How much does Medicare pay for CPT 93272?

Medicare allowed an average of $22.96 per service and paid $17.51 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $110.65, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

Does 93272 pay differently in an office than a hospital?

Yes. The allowed amount averaged $22.90 in an office setting and $23.01 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 93272 most?

Cardiology, with 28,647 services from 947 clinicians. Next are Clinical Cardiac Electrophysiology, Interventional Cardiology, Internal Medicine.

CPT 93272

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional

$22.96Medicare-allowed amount per service, averaged across 50,539 services

Providers submitted

$110.65

Asking price, not received

Medicare allowed

$22.96

The fee schedule figure

Medicare paid

$17.51

Balance is patient coinsurance

Providers submitted an average of $110.65 for this code and Medicare allowed $22.96 — 4.8× 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 $17.51 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $22.90
Hospital / facility: $23.01

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 22,621 services were billed in an office setting and 27,918 in a facility.

Services: 50,539
Beneficiaries: 49,602
Providers billing it: 1,570
Total allowed: $1,160,375

What Medicare pays for CPT 93272

Across 50,539 services billed by 1,570 providers to 49,602 beneficiaries, Medicare allowed an average of $22.96 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 93272

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	28,647	28,130	$23.05	947
Clinical Cardiac Electrophysiology	11,822	11,636	$22.91	261
Interventional Cardiology	5,815	5,719	$22.75	219
Internal Medicine	2,824	2,730	$23.27	94
Nurse Practitioner	494	484	$19.61	14
Hospitalist	176	176	$22.61	3
Hematology	141	116	$25.67	1
Nuclear Medicine	132	130	$23.27	5
Cardiac Surgery	113	113	$23.46	5
Advanced Heart Failure and Transplant Cardiology	109	106	$23.73	5
Physician Assistant	109	109	$19.52	7
Family Practice	56	53	$23.42	3
General Practice	40	39	$24.70	1
Peripheral Vascular Disease	14	14	$23.22	1
Psychiatry	13	13	$10.39	1

93272 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
Illinois	5,168	$23.54	$17.87	137
Missouri	4,281	$22.54	$17.60	89
Ohio	3,470	$22.72	$17.62	86
Florida	2,711	$23.21	$17.68	95
Georgia	2,692	$22.99	$18.01	105
Massachusetts	2,420	$23.99	$17.71	55
California	2,287	$24.28	$17.99	58
Indiana	2,219	$22.34	$17.55	53
Texas	1,719	$21.88	$18.01	74
South Carolina	1,658	$22.10	$17.43	46
New York	1,441	$23.65	$17.11	50
Pennsylvania	1,391	$22.81	$17.69	53
Arkansas	1,331	$22.21	$17.17	32
North Carolina	1,232	$22.73	$17.59	43
Colorado	1,153	$22.95	$17.22	38
Michigan	1,092	$22.95	$17.94	44
Kentucky	1,060	$22.65	$17.69	49
Alabama	950	$22.20	$17.76	31
Tennessee	935	$22.00	$17.70	46
Iowa	919	$22.36	$17.51	32
Wisconsin	870	$22.30	$17.54	44
Arizona	838	$23.04	$17.67	19
Virginia	817	$23.01	$17.64	33
Kansas	720	$21.78	$17.99	25
South Dakota	686	$22.77	$16.53	14
New Jersey	667	$24.57	$17.96	30
Connecticut	603	$24.71	$17.96	12
Oklahoma	600	$22.22	$17.91	18
Washington	580	$24.05	$17.11	26
Minnesota	558	$23.66	$17.61	14
Mississippi	424	$22.33	$17.51	15
Louisiana	395	$22.26	$18.28	13
Maryland	361	$23.80	$17.91	17
New Mexico	299	$22.92	$17.61	11
Maine	249	$23.16	$16.93	6
Nevada	242	$22.64	$18.28	2
Montana	205	$23.24	$17.13	4
Oregon	195	$22.92	$16.32	6
North Dakota	191	$22.88	$17.90	8
Wyoming	185	$23.16	$17.87	5
New Hampshire	168	$24.08	$16.49	5
West Virginia	141	$22.08	$17.46	7
Rhode Island	132	$23.42	$17.21	7
Nebraska	120	$22.27	$17.73	4
Utah	93	$22.72	$17.91	4
Delaware	35	$23.31	$15.34	3
Vermont	21	$22.81	$16.73	1
Idaho	15	$23.29	$13.41	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.