CPT 93010: ECG Interpretation and Report
Medicare pays $9 and commercial payers pay $15 on average nationally for this procedure.
CPT code 93010 describes the professional interpretation and written report of a routine 12‑lead (or more) electrocardiogram; this represents an interpretive ECG service separate from the technical tracing and is typically billed when the provider reviews ECG recordings and issues a formal report, commonly performed in outpatient clinics, physician offices, and ambulatory care settings.
For related coverage guidance, see recent payer policy updates: Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA), Cardiovascular Disease Risk Assessment, Biomarkers for Myocardial Infarction and Chronic Heart Failure.
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National Reimbursement Benchmarks
National means highlight a clear split: Medicare averages $8.6 while BUCA (representing commercial averages) sits at $14.5, a difference of $5.9 that places commercial reimbursement notably above Medicare for CPT 93010. Blue Cross Blue Shield, Aetna, Cigna, and UnitedHealth Group all have mean rates clustered around the low-to-mid teens, reinforcing that commercial payers generally pay more than Medicare on average.
Dispersion (P75 minus P25) varies across payers. Aetna has the widest interquartile span at $22.0 (P75 $30.2 minus P25 $8.3), indicating greater variability, followed by Cigna ($7.1), UnitedHealth Group ($8.4), and BUCA ($8.8). Blue Cross Blue Shield is among the tightest with a span of $4.4, and Medicare’s interquartile span is $1 (P75 $9 minus P25 $8), showing the most compressed distribution.