What is the standard insurance baseline for CPT 93016?

The standard insurance baseline reimbursement rate is $20.46. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Exercise or Drug-induced Heart Stress Test with Electrocardiogram Ecg with Supervision by Physician

CPT 93016Medical Service

Exercise or Drug-induced Heart Stress Test with Electrocardiogram Ecg with Supervision by Physician

Q: What do doctors typically charge for Exercise or Drug-induced Heart Stress Test with Electrocardiogram Ecg with Supervision by Physician?

The nationwide median physician charge for Exercise or Drug-induced Heart Stress Test with Electrocardiogram Ecg with Supervision by Physician (CPT 93016) is $70.00. Doctor billed charges vary based on geographic region, setting, and overhead.

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician. Clinical pricing breakdown and utilization metrics across 10,765 practicing doctors nationwide.

$70.00

Peer Median Charge

Gross billed rate

$20.46

Standard Baseline

Customary allowable

3.4x

National Markup

Charge vs baseline

10,765

Active Physicians

Billing this code

Planning care or already received a bill for CPT 93016?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Calculate Bundled Cost →Dispute an Inflated Bill 🧾

Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $70.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $20.46 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 93016 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"