CPT 93459: Coronary Angiography with Left Heart Catheterization
Medicare pays $752 and commercial payers pay $3149 on average nationally for this procedure.
CPT code 93459 describes coronary angiography with catheter placement into the left side of the heart and intraprocedural contrast injections to image coronary vessels and, when needed, left ventriculography; this procedure is an invasive diagnostic cardiac catheterization typically performed by interventional cardiology in a cardiac catheterization laboratory or hybrid operating room and includes supervision and interpretation of diagnostic imaging to identify coronary artery narrowing or blockages and assess left ventricular function.
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
Commercial averages run notably above Medicare for CPT 93459: Blue Cross Blue Shield, Cigna, UnitedHealth Group, Aetna and BUCA all present mean rates higher than Medicare’s mean of $751.80, with BUCA’s average commercial mean sitting at $3,149.00 — roughly $2,397.20 higher than Medicare. This highlights a sizable gap between Medicare reimbursement and mid-to-high commercial payers for this service.
Dispersion (P75–P25) varies widely across payers. Blue Cross Blue Shield shows one of the widest interquartile spreads at $4,777.20 (P75 $6,586.80 minus P25 $1,809.60), while Aetna’s spread is comparatively tighter at $735.00 (P75 $1,179.00 minus P25 $444.00). Cigna and UnitedHealth Group have similar mid-to-high dispersion levels ($1,027.80 and $959.10 respectively), and BUCA’s IQR is $3,122.00 (P75 $4,412.90 minus P25 $1,290.90), indicating substantial variation among commercial contracts.