What is the standard insurance baseline for CPT 93631?

The standard insurance baseline reimbursement rate is $401.48. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Intra-operative Heart Pacing and Mapping of Abnormal Heart Rhythm for Surgical Correction

CPT 93631Medical Service

Intra-operative Heart Pacing and Mapping of Abnormal Heart Rhythm for Surgical Correction

Q: What do doctors typically charge for Intra-operative Heart Pacing and Mapping of Abnormal Heart Rhythm for Surgical Correction?

The nationwide median physician charge for Intra-operative Heart Pacing and Mapping of Abnormal Heart Rhythm for Surgical Correction (CPT 93631) is $1369.00. Doctor billed charges vary based on geographic region, setting, and overhead.

Intra-operative heart pacing and mapping of abnormal heart rhythm for surgical correction. Clinical pricing breakdown and utilization metrics across 2 practicing doctors nationwide.

$1369.00

Peer Median Charge

Gross billed rate

$401.48

Standard Baseline

Customary allowable

3.4x

National Markup

Charge vs baseline

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $1369.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $401.48 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 93631 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"