How much does Medicare pay for CPT 93010?

Medicare allowed an average of $7.95 per service and paid $6.05 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $44.74, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93010?

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. It was billed 15,348,910 times to 12,116,520 Medicare beneficiaries by 51,118 providers in 2024.

Does 93010 pay differently in an office than a hospital?

Yes. The allowed amount averaged $7.82 in an office setting and $7.96 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 93010 most?

Cardiology, with 7,682,154 services from 11,405 clinicians. Next are Emergency Medicine, Interventional Cardiology, Clinical Cardiac Electrophysiology.

CPT 93010

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only

$7.95Medicare-allowed amount per service, averaged across 15,348,910 services

Providers submitted

$44.74

Asking price, not received

Medicare allowed

$7.95

The fee schedule figure

Medicare paid

$6.05

Balance is patient coinsurance

Providers submitted an average of $44.74 for this code and Medicare allowed $7.95 — 5.6× 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 $6.05 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $7.82
Hospital / facility: $7.96

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 903,406 services were billed in an office setting and 14,445,504 in a facility.

Services: 15,348,910
Beneficiaries: 12,116,520
Providers billing it: 51,118
Total allowed: $122,023,835

What Medicare pays for CPT 93010

Across 15,348,910 services billed by 51,118 providers to 12,116,520 beneficiaries, Medicare allowed an average of $7.95 per service. That is 1.3 services per beneficiary, so this is a code patients typically receive more than once. 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 93010

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	7,682,154	5,789,198	$8.03	11,405
Emergency Medicine	2,938,693	2,698,124	$7.97	22,393
Interventional Cardiology	1,600,242	1,227,402	$7.87	2,678
Clinical Cardiac Electrophysiology	1,212,586	874,921	$8.00	1,513
Internal Medicine	1,042,413	782,952	$7.86	3,318
Nurse Practitioner	183,242	164,235	$6.62	2,880
Advanced Heart Failure and Transplant Cardiology	170,888	131,927	$8.09	298
Physician Assistant	167,290	153,795	$6.69	3,434
Family Practice	154,800	136,614	$7.76	2,338
Hospitalist	49,914	38,238	$7.83	195
Portable X-Ray Supplier	29,708	26,545	$8.21	31
Cardiac Surgery	20,388	15,675	$8.00	24
Nuclear Medicine	14,563	11,271	$8.33	26
Pulmonary Disease	8,187	6,221	$7.66	34
General Practice	8,119	6,953	$7.73	109

93010 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	1,244,835	$8.41	$5.99	4,673
New York	1,125,141	$8.59	$5.95	2,702
Florida	948,280	$7.96	$6.05	3,383
Pennsylvania	925,232	$7.90	$5.95	2,331
Texas	899,869	$7.83	$5.98	4,006
Illinois	775,759	$8.11	$5.90	1,984
Massachusetts	630,197	$8.22	$5.96	1,095
Ohio	615,031	$7.68	$5.92	2,401
Michigan	497,629	$7.92	$5.85	2,404
New Jersey	493,408	$8.50	$5.99	1,035
North Carolina	452,588	$7.58	$5.93	1,937
Virginia	447,029	$7.90	$5.83	1,279
Georgia	393,870	$7.80	$5.98	1,556
Maryland	388,865	$8.16	$6.01	771
Indiana	358,785	$7.55	$5.84	1,054
Tennessee	316,139	$7.54	$5.96	1,064
Missouri	309,763	$7.69	$5.83	881
Wisconsin	281,238	$7.57	$5.85	998
South Carolina	273,739	$7.66	$5.92	881
Kentucky	273,196	$7.71	$5.97	824
Washington	268,455	$8.07	$5.82	1,130
Louisiana	229,150	$7.66	$5.95	759
Arkansas	222,253	$7.38	$5.81	561
Oklahoma	221,807	$7.57	$5.92	704
Minnesota	214,688	$7.77	$5.88	1,013
Connecticut	206,111	$8.27	$6.00	495
Alabama	204,907	$7.46	$5.95	775
Colorado	178,089	$7.95	$5.90	818
Iowa	176,707	$7.46	$5.72	506
Kansas	161,623	$7.53	$5.82	633
Mississippi	154,933	$7.49	$5.92	471
Arizona	153,135	$7.74	$6.01	978
Oregon	150,652	$7.92	$5.81	549
West Virginia	103,151	$7.81	$5.84	399
Nebraska	102,564	$7.51	$5.82	188
Nevada	98,697	$7.79	$6.04	473
New Hampshire	98,029	$7.91	$5.80	270
Maine	79,753	$7.76	$5.79	311
Utah	75,051	$7.75	$5.92	459
New Mexico	73,770	$7.73	$5.77	274
Idaho	66,588	$7.43	$5.68	284
Rhode Island	63,765	$7.94	$5.89	174
Delaware	61,337	$7.82	$5.84	244
South Dakota	59,263	$7.58	$5.72	262
North Dakota	57,669	$7.68	$5.78	98
Montana	49,894	$7.83	$5.82	164
Vermont	45,577	$7.66	$5.80	141
District of Columbia	36,426	$8.54	$6.05	133
Alaska	29,014	$10.52	$5.87	134
Hawaii	25,065	$7.90	$5.99	224
Wyoming	18,588	$7.99	$5.90	66
Puerto Rico	6,342	$7.76	$6.05	134
Guam	2,295	$8.17	$5.67	17
U.S. Virgin Islands	1,291	$7.35	$6.05	3
AP	754	$7.81	$6.15	7
ZZ	386	$7.80	$6.13	4

Related codes

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
93005Routine electrocardiogram (ecg)$6.15
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.