How much does Medicare pay for CPT 93270?

Medicare allowed an average of $7.81 per service and paid $5.97 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $158.89, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93270?

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring. It was billed 17,342 times to 16,906 Medicare beneficiaries by 457 providers in 2024.

Which specialty bills 93270 most?

Cardiology, with 7,090 services from 274 clinicians. Next are Independent Diagnostic Testing Facility (IDTF), Interventional Cardiology, Clinical Cardiac Electrophysiology.

CPT 93270

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring

$7.81Medicare-allowed amount per service, averaged across 17,342 services

Providers submitted

$158.89

Asking price, not received

Medicare allowed

$7.81

The fee schedule figure

Medicare paid

$5.97

Balance is patient coinsurance

Providers submitted an average of $158.89 for this code and Medicare allowed $7.81 — 20.3× 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 $5.97 (76%); the rest is the patient’s coinsurance and deductible.

Services: 17,342
Beneficiaries: 16,906
Providers billing it: 457
Total allowed: $135,441

What Medicare pays for CPT 93270

Across 17,342 services billed by 457 providers to 16,906 beneficiaries, Medicare allowed an average of $7.81 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 93270

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	7,090	6,758	$7.74	274
Independent Diagnostic Testing Facility (IDTF)	5,808	5,768	$8.02	10
Interventional Cardiology	1,768	1,750	$7.58	75
Clinical Cardiac Electrophysiology	1,352	1,339	$7.71	47
Nurse Practitioner	538	530	$7.34	19
Internal Medicine	471	453	$8.02	17
Physician Assistant	97	95	$7.72	4
Nuclear Medicine	79	79	$7.70	4
Family Practice	42	39	$7.80	2
General Practice	41	40	$8.95	1
Advanced Heart Failure and Transplant Cardiology	24	23	$7.86	2
Cardiac Surgery	17	17	$8.59	1
Peripheral Vascular Disease	15	15	$7.74	1

93270 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	4,718	$8.54	$5.06	37
Texas	2,154	$7.72	$5.20	36
Georgia	1,225	$7.56	$6.39	52
Florida	833	$7.60	$5.80	34
New Jersey	773	$7.58	$5.14	14
New York	650	$8.16	$6.26	29
North Carolina	625	$7.60	$6.02	25
Alabama	607	$6.98	$5.96	25
South Carolina	568	$7.38	$5.81	24
Illinois	480	$7.74	$6.38	14
Indiana	454	$7.32	$6.32	15
Minnesota	435	$6.39	$4.73	2
Massachusetts	388	$8.71	$6.38	9
Pennsylvania	378	$6.42	$5.08	5
Ohio	304	$7.47	$5.99	8
Missouri	300	$6.97	$6.39	16
Michigan	290	$8.09	$6.28	14
Arizona	288	$7.51	$6.01	11
New Mexico	285	$7.41	$4.98	7
Tennessee	281	$7.07	$6.24	14
Kansas	243	$6.68	$6.07	9
Washington	153	$9.06	$5.93	9
Kentucky	150	$7.34	$6.42	9
Maryland	148	$8.79	$6.20	7
Virginia	143	$7.76	$5.64	8
Mississippi	102	$6.89	$6.21	6
Wisconsin	67	$7.69	$6.33	4
Colorado	65	$8.46	$5.93	3
Montana	62	$8.11	$5.52	1
Louisiana	42	$7.43	$6.04	3
Arkansas	38	$6.95	$6.02	2
Oklahoma	36	$7.28	$6.18	2
West Virginia	35	$7.19	$5.21	1
Connecticut	11	$7.58	$6.47	1
Delaware	11	$8.19	$6.52	1

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
93248Heart rhythm review and interpretation of continous external ekg over$24.98
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

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.