How much does Medicare pay for CPT 93460?

Medicare allowed an average of $366.63 per service and paid $289.60 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1951.39, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93460?

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist. It was billed 47,492 times to 47,283 Medicare beneficiaries by 2,158 providers in 2024.

Does 93460 pay differently in an office than a hospital?

Yes. The allowed amount averaged $1170.50 in an office setting and $363.25 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 93460 most?

Interventional Cardiology, with 24,652 services from 1,100 clinicians. Next are Cardiology, Internal Medicine, Ambulatory Surgical Center.

CPT 93460

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist

$366.63Medicare-allowed amount per service, averaged across 47,492 services

Providers submitted

$1951.39

Asking price, not received

Medicare allowed

$366.63

The fee schedule figure

Medicare paid

$289.60

Balance is patient coinsurance

Providers submitted an average of $1951.39 for this code and Medicare allowed $366.63 — 5.3× 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 $289.60 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $1170.50
Hospital / facility: $363.25

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. 199 services were billed in an office setting and 47,293 in a facility.

Services: 47,492
Beneficiaries: 47,283
Providers billing it: 2,158
Total allowed: $17,411,992

What Medicare pays for CPT 93460

Across 47,492 services billed by 2,158 providers to 47,283 beneficiaries, Medicare allowed an average of $366.63 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 93460

Specialty	Services	Beneficiaries	Avg allowed	Providers
Interventional Cardiology	24,652	24,542	$340.10	1,100
Cardiology	19,559	19,477	$340.54	920
Internal Medicine	1,142	1,134	$328.39	57
Ambulatory Surgical Center	1,115	1,113	$1451.42	34
Advanced Heart Failure and Transplant Cardiology	411	409	$356.57	18
Peripheral Vascular Disease	144	143	$364.44	7
Hospitalist	123	123	$353.88	5
Undefined Physician type	116	114	$328.07	4
Clinical Cardiac Electrophysiology	97	96	$343.71	5
Interventional Radiology	44	44	$306.75	2
Cardiac Surgery	31	31	$884.97	2
Nuclear Medicine	23	23	$347.61	1
Intensive Cardiac Rehabilitation	13	12	$339.73	1
Emergency Medicine	11	11	$313.85	1
Adult Congenital Heart Disease	11	11	$288.59	1

93460 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
Florida	5,230	$445.02	$341.89	216
California	3,963	$336.12	$260.52	164
New York	3,838	$383.93	$259.81	147
Pennsylvania	3,701	$338.87	$263.43	153
Texas	2,986	$428.32	$344.53	148
New Jersey	2,216	$356.88	$261.79	90
Illinois	1,716	$354.97	$257.60	86
Ohio	1,586	$323.32	$258.34	85
Virginia	1,558	$327.96	$260.23	77
North Carolina	1,526	$312.43	$258.52	70
Tennessee	1,183	$310.73	$265.39	63
Georgia	1,135	$333.72	$260.76	56
Michigan	1,114	$339.57	$256.54	66
Arizona	1,076	$573.02	$470.99	53
Maryland	1,032	$353.42	$263.26	33
Washington	1,022	$323.11	$255.31	47
Oklahoma	930	$488.44	$406.13	33
Alabama	872	$309.05	$259.69	37
Indiana	805	$308.48	$262.09	43
South Carolina	791	$321.37	$262.22	41
Massachusetts	731	$348.28	$264.86	34
Missouri	717	$351.90	$280.68	38
Arkansas	600	$299.11	$259.00	30
Iowa	560	$329.06	$282.68	24
Kentucky	542	$326.69	$262.10	29
Wisconsin	485	$308.13	$261.70	25
Utah	477	$314.15	$254.30	19
Connecticut	406	$368.91	$270.99	22
Louisiana	404	$429.13	$355.93	24
Kansas	323	$561.52	$486.59	17
Mississippi	323	$403.54	$351.07	16
Oregon	315	$329.78	$261.58	16
New Mexico	315	$330.23	$257.57	16
District of Columbia	291	$371.52	$267.47	5
Colorado	281	$334.43	$259.05	16
Minnesota	273	$303.55	$255.73	17
Delaware	252	$328.74	$261.53	14
Wyoming	244	$338.33	$263.67	6
New Hampshire	225	$330.68	$259.20	9
North Dakota	213	$289.11	$246.18	7
Nebraska	195	$302.13	$260.63	10
Nevada	193	$323.60	$263.72	11
Montana	174	$334.70	$261.69	10
South Dakota	159	$305.59	$252.23	6
Idaho	144	$306.07	$262.46	8
Alaska	126	$431.77	$262.91	6
Rhode Island	98	$310.43	$244.93	6
West Virginia	79	$352.48	$267.93	5
Maine	35	$352.51	$278.95	2
Hawaii	32	$298.87	$272.23	2

Related codes

93458Insertion of tube in left lower heart chamber and coronary artery for$272.38
93454Insertion of tube in coronary artery for diagnosis$211.98
93451Insertion of tube in right heart chambers for measurement$131.03
93459Insertion of tube in left lower heart chamber$296.47
93456Insertion of tube in right heart chambers and coronary artery for diag$300.71
93455Insertion of tube in bypass graft for diagnosis$237.41
93463Drug infusion during cardiac catheterization$96.67
93462Insertion of tube in left heart chamber through heart septum$200.70
93452Insertion of tube in left heart chambers for diagnosis$152.91

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.