CPT 93460: Diagnostic Coronary Angiography with Left and Right Heart Catheterization
Medicare pays $834 and commercial payers pay $3252 on average nationally for this procedure.
CPT code 93460 describes coronary angiography with catheter placement into coronary arteries and cannulation of both left and right heart chambers for contrast injection, supervision of image acquisition, and interpretation to evaluate coronary vessel narrowing or blockages; service type: invasive diagnostic coronary angiography; typical site of service: inpatient or outpatient hospital catheterization laboratory or interventional 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
Medicare reimburses substantially less than the BUCA commercial mean: Medicare’s mean of $833.60 versus BUCA’s mean of $3,251.70 highlights a sizable gap between the public program and this commercial benchmark. Blue Cross Blue Shield and BUCA both sit well above Medicare on mean rates, while Aetna, Cigna, and UnitedHealth Group are closer to Medicare’s level though still higher on average. This spread underscores the variability between public and commercial payment levels for CPT 93460.
Examining dispersion using the interquartile range (P75–P25), Blue Cross Blue Shield has the widest spread at $4,809.40 (P75 $6,651.20 minus P25 $1,841.80), followed by UnitedHealth Group at $1,321.00 and Cigna at $1,130.90. Aetna’s IQR is $774.00, and BUCA’s is $3,168.20, while Medicare’s IQR is $789.00. These comparisons indicate Blue Cross Blue Shield and BUCA have the broadest middle-50% variability, whereas Aetna and Medicare are relatively tighter.