How much does Medicare pay for CPT 93005?

Medicare allowed an average of $6.15 per service and paid $4.42 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $56.79, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93005?

Routine electrocardiogram (ecg) using at least 12 leads with tracing. It was billed 355,081 times to 320,235 Medicare beneficiaries by 6,938 providers in 2024.

Does 93005 pay differently in an office than a hospital?

Yes. The allowed amount averaged $6.15 in an office setting and $6.76 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 93005 most?

Cardiology, with 69,092 services from 663 clinicians. Next are Nurse Practitioner, Family Practice, Internal Medicine.

CPT 93005

Routine electrocardiogram (ecg) using at least 12 leads with tracing

$6.15Medicare-allowed amount per service, averaged across 355,081 services

Providers submitted

$56.79

Asking price, not received

Medicare allowed

$6.15

The fee schedule figure

Medicare paid

$4.42

Balance is patient coinsurance

Providers submitted an average of $56.79 for this code and Medicare allowed $6.15 — 9.2× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $4.42 (72%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $6.15
Hospital / facility: $6.76

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 353,346 services were billed in an office setting and 1,735 in a facility.

Services: 355,081
Beneficiaries: 320,235
Providers billing it: 6,938
Total allowed: $2,183,748

What Medicare pays for CPT 93005

Across 355,081 services billed by 6,938 providers to 320,235 beneficiaries, Medicare allowed an average of $6.15 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 93005

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	69,092	60,077	$6.09	663
Nurse Practitioner	56,929	51,482	$5.95	1,415
Family Practice	50,073	47,054	$6.07	1,886
Internal Medicine	44,054	40,399	$6.40	1,156
Portable X-Ray Supplier	42,552	37,367	$6.42	94
Physician Assistant	24,764	23,038	$6.22	795
Interventional Cardiology	22,402	19,503	$5.82	187
Clinical Cardiac Electrophysiology	14,456	12,401	$6.02	147
Emergency Medicine	9,664	9,252	$6.66	182
Diagnostic Radiology	4,073	3,503	$6.34	30
Orthopedic Surgery	3,997	3,851	$6.04	82
Independent Diagnostic Testing Facility (IDTF)	2,139	2,006	$6.14	5
Urology	1,630	1,575	$6.03	52
General Surgery	1,077	1,069	$6.17	35
Cardiac Surgery	1,024	886	$5.97	8

93005 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	47,546	$7.01	$4.40	812
Illinois	31,872	$6.15	$4.42	496
Texas	27,160	$5.87	$4.40	315
Washington	17,681	$6.67	$4.15	492
Maryland	17,087	$6.17	$4.54	53
North Carolina	16,779	$5.66	$4.25	277
New York	14,213	$7.08	$4.52	156
Massachusetts	14,016	$6.77	$4.07	435
Oregon	11,300	$6.29	$4.12	291
Kansas	10,639	$5.44	$4.32	232
Wisconsin	10,192	$5.78	$4.04	361
Florida	10,156	$6.07	$4.47	118
Indiana	9,726	$5.62	$4.12	165
Arkansas	8,935	$5.52	$4.00	91
Tennessee	8,625	$5.52	$4.24	148
Pennsylvania	8,617	$5.81	$4.33	258
Mississippi	7,052	$5.21	$4.46	44
Minnesota	6,271	$6.09	$4.22	267
Georgia	5,871	$5.75	$3.95	85
Ohio	5,793	$5.94	$4.39	87
Iowa	5,564	$5.59	$4.28	190
Missouri	5,498	$5.63	$4.31	101
South Carolina	5,214	$5.61	$4.00	102
Utah	4,861	$5.70	$4.13	139
Michigan	3,558	$5.84	$3.96	110
Kentucky	3,519	$5.49	$4.01	94
North Dakota	3,328	$6.04	$4.09	98
Louisiana	3,289	$5.58	$4.44	32
Colorado	3,172	$6.42	$4.30	121
New Jersey	2,987	$6.93	$4.57	27
Nevada	2,679	$6.15	$4.41	57
Arizona	2,403	$6.05	$4.57	65
Virginia	2,021	$6.12	$4.03	55
New Hampshire	1,840	$6.44	$4.01	52
South Dakota	1,832	$6.00	$4.02	63
Oklahoma	1,687	$5.50	$4.10	55
Guam	1,624	$6.82	$4.44	7
Alabama	1,579	$5.29	$4.12	38
Vermont	1,296	$6.02	$3.66	42
Montana	1,143	$6.17	$3.97	55
West Virginia	1,014	$5.57	$3.79	47
Connecticut	940	$6.84	$4.07	38
Idaho	847	$5.56	$4.03	30
Nebraska	768	$5.52	$4.24	25
Wyoming	672	$6.18	$4.02	31
Alaska	510	$6.47	$3.91	22
District of Columbia	465	$7.21	$4.53	10
New Mexico	353	$6.23	$3.13	15
Rhode Island	298	$6.78	$4.51	9
Maine	171	$5.85	$3.59	11
Hawaii	124	$6.83	$4.90	3
Delaware	104	$6.16	$3.77	4
Puerto Rico	97	$6.24	$3.93	3
U.S. Virgin Islands	34	$6.27	$3.89	2
ZZ	34	$5.84	$3.96	1
AE	25	$6.03	$4.80	1

Related codes

93010Routine electrocardiogram (ecg)$7.95
93000Routine electrocardiogram (ecg)$14.24
93018Exercise or drug-induced heart stress test$13.43
93015Exercise or drug-induced heart stress test$66.28
93016Exercise or drug-induced heart stress test$20.06
93042Electrocardiogram (ecg) 1 to 3 leads$6.79
93040Electrocardiogram (ecg) 1 to 3 leads$13.18
93017Exercise or drug-induced heart stress test$31.71
93041Electrocardiogram (ecg) 1 to 3 leads$6.52
93050Analysis of central arterial pressure$14.83

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.