How much does Medicare pay for CPT 93462?

Medicare allowed an average of $200.70 per service and paid $160.28 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $812.71, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93462?

Insertion of tube in left heart chamber through heart septum. It was billed 2,561 times to 2,487 Medicare beneficiaries by 137 providers in 2024.

Which specialty bills 93462 most?

Clinical Cardiac Electrophysiology, with 1,941 services from 104 clinicians. Next are Cardiology, Internal Medicine, Interventional Cardiology.

CPT 93462

Insertion of tube in left heart chamber through heart septum

$200.70Medicare-allowed amount per service, averaged across 2,561 services

Providers submitted

$812.71

Asking price, not received

Medicare allowed

$200.70

The fee schedule figure

Medicare paid

$160.28

Balance is patient coinsurance

Providers submitted an average of $812.71 for this code and Medicare allowed $200.70 — 4.0× 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 $160.28 (80%); the rest is the patient’s coinsurance and deductible.

Services: 2,561
Beneficiaries: 2,487
Providers billing it: 137
Total allowed: $513,993

What Medicare pays for CPT 93462

Across 2,561 services billed by 137 providers to 2,487 beneficiaries, Medicare allowed an average of $200.70 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 93462

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Cardiac Electrophysiology	1,941	1,885	$200.93	104
Cardiology	556	540	$203.29	29
Internal Medicine	45	43	$191.47	3
Interventional Cardiology	19	19	$123.87	1

93462 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
Texas	374	$197.81	$158.21	14
New York	304	$233.89	$157.93	14
California	294	$205.62	$157.11	15
Florida	256	$214.51	$157.57	14
Pennsylvania	173	$195.63	$158.00	10
Tennessee	147	$176.45	$159.90	8
Massachusetts	112	$206.29	$158.30	7
Virginia	96	$208.37	$157.53	6
Arizona	95	$194.30	$158.63	5
South Carolina	69	$190.65	$157.70	3
North Carolina	61	$186.60	$158.24	4
Minnesota	61	$184.02	$157.77	4
Georgia	57	$173.03	$157.42	4
Maryland	46	$205.33	$157.81	3
Kansas	45	$185.07	$157.63	2
Utah	39	$193.62	$158.01	2
Alabama	34	$186.92	$157.76	2
Illinois	32	$205.84	$157.58	2
Washington	28	$195.01	$157.50	2
Missouri	26	$188.81	$159.17	2
Colorado	25	$202.94	$157.52	2
Indiana	24	$180.26	$158.04	2
Ohio	23	$196.20	$157.70	1
New Hampshire	20	$196.51	$157.50	1
West Virginia	19	$123.87	$157.20	1
Iowa	18	$125.90	$157.43	1
New Mexico	16	$198.51	$157.83	1
Arkansas	14	$189.13	$157.41	1
Mississippi	14	$186.18	$160.42	1
Oklahoma	13	$184.76	$138.27	1
Kentucky	13	$182.58	$160.79	1
Nebraska	13	$174.75	$157.15	1

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
93460Insertion of tube in right and left heart chambers and coronary artery$366.63
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
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.