How much does Medicare pay for CPT 93248?

Medicare allowed an average of $24.98 per service and paid $19.19 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $103.82, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93248?

Heart rhythm review and interpretation of continous external ekg over 8-15 days. It was billed 298,011 times to 290,414 Medicare beneficiaries by 6,404 providers in 2024.

Does 93248 pay differently in an office than a hospital?

Yes. The allowed amount averaged $25.04 in an office setting and $24.89 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 93248 most?

Cardiology, with 166,152 services from 3,863 clinicians. Next are Clinical Cardiac Electrophysiology, Interventional Cardiology, Internal Medicine.

CPT 93248

Heart rhythm review and interpretation of continous external ekg over 8-15 days

$24.98Medicare-allowed amount per service, averaged across 298,011 services

Providers submitted

$103.82

Asking price, not received

Medicare allowed

$24.98

The fee schedule figure

Medicare paid

$19.19

Balance is patient coinsurance

Providers submitted an average of $103.82 for this code and Medicare allowed $24.98 — 4.2× 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 $19.19 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $25.04
Hospital / facility: $24.89

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 177,248 services were billed in an office setting and 120,763 in a facility.

Services: 298,011
Beneficiaries: 290,414
Providers billing it: 6,404
Total allowed: $7,444,315

What Medicare pays for CPT 93248

Across 298,011 services billed by 6,404 providers to 290,414 beneficiaries, Medicare allowed an average of $24.98 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 93248

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	166,152	162,204	$25.07	3,863
Clinical Cardiac Electrophysiology	77,131	74,988	$25.12	1,053
Interventional Cardiology	32,210	31,293	$24.83	867
Internal Medicine	13,262	12,965	$24.90	338
Nurse Practitioner	3,321	3,191	$20.99	103
Physician Assistant	1,843	1,766	$21.11	42
Advanced Heart Failure and Transplant Cardiology	1,527	1,490	$26.05	53
Family Practice	769	746	$24.77	37
Hospitalist	646	633	$24.96	9
Nuclear Medicine	353	351	$26.00	8
Cardiac Surgery	223	221	$24.96	7
Adult Congenital Heart Disease	168	166	$25.84	6
Interventional Radiology	83	80	$22.51	4
Neurology	63	63	$25.53	2
Undefined Physician type	50	50	$26.77	2

93248 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	54,467	$26.68	$18.72	863
Massachusetts	15,452	$25.95	$18.80	236
Illinois	14,548	$25.53	$18.82	201
Texas	12,679	$23.62	$18.92	385
Pennsylvania	12,611	$24.06	$18.74	341
Virginia	12,543	$24.46	$18.78	261
North Carolina	11,320	$23.68	$18.54	271
Washington	11,109	$25.16	$18.48	220
Florida	10,948	$24.61	$18.92	297
New York	10,881	$27.03	$18.81	332
Maryland	9,873	$24.81	$18.97	182
Oregon	8,823	$24.74	$18.50	135
Michigan	7,682	$24.67	$18.90	183
Ohio	7,418	$23.94	$18.95	171
Tennessee	6,360	$23.49	$18.73	158
New Jersey	6,006	$26.02	$19.14	188
Colorado	5,976	$24.56	$18.45	120
Minnesota	5,929	$24.20	$18.79	94
New Hampshire	4,842	$24.82	$18.73	74
Kentucky	4,813	$24.38	$18.74	120
Indiana	4,763	$23.63	$18.78	115
Missouri	4,187	$23.88	$18.74	129
Idaho	3,715	$23.64	$18.51	64
Oklahoma	3,225	$23.72	$18.98	80
Kansas	3,159	$23.50	$18.90	70
Georgia	3,085	$23.80	$18.66	104
South Carolina	2,974	$23.75	$18.97	100
South Dakota	2,843	$24.15	$18.51	34
Iowa	2,635	$23.55	$19.03	61
North Dakota	2,491	$24.21	$18.45	20
Arizona	2,455	$23.90	$18.62	79
Wisconsin	2,314	$23.90	$18.93	79
Montana	2,303	$24.47	$18.53	40
Alabama	2,085	$23.02	$18.84	54
Mississippi	2,056	$23.74	$19.00	53
Nevada	1,935	$24.29	$18.60	44
Arkansas	1,871	$23.13	$19.17	60
New Mexico	1,737	$24.10	$18.92	28
Maine	1,641	$25.14	$18.44	51
Louisiana	1,482	$22.69	$18.98	55
West Virginia	1,445	$24.24	$18.38	35
Delaware	1,331	$24.58	$19.05	19
Nebraska	1,299	$23.33	$18.78	31
Hawaii	1,224	$24.85	$18.69	25
Alaska	1,223	$31.34	$18.51	27
Connecticut	1,058	$26.07	$18.88	47
Vermont	981	$24.02	$18.03	17
Rhode Island	820	$25.11	$18.67	13
Utah	618	$24.31	$18.93	17
District of Columbia	577	$26.66	$18.96	18
Wyoming	199	$24.46	$18.72	3

Related codes

93296Evaluation of single$21.59
93294Evaluation of single$28.57
93298Evaluation of cardiac rhythm monitor system$76.45
93297Evaluation of implantable heart and blood vessel monitoring system$45.47
93280Programming of dual lead pacemaker system$61.84
93295Evaluation of single$35.37
93229Electrocardiogram (ecg) up to 30 days continuous$1018.21
93247Heart rhythm analysis and report of continous external ekg over 8-15 d$299.31
93228Electrocardiogram (ecg) up to 30 days continuous$24.32
93243Heart rhythm analysis and report of continous external ekg over more t$279.98
93244Heart rhythm review$22.39
93284Programming of multiple lead implantable defibrillator system$85.19

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.