# CPT 93458: Catheter placement in coronary artery(s), with left heart catheterization

Medicare CPT 93458 pays $1,010.04 in a non-facility setting and $1,010.04 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $880.36 in Arkansas to $1,164.76 in District of Columbia, a 32% spread.

Web page: https://www.med-reveal.com/rates/93458-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Cardiovascular Disease

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,010.04 |
| National facility | $1,010.04 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $1,164.76 | $1,164.76 |
| California | $1,144.08 | $1,144.08 |
| Alaska | $1,135.63 | $1,135.63 |
| New York | $1,123.58 | $1,123.58 |
| New Jersey | $1,122.08 | $1,122.08 |
| Washington | $1,118.42 | $1,118.42 |
| Massachusetts | $1,106.90 | $1,106.90 |
| Hawaii | $1,102.37 | $1,102.37 |
| Connecticut | $1,082.44 | $1,082.44 |
| Colorado | $1,054.52 | $1,054.52 |
| Maryland | $1,048.91 | $1,048.91 |
| Florida | $1,048.41 | $1,048.41 |
| Oregon | $1,043.33 | $1,043.33 |
| New Hampshire | $1,037.71 | $1,037.71 |
| Rhode Island | $1,035.50 | $1,035.50 |
| Illinois | $1,018.41 | $1,018.41 |
| Puerto Rico | $1,018.17 | $1,018.17 |
| Virgin Islands | $1,018.17 | $1,018.17 |
| Montana | $1,009.97 | $1,009.97 |
| Minnesota | $1,006.38 | $1,006.38 |
| Nevada | $1,004.53 | $1,004.53 |
| Wyoming | $1,000.23 | $1,000.23 |
| Pennsylvania | $998.10 | $998.10 |
| Delaware | $997.66 | $997.66 |
| Texas | $996.12 | $996.12 |
| North Dakota | $987.62 | $987.62 |
| Virginia | $985.52 | $985.52 |
| South Dakota | $984.98 | $984.98 |
| Vermont | $983.50 | $983.50 |
| Georgia | $981.40 | $981.40 |
| Arizona | $980.12 | $980.12 |
| Michigan | $977.24 | $977.24 |
| Maine | $960.80 | $960.80 |
| Utah | $958.80 | $958.80 |
| New Mexico | $952.07 | $952.07 |
| Wisconsin | $950.75 | $950.75 |
| Missouri | $944.41 | $944.41 |
| South Carolina | $944.35 | $944.35 |
| North Carolina | $943.49 | $943.49 |
| Louisiana | $943.10 | $943.10 |
| Ohio | $941.62 | $941.62 |
| Indiana | $932.98 | $932.98 |
| Idaho | $926.96 | $926.96 |
| Nebraska | $925.74 | $925.74 |
| West Virginia | $922.83 | $922.83 |
| Tennessee | $920.68 | $920.68 |
| Iowa | $920.14 | $920.14 |
| Kentucky | $919.15 | $919.15 |
| Oklahoma | $917.10 | $917.10 |
| Kansas | $915.49 | $915.49 |
| Alabama | $894.92 | $894.92 |
| Mississippi | $890.39 | $890.39 |
| Arkansas | $880.36 | $880.36 |

## 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
- 93227: External ECG recording, up to 48 hours, interpretation and report only — https://www.med-reveal.com/rates/93227-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

Commercial negotiated rates for 93458 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