CPT 93454: Coronary Angiography Imaging Supervision and Interpretation
Medicare pays $608 and commercial payers pay $2998 on average nationally for this procedure.
CPT code 93454 represents imaging supervision and interpretation for coronary angiography performed with intraprocedural injections to evaluate coronary artery disease and arterial stenosis; this service is the physician or qualified practitioner component responsible for reviewing live or recorded fluoroscopic and angiographic images and producing the official interpretation report. Service type: imaging supervision and interpretation. Typical site of service: hospital catheterization laboratory or outpatient cardiac catheterization suite.
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 show a clear split between Medicare and BUCA averages: Medicare's mean is $607.60 while BUCA’s average commercial mean is $2,997.90, so BUCA pays roughly five times Medicare’s mean for CPT 93454. Other major commercial payers cluster between those endpoints, with Aetna at $662.10, Cigna at $998.20, and UnitedHealth Group at $988.00; Blue Cross Blue Shield’s mean is notably higher at $4,584.20, pulling the commercial mean range upward.
Rate dispersion measured by the interquartile range (P75 minus P25) varies substantially: Blue Cross Blue Shield is the widest with an IQR of $4,678.20 ($6,427.90 - $1,749.70), followed by BUCA at $2,992.30 ($4,180.30 - $1,188.00). UnitedHealth Group ($765.20), Cigna ($887.90), and Aetna ($400.40) show progressively tighter IQRs, making Aetna the tightest among the listed commercial payers.