr eval dual
$85$105-20%108%116119
CPT 93458
L hrt artery/ventricle angio
$1,262$1,573-20%125%116115
CPT 93306
Tte w/doppler complete
$253$317-20%129%116118
CPT 78452
Ht muscle image spect mult
$484$609-21%113%116121
CPT 93312
Echo transesophageal
$306$387-21%128%116118
CPT 93015
Cv stress test supvj i&r
$95$120-21%129%116117
CPT 99490
Chrnc care mgmt staff 1st 20
$47$60-21%71%116113
CPT 92928
Prq tcat plmt ntrac st 1 les
$699$887-21%151%116117
CPT 99203
Office o/p new low 30 min
$96$122-21%82%116117
CPT 93925
Lower extremity study
$273$349-22%115%116118
CPT 93294
Rem interrog evl pm/ldls pm
$37$48-23%126%116117
CPT 93880
Extracranial bilat study
$217$283-23%115%116118
CPT 99212
Office o/p est sf 10 min
$39$51-24%66%116117
CPT 36482
Endoven ther chem adhes 1st
$212$278-24%133%115112
CPT 20610
Drain/inj joint/bursa w/o us
$63$83-24%92%116117
CPT 99204
Office o/p new mod 45 min
$145$192-24%82%116118
CPT 93351
Stress tte complete
$277$366-24%119%116116
CPT 75574
Ct angio hrt w/3d image
$375$495-24%115%116120
CPT 93010
Electrocardiogram report
$10$13-24%114%116116
CPT 33361
Replace aortic valve perq
$1,461$1,938-25%135%116117
CPT 93308
Tte f-up or lmtd
$117$155-25%115%116118
CPT 99205
Office o/p new hi 60 min
$186$250-25%79%116118
CPT 99215
Office o/p est hi 40 min
$138$185-26%72%116117
CPT 99214
Office o/p est mod 30 min
$97$131-26%72%116117
CPT 99213
Office o/p est low 20 min
$67$91-26%71%116117
CPT 93016
Cv stress test supvj only
$25$34-26%122%115116
CPT 33285
Insj subq car rhythm mntr
$98$135-27%130%116116
CPT 33208
Insrt heart pm atrial & vent
$585$819-29%128%116117
CPT 36465
Njx noncmpnd sclrsnt 1 vein
$132$185-29%125%115113
CPT 93298
Rem interrog dev eval scrms
$34$52-35%33%116117
CPT 93297
Rem interrog dev eval icpms
$30$52-42%50%116117

Frequently asked questions

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

Nevada ranks 50th of 51 states with an index of 76; 0 of 38 codes are above the national median.

Which cardiology code has the biggest premium in Nevada?

CPT 93296 (Rem interrog evl pm/ids), at 90% 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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