Cost analysis for CPT 93656 — Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation
Average Medicare Payment
$746.29
2023 data
Total Payments (2023)
$54.2M
Services (2023)
72.6K
Price Change (2014–2023)
-16.0%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $887.92 | $17.9M | 20.3K | — |
| 2015 | $905.17 | $22.6M | 25.1K | +1.9% |
| 2016 | $901.86 | $27.4M | 30.5K | -0.4% |
| 2017 | $904.71 | $31.6M | 35.1K | +0.3% |
| 2018 | $906.37 | $37.9M | 42.0K | +0.2% |
| 2019 | $923.19 | $44.7M | 48.7K | +1.9% |
| 2020 | $934.38 | $42.3M | 45.5K | +1.2% |
| 2021 | $917.12 | $52.2M | 57.1K | -1.8% |
| 2022 | $898.95 | $57.2M | 63.7K | -2.0% |
| 2023 | $746.29 | $54.2M | 72.6K | -17.0% |
The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $941.09 vs ID at $648.93.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $941.09 | $187.3K | 199 | 4 |
| NY | $876.35 | $3.8M | 4.3K | 122 |
| DC | $830.39 | $174.4K | 210 | 5 |
| IL | $808.92 | $2.4M | 3.0K | 96 |
| NJ | $798.87 | $1.4M | 1.8K | 50 |
| MD | $792.95 | $1.0M | 1.3K | 38 |
| FL | $792.59 | $5.8M | 7.3K | 169 |
| CT | $777.81 | $337.6K | 434 | 22 |
| MA | $774.90 | $1.7M | 2.2K | 61 |
| MI | $762.06 | $1.2M | 1.6K | 63 |
| DE | $759.58 | $156.5K | 206 | 8 |
| RI | $752.07 | $170.7K | 227 | 8 |
| NH | $750.94 | $192.2K | 256 | 10 |
| NM | $748.42 | $241.0K | 322 | 7 |
| PA | $747.23 | $2.2M | 2.9K | 111 |
| WA | $747.01 | $1.1M | 1.5K | 42 |
| NV | $746.86 | $334.6K | 448 | 15 |
| CO | $743.27 | $913.5K | 1.2K | 39 |
| VA | $740.02 | $2.2M | 3.0K | 68 |
| LA | $739.30 | $525.6K | 711 | 24 |
| OH | $733.44 | $1.9M | 2.5K | 88 |
| MT | $731.88 | $242.3K | 331 | 8 |
| CA | $730.68 | $5.3M | 7.3K | 160 |
| WV | $729.00 | $261.0K | 358 | 13 |
| GA | $728.77 | $1.4M | 2.0K | 58 |
| TX | $726.70 | $4.3M | 5.9K | 153 |
| MO | $722.74 | $796.5K | 1.1K | 32 |
| AZ | $721.87 | $1.6M | 2.2K | 57 |
| OR | $711.42 | $342.9K | 482 | 20 |
| ME | $708.18 | $136.0K | 192 | 10 |
| KY | $707.81 | $406.3K | 574 | 23 |
| UT | $707.04 | $457.5K | 647 | 16 |
| NC | $704.31 | $1.5M | 2.2K | 63 |
| SC | $702.78 | $1.3M | 1.8K | 38 |
| OK | $699.92 | $625.7K | 894 | 19 |
| MN | $699.42 | $554.6K | 793 | 39 |
| VT | $696.30 | $89.8K | 129 | 5 |
| AL | $694.84 | $917.9K | 1.3K | 32 |
| KS | $686.85 | $601.0K | 875 | 25 |
| WI | $683.86 | $601.8K | 880 | 35 |
| IN | $682.11 | $1.2M | 1.8K | 56 |
| MS | $680.10 | $272.0K | 400 | 11 |
| TN | $672.20 | $1.5M | 2.3K | 57 |
| AR | $669.89 | $631.7K | 943 | 14 |
| IA | $668.37 | $496.6K | 743 | 24 |
| NE | $652.04 | $285.6K | 438 | 14 |
| ID | $648.93 | $229.1K | 353 | 9 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Dinesh Sharma | Clinical Cardiac Electrophysiology | FL | $177.2K | 214 | $827.90 |
| Brett Gidney | Clinical Cardiac Electrophysiology | CA | $170.8K | 224 | $762.60 |
| Mark Bowers | Clinical Cardiac Electrophysiology | CA | $154.4K | 204 | $757.07 |
| Arash Aryana | Clinical Cardiac Electrophysiology | CA | $141.6K | 188 | $753.37 |
| Joseph Levine | Cardiology | NY | $138.9K | 146 | $951.60 |
| Larry Chinitz | Clinical Cardiac Electrophysiology | NY | $134.9K | 148 | $911.77 |
| Saumil Oza | Clinical Cardiac Electrophysiology | FL | $131.6K | 167 | $787.93 |
| Devi Nair | Clinical Cardiac Electrophysiology | AR | $128.4K | 197 | $651.96 |
| Michael Loguidice | Clinical Cardiac Electrophysiology | AR | $125.8K | 187 | $672.86 |
| Dilip Mathew | Clinical Cardiac Electrophysiology | FL | $118.1K | 152 | $777.02 |
| Brian Betensky | Clinical Cardiac Electrophysiology | FL | $116.9K | 147 | $795.29 |
| Peter Chang Sing | Clinical Cardiac Electrophysiology | CA | $114.1K | 152 | $750.36 |
| David Hoch | Clinical Cardiac Electrophysiology | NY | $103.2K | 109 | $947.03 |
| Antonio Moretta | Clinical Cardiac Electrophysiology | FL | $101.0K | 130 | $777.13 |
| Chad Brodt | Clinical Cardiac Electrophysiology | CA | $99.9K | 165 | $605.29 |
| Sidney Peykar | Cardiology | FL | $98.6K | 122 | $807.90 |
| David Lan | Clinical Cardiac Electrophysiology | TN | $95.6K | 139 | $687.57 |
| Andrea Natale | Clinical Cardiac Electrophysiology | TX | $94.9K | 128 | $741.63 |
| Moussa Mansour | Clinical Cardiac Electrophysiology | MA | $94.7K | 121 | $782.84 |
| Jason Appelbaum | Clinical Cardiac Electrophysiology | FL | $91.5K | 111 | $824.21 |
Based on the data, CPT 93656 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 16% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.