How much does Medicare pay for CPT 93656?

Medicare allowed an average of $911.22 per service and paid $724.26 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $3933.75, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

Does 93656 pay differently in an office than a hospital?

Yes. The allowed amount averaged $899.75 in an office setting and $911.23 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 93656 most?

Clinical Cardiac Electrophysiology, with 73,217 services from 1,739 clinicians. Next are Cardiology, Internal Medicine, Interventional Cardiology.

CPT 93656

Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation

$911.22Medicare-allowed amount per service, averaged across 91,338 services

Providers submitted

$3933.75

Asking price, not received

Medicare allowed

$911.22

The fee schedule figure

Medicare paid

$724.26

Balance is patient coinsurance

Providers submitted an average of $3933.75 for this code and Medicare allowed $911.22 — 4.3× 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 $724.26 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $899.75
Hospital / facility: $911.23

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 75 services were billed in an office setting and 91,263 in a facility.

Services: 91,338
Beneficiaries: 89,574
Providers billing it: 2,266
Total allowed: $83,229,012

What Medicare pays for CPT 93656

Across 91,338 services billed by 2,266 providers to 89,574 beneficiaries, Medicare allowed an average of $911.22 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 93656

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Cardiac Electrophysiology	73,217	71,789	$911.99	1,739
Cardiology	15,446	15,160	$910.49	444
Internal Medicine	2,101	2,064	$905.80	66
Interventional Cardiology	180	175	$905.70	6
Hospitalist	163	163	$900.87	5
Critical Care (Intensivists)	94	91	$884.16	2
Family Practice	43	41	$880.27	1
Undefined Physician type	43	43	$843.93	1
Physician Assistant	30	28	$120.30	1
Cardiac Surgery	21	20	$892.13	1

93656 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	8,708	$973.35	$718.82	183
California	8,443	$895.55	$685.95	159
Texas	7,728	$901.84	$719.41	171
New York	5,294	$1043.77	$718.15	135
Illinois	3,966	$994.79	$717.76	108
Pennsylvania	3,846	$910.76	$717.93	128
Virginia	3,791	$905.39	$716.08	74
Ohio	3,317	$892.33	$717.26	99
Massachusetts	2,989	$928.51	$712.32	74
Arizona	2,803	$881.47	$716.01	62
Tennessee	2,736	$833.69	$718.14	58
North Carolina	2,718	$852.97	$716.17	71
South Carolina	2,536	$870.50	$716.33	41
Georgia	2,257	$907.07	$716.38	64
Indiana	2,245	$824.78	$717.62	62
New Jersey	2,236	$986.65	$718.85	60
Washington	1,800	$915.33	$713.84	48
Michigan	1,756	$945.76	$715.78	65
Colorado	1,509	$902.86	$718.20	44
Alabama	1,493	$824.47	$714.58	34
Maryland	1,412	$966.83	$716.19	41
Missouri	1,277	$884.21	$715.13	34
Minnesota	1,207	$838.74	$717.32	48
Wisconsin	1,203	$819.57	$715.14	45
Oklahoma	1,200	$845.67	$719.51	23
Kansas	1,198	$836.55	$717.21	27
Arkansas	1,138	$832.46	$718.91	14
Iowa	995	$818.96	$714.50	26
Utah	936	$877.81	$716.00	20
Louisiana	906	$886.40	$719.10	26
Kentucky	821	$885.10	$717.86	30
Oregon	682	$885.02	$714.53	24
Nevada	602	$886.88	$716.59	16
Connecticut	578	$982.62	$714.83	25
Nebraska	571	$795.82	$712.20	14
Montana	517	$903.48	$716.22	10
Mississippi	484	$853.45	$718.71	10
Idaho	476	$824.71	$716.15	10
West Virginia	415	$895.56	$720.91	13
New Hampshire	397	$898.30	$719.36	11
New Mexico	383	$906.99	$717.05	8
District of Columbia	358	$964.29	$715.41	8
Alaska	285	$1152.32	$719.88	4
Maine	280	$883.21	$720.57	10
Rhode Island	268	$919.50	$719.88	8
South Dakota	169	$841.64	$719.65	4
Delaware	156	$903.10	$712.50	6
Vermont	120	$855.30	$712.63	6
North Dakota	115	$837.67	$715.54	4
Hawaii	18	$882.21	$720.66	1

Related codes

93657Destruction of tissue of upper heart chamber through tube to treat abn$297.38
93655Insertion of catheters and destruction of tissue to treat abnormal hea$294.16
93623Programming of heart rhythm stimulation after drug infusion$65.91
93662Ultrasound evaluation of heart blood vessel$67.91
93653Comprehensive electrophysiologic evaluation$804.30
93622Insertion of catheters for recording and pacing of left lower heart ch$163.00
93609Insertion of tube in upper and/or lower heart chambers to record and i$269.78
93650Destruction of heart conduction tissue to create heart block$527.25
93660Evaluation of heart function$111.98
93641Evaluation of single or dual chamber pacing cardioverter-defibrillator$156.53
93654Comprehensive electrophysiologic evaluation$954.56
93620Insertion of catheters for recording and pacing of right heart chamber$595.77

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.