How much does Medicare pay for CPT 93298?

Medicare allowed an average of $76.45 per service and paid $58.10 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $200.91, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93298?

Evaluation of cardiac rhythm monitor system, remote up to 30 days. It was billed 1,460,295 times to 313,492 Medicare beneficiaries by 4,885 providers in 2024.

Does 93298 pay differently in an office than a hospital?

Yes. The allowed amount averaged $84.49 in an office setting and $23.98 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 93298 most?

Clinical Cardiac Electrophysiology, with 635,048 services from 1,846 clinicians. Next are Cardiology, Independent Diagnostic Testing Facility (IDTF), Interventional Cardiology.

CPT 93298

Evaluation of cardiac rhythm monitor system, remote up to 30 days

$76.45Medicare-allowed amount per service, averaged across 1,460,295 services

Providers submitted

$200.91

Asking price, not received

Medicare allowed

$76.45

The fee schedule figure

Medicare paid

$58.10

Balance is patient coinsurance

Providers submitted an average of $200.91 for this code and Medicare allowed $76.45 — 2.6× 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 $58.10 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $84.49
Hospital / facility: $23.98

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. 1,266,430 services were billed in an office setting and 193,865 in a facility.

Services: 1,460,295
Beneficiaries: 313,492
Providers billing it: 4,885
Total allowed: $111,639,553

What Medicare pays for CPT 93298

Across 1,460,295 services billed by 4,885 providers to 313,492 beneficiaries, Medicare allowed an average of $76.45 per service. That is 4.7 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 93298

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Cardiac Electrophysiology	635,048	148,261	$73.72	1,846
Cardiology	460,011	95,634	$76.12	2,154
Independent Diagnostic Testing Facility (IDTF)	205,096	29,358	$90.23	17
Interventional Cardiology	74,910	13,889	$74.10	430
Nurse Practitioner	38,018	12,818	$67.03	194
Internal Medicine	25,485	6,874	$74.65	136
Physician Assistant	13,658	4,236	$60.73	61
Undefined Physician type	1,424	521	$63.66	5
Cardiac Surgery	1,244	355	$56.95	10
Hospitalist	1,035	509	$90.56	7
Critical Care (Intensivists)	773	185	$24.77	2
Advanced Heart Failure and Transplant Cardiology	706	146	$81.13	6
Certified Clinical Nurse Specialist	630	254	$23.61	3
Sleep Medicine	615	107	$58.27	3
Intensive Cardiac Rehabilitation	594	163	$26.78	1

93298 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
New York	292,543	$94.50	$62.31	376
Florida	169,958	$80.66	$66.17	531
California	134,165	$82.33	$58.93	403
Texas	97,459	$75.69	$58.11	323
New Jersey	64,291	$94.57	$67.27	153
Pennsylvania	60,405	$69.89	$55.69	226
Arizona	45,233	$63.04	$54.16	161
Illinois	41,351	$77.88	$59.98	178
South Carolina	38,189	$60.81	$57.73	142
Kansas	37,629	$70.29	$61.34	76
Ohio	37,210	$57.22	$54.40	167
Virginia	34,942	$65.78	$51.09	117
North Carolina	32,351	$74.45	$63.41	123
Massachusetts	30,632	$65.73	$46.61	128
Michigan	29,925	$55.13	$46.20	156
Colorado	29,117	$69.06	$48.79	81
Maryland	23,387	$86.81	$67.42	71
Tennessee	22,944	$66.91	$57.52	111
Oklahoma	21,159	$42.87	$41.47	65
Georgia	19,825	$72.56	$59.92	101
Missouri	16,713	$60.50	$50.40	104
Louisiana	15,562	$62.54	$54.07	91
Mississippi	15,057	$76.20	$65.18	59
Connecticut	14,110	$89.93	$63.78	53
Minnesota	13,187	$68.79	$52.96	63
Indiana	11,505	$58.52	$54.92	76
Washington	9,571	$65.15	$48.37	75
Alabama	9,544	$67.94	$66.91	76
Kentucky	8,753	$55.95	$59.79	58
Wisconsin	8,200	$56.03	$41.81	75
Delaware	7,496	$80.05	$66.05	28
West Virginia	6,617	$57.47	$45.82	23
North Dakota	6,434	$24.87	$18.54	17
Arkansas	5,842	$42.70	$45.36	31
Iowa	5,388	$43.01	$36.69	39
Nevada	4,798	$65.73	$52.19	31
New Hampshire	4,659	$38.68	$28.17	29
Oregon	4,591	$50.69	$38.45	51
Nebraska	4,406	$74.51	$62.10	38
Idaho	3,642	$35.49	$32.16	26
Utah	3,443	$59.98	$61.05	23
New Mexico	3,085	$37.75	$29.38	18
Montana	2,662	$46.56	$36.78	18
Maine	2,150	$46.89	$32.58	31
South Dakota	2,045	$35.75	$26.73	11
Rhode Island	2,008	$41.92	$37.96	13
Vermont	1,947	$28.38	$20.27	12
Alaska	1,859	$94.99	$61.21	9
District of Columbia	1,412	$87.74	$66.90	9
Hawaii	524	$22.73	$17.74	5
Wyoming	370	$70.53	$49.33	4

Related codes

93296Evaluation of single$21.59
93294Evaluation of single$28.57
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
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.