# CPT 93227: External ECG recording, up to 48 hours, interpretation and report only

Medicare CPT 93227 pays $17.70 in a non-facility setting and $17.70 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $16.88 in Arkansas to $24.20 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/93227-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Cardiovascular Disease

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $17.70 |
| National facility | $17.70 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $24.20 | $24.20 |
| District of Columbia | $19.26 | $19.26 |
| New Jersey | $18.97 | $18.97 |
| New York | $18.96 | $18.96 |
| California | $18.86 | $18.86 |
| Washington | $18.69 | $18.69 |
| Massachusetts | $18.59 | $18.59 |
| Connecticut | $18.39 | $18.39 |
| Hawaii | $18.20 | $18.20 |
| Maryland | $18.10 | $18.10 |
| Colorado | $18.08 | $18.08 |
| Rhode Island | $18.06 | $18.06 |
| Florida | $18.03 | $18.03 |
| Oregon | $17.96 | $17.96 |
| Illinois | $17.90 | $17.90 |
| New Hampshire | $17.85 | $17.85 |
| Pennsylvania | $17.75 | $17.75 |
| Puerto Rico | $17.75 | $17.75 |
| Virgin Islands | $17.75 | $17.75 |
| Montana | $17.70 | $17.70 |
| Delaware | $17.68 | $17.68 |
| Texas | $17.68 | $17.68 |
| Nevada | $17.65 | $17.65 |
| Wyoming | $17.62 | $17.62 |
| Minnesota | $17.60 | $17.60 |
| Georgia | $17.57 | $17.57 |
| Michigan | $17.56 | $17.56 |
| Virginia | $17.52 | $17.52 |
| Arizona | $17.51 | $17.51 |
| North Dakota | $17.50 | $17.50 |
| Vermont | $17.49 | $17.49 |
| South Dakota | $17.48 | $17.48 |
| Utah | $17.39 | $17.39 |
| New Mexico | $17.38 | $17.38 |
| Maine | $17.37 | $17.37 |
| Louisiana | $17.31 | $17.31 |
| Missouri | $17.31 | $17.31 |
| Ohio | $17.30 | $17.30 |
| South Carolina | $17.30 | $17.30 |
| North Carolina | $17.27 | $17.27 |
| Wisconsin | $17.27 | $17.27 |
| West Virginia | $17.23 | $17.23 |
| Indiana | $17.19 | $17.19 |
| Kentucky | $17.16 | $17.16 |
| Idaho | $17.15 | $17.15 |
| Nebraska | $17.13 | $17.13 |
| Oklahoma | $17.13 | $17.13 |
| Tennessee | $17.12 | $17.12 |
| Iowa | $17.10 | $17.10 |
| Kansas | $17.09 | $17.09 |
| Alabama | $16.97 | $16.97 |
| Mississippi | $16.97 | $16.97 |
| Arkansas | $16.88 | $16.88 |

## Related codes

- 93000: Electrocardiogram, routine ECG with interpretation and report — https://www.med-reveal.com/rates/93000-cpt-fee-schedule
- 93005: Electrocardiogram, tracing only, without interpretation — https://www.med-reveal.com/rates/93005-cpt-fee-schedule
- 93010: Electrocardiogram, interpretation and report only — https://www.med-reveal.com/rates/93010-cpt-fee-schedule
- 93040: Rhythm ECG, 1-3 leads, with interpretation and report — https://www.med-reveal.com/rates/93040-cpt-fee-schedule
- 93224: External ECG recording, 24 hours, includes recording, scanning, and interpretation — https://www.med-reveal.com/rates/93224-cpt-fee-schedule
- 93225: External ECG recording, up to 48 hours, recording only — https://www.med-reveal.com/rates/93225-cpt-fee-schedule
- 93268: External patient/event ECG recording, up to 30 days, attended monitoring — https://www.med-reveal.com/rates/93268-cpt-fee-schedule
- 93306: Echocardiography, transthoracic, complete, with spectral and color flow Doppler — https://www.med-reveal.com/rates/93306-cpt-fee-schedule

Commercial negotiated rates for 93227 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules