93245 represents the combined service for the same duration, including recording and physician interpretation. Use 93247 for the technical scanning, analysis, and report portion alone.
On this page
CMS RVU26D · Effective 2026-10-01
93247 in El Centro
Office / nonfacility
$277.30
Base rate per service
Facility setting
Not available in this setting
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Cardiovascular diagnostics
About 93247: Extended ECG technical analysis, 8 to 15 days
Technical analysis of ambulatory ECG data collected over more than 7 through 15 days, reported when monitoring includes scanning, analysis, and a technical report.
This service covers the technical review of ambulatory ECG data from a monitoring period longer than 7 days and up to 15 days. A monitoring company, cardiac diagnostic service, or other qualified technical staff scan the recorded tracings, analyze rhythm data, and prepare the technical report. Cardiologists and other clinicians may order this extended monitoring when intermittent symptoms, such as palpitations or episodic lightheadedness, are not captured during shorter monitoring.
Select 93247 for the scanning, analysis, and report portion of a service in this duration range; it does not represent the recording or physician interpretation. The record should support the monitoring interval and the technical analysis performed. A separate code covers physician review and interpretation. CMS identifies 93247 as technical-component-only, so it represents the technical service rather than a professional component split by modifier. The cardiovascular diagnostic multiple procedure reduction applies to its technical component when the reduction rule is triggered.
CMS billing rules for 93247
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
- Multiple procedures
- Cardiovascular diagnostic multiple procedure reduction applies to the technical component.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU7.57 · 100%
- Malpractice RVU0.01 · 0%
379.4K
Medicare services in 2024 · #268 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
93247 compared with similar codes
Office rates for El Centro, from the same CMS release.
93246 covers recording over the same duration; it does not represent the scanning, analysis, and technical report covered by 93247.
93248 is the physician review and interpretation for this monitoring duration. 93247 is the technical analysis and report.
93243 covers technical scanning, analysis, and reporting for monitoring longer than 48 hours through 7 days. 93247 is for the longer monitoring interval.
The same code, a different location
How does El Centro compare?
In Bakersfield, the office rate for 93247 is $277.32—$0.02 higher than the $277.30 rate in El Centro. Both use the same code, release and participation basis.
93247 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
$277.30
$277.32
$0.02 higher than El Centro
$277.30
The same base rate than El Centro
$277.30
The same base rate than El Centro
$277.30
The same base rate than El Centro
$22.04 higher than El Centro
$277.30
The same base rate than El Centro
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 93247 ranges from $217.37 in Arkansas to $364.78 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 93247
Office
$277.30
Facility
Unavailable
The same base rate than El Centro for the office setting.
Modesto
California · 93247
Office
$277.30
Facility
Unavailable
The same base rate than El Centro for the office setting.
Napa
California · 93247
Office
$333.42
Facility
Unavailable
$56.12 higher than El Centro for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 93247
Office
$299.07
Facility
Unavailable
$21.77 higher than El Centro for the office setting.
Redding
California · 93247
Office
$277.30
Facility
Unavailable
The same base rate than El Centro for the office setting.
Rest Of California
California · 93247
Office
$277.30
Facility
Unavailable
The same base rate than El Centro for the office setting.
Riverside-San Bernardino-Ontario
California · 93247
Office
$277.40
Facility
Unavailable
$0.10 higher than El Centro for the office setting.
Sacramento-Roseville-Folsom
California · 93247
Office
$294.24
Facility
Unavailable
$16.94 higher than El Centro for the office setting.
Salinas
California · 93247
Office
$293.23
Facility
Unavailable
$15.93 higher than El Centro for the office setting.
San Diego-Chula Vista-Carlsbad
California · 93247
Office
$302.58
Facility
Unavailable
$25.28 higher than El Centro for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 93247
Office
$356.66
Facility
Unavailable
$79.36 higher than El Centro for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 93247
Office
$356.65
Facility
Unavailable
$79.35 higher than El Centro for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 93247
Office
$364.78
Facility
Unavailable
$87.48 higher than El Centro for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 93247
Office
$364.73
Facility
Unavailable
$87.43 higher than El Centro for the office setting.
San Luis Obispo-Paso Robles
California · 93247
Office
$288.17
Facility
Unavailable
$10.87 higher than El Centro for the office setting.
Santa Cruz-Watsonville
California · 93247
Office
$307.39
Facility
Unavailable
$30.09 higher than El Centro for the office setting.
Santa Maria-Santa Barbara
California · 93247
Office
$295.00
Facility
Unavailable
$17.70 higher than El Centro for the office setting.
Santa Rosa-Petaluma
California · 93247
Office
$310.67
Facility
Unavailable
$33.37 higher than El Centro for the office setting.
Stockton
California · 93247
Office
$277.30
Facility
Unavailable
The same base rate than El Centro for the office setting.
Vallejo
California · 93247
Office
$333.40
Facility
Unavailable
$56.10 higher than El Centro for the office setting.
Visalia
California · 93247
Office
$277.30
Facility
Unavailable
The same base rate than El Centro for the office setting.
Yuba City
California · 93247
Office
$277.30
Facility
Unavailable
The same base rate than El Centro for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 93247
Office
$298.22
Facility
Unavailable
$20.92 higher than El Centro for the office setting.
Miami
Florida · 93247
Office
$264.06
Facility
Unavailable
$13.24 lower than El Centro for the office setting.
Chicago
Illinois · 93247
Office
$254.88
Facility
Unavailable
$22.42 lower than El Centro for the office setting.
Manhattan
New York · 93247
Office
$294.34
Facility
Unavailable
$17.04 higher than El Centro for the office setting.
Alaska*
Alaska · 93247
Office
$269.46
Facility
Unavailable
$7.84 lower than El Centro for the office setting.
Alabama
Alabama · 93247
Office
$221.43
Facility
Unavailable
$55.87 lower than El Centro for the office setting.
Arkansas
Arkansas · 93247
Office
$217.37
Facility
Unavailable
$59.93 lower than El Centro for the office setting.
Arizona
Arizona · 93247
Office
$245.29
Facility
Unavailable
$32.01 lower than El Centro for the office setting.
Colorado
Colorado · 93247
Office
$269.29
Facility
Unavailable
$8.01 lower than El Centro for the office setting.
Connecticut
Connecticut · 93247
Office
$272.72
Facility
Unavailable
$4.58 lower than El Centro for the office setting.
Delaware
Delaware · 93247
Office
$250.11
Facility
Unavailable
$27.19 lower than El Centro for the office setting.
Fort Lauderdale
Florida · 93247
Office
$256.74
Facility
Unavailable
$20.56 lower than El Centro for the office setting.
Rest Of Florida
Florida · 93247
Office
$242.22
Facility
Unavailable
$35.08 lower than El Centro for the office setting.
Atlanta
Georgia · 93247
Office
$257.29
Facility
Unavailable
$20.01 lower than El Centro for the office setting.
Rest Of Georgia
Georgia · 93247
Office
$225.94
Facility
Unavailable
$51.36 lower than El Centro for the office setting.
Hawaii, Guam
Hawaii · 93247
Office
$287.68
Facility
Unavailable
$10.38 higher than El Centro for the office setting.
Iowa
Iowa · 93247
Office
$231.49
Facility
Unavailable
$45.81 lower than El Centro for the office setting.
Idaho
Idaho · 93247
Office
$232.78
Facility
Unavailable
$44.52 lower than El Centro for the office setting.
East St. Louis
Illinois · 93247
Office
$233.29
Facility
Unavailable
$44.01 lower than El Centro for the office setting.
Rest Of Illinois
Illinois · 93247
Office
$231.37
Facility
Unavailable
$45.93 lower than El Centro for the office setting.
Suburban Chicago
Illinois · 93247
Office
$260.26
Facility
Unavailable
$17.04 lower than El Centro for the office setting.
Indiana
Indiana · 93247
Office
$234.55
Facility
Unavailable
$42.75 lower than El Centro for the office setting.
Kansas
Kansas · 93247
Office
$228.74
Facility
Unavailable
$48.56 lower than El Centro for the office setting.
Kentucky
Kentucky · 93247
Office
$225.08
Facility
Unavailable
$52.22 lower than El Centro for the office setting.
New Orleans
Louisiana · 93247
Office
$238.31
Facility
Unavailable
$38.99 lower than El Centro for the office setting.
Rest Of Louisiana
Louisiana · 93247
Office
$224.09
Facility
Unavailable
$53.21 lower than El Centro for the office setting.
Metropolitan Boston
Massachusetts · 93247
Office
$302.19
Facility
Unavailable
$24.89 higher than El Centro for the office setting.
Rest Of Massachusetts
Massachusetts · 93247
Office
$266.51
Facility
Unavailable
$10.79 lower than El Centro for the office setting.
Baltimore/Surr. Cntys
Maryland · 93247
Office
$271.72
Facility
Unavailable
$5.58 lower than El Centro for the office setting.
Rest Of Maryland
Maryland · 93247
Office
$256.19
Facility
Unavailable
$21.11 lower than El Centro for the office setting.
Rest Of Maine
Maine · 93247
Office
$232.82
Facility
Unavailable
$44.48 lower than El Centro for the office setting.
Southern Maine
Maine · 93247
Office
$250.78
Facility
Unavailable
$26.52 lower than El Centro for the office setting.
Detroit
Michigan · 93247
Office
$244.56
Facility
Unavailable
$32.74 lower than El Centro for the office setting.
Rest Of Michigan
Michigan · 93247
Office
$231.22
Facility
Unavailable
$46.08 lower than El Centro for the office setting.
Minnesota
Minnesota · 93247
Office
$260.28
Facility
Unavailable
$17.02 lower than El Centro for the office setting.
Metropolitan Kansas City
Missouri · 93247
Office
$237.75
Facility
Unavailable
$39.55 lower than El Centro for the office setting.
Metropolitan St. Louis
Missouri · 93247
Office
$241.04
Facility
Unavailable
$36.26 lower than El Centro for the office setting.
Rest Of Missouri
Missouri · 93247
Office
$218.28
Facility
Unavailable
$59.02 lower than El Centro for the office setting.
Mississippi
Mississippi · 93247
Office
$217.95
Facility
Unavailable
$59.35 lower than El Centro for the office setting.
Montana**
Montana · 93247
Office
$253.18
Facility
Unavailable
$24.12 lower than El Centro for the office setting.
North Carolina
North Carolina · 93247
Office
$236.12
Facility
Unavailable
$41.18 lower than El Centro for the office setting.
North Dakota**
North Dakota · 93247
Office
$252.98
Facility
Unavailable
$24.32 lower than El Centro for the office setting.
Nebraska
Nebraska · 93247
Office
$233.50
Facility
Unavailable
$43.80 lower than El Centro for the office setting.
New Hampshire
New Hampshire · 93247
Office
$263.50
Facility
Unavailable
$13.80 lower than El Centro for the office setting.
Northern Nj
New Jersey · 93247
Office
$293.66
Facility
Unavailable
$16.36 higher than El Centro for the office setting.
Rest Of New Jersey
New Jersey · 93247
Office
$276.47
Facility
Unavailable
$0.83 lower than El Centro for the office setting.
New Mexico
New Mexico · 93247
Office
$232.26
Facility
Unavailable
$45.04 lower than El Centro for the office setting.
Nevada**
Nevada · 93247
Office
$253.38
Facility
Unavailable
$23.92 lower than El Centro for the office setting.
Nyc Suburbs/Long Island
New York · 93247
Office
$301.25
Facility
Unavailable
$23.95 higher than El Centro for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 93247
Office
$277.27
Facility
Unavailable
$0.03 lower than El Centro for the office setting.
Queens
New York · 93247
Office
$299.34
Facility
Unavailable
$22.04 higher than El Centro for the office setting.
Rest Of New York
New York · 93247
Office
$240.44
Facility
Unavailable
$36.86 lower than El Centro for the office setting.
Ohio
Ohio · 93247
Office
$231.18
Facility
Unavailable
$46.12 lower than El Centro for the office setting.
Oklahoma
Oklahoma · 93247
Office
$226.05
Facility
Unavailable
$51.25 lower than El Centro for the office setting.
Portland
Oregon · 93247
Office
$281.16
Facility
Unavailable
$3.86 higher than El Centro for the office setting.
Rest Of Oregon
Oregon · 93247
Office
$252.07
Facility
Unavailable
$25.23 lower than El Centro for the office setting.
Metropolitan Philadelphia
Pennsylvania · 93247
Office
$263.61
Facility
Unavailable
$13.69 lower than El Centro for the office setting.
Rest Of Pennsylvania
Pennsylvania · 93247
Office
$232.43
Facility
Unavailable
$44.87 lower than El Centro for the office setting.
Puerto Rico
Puerto Rico · 93247
Office
$255.96
Facility
Unavailable
$21.34 lower than El Centro for the office setting.
Rhode Island
Rhode Island · 93247
Office
$261.49
Facility
Unavailable
$15.81 lower than El Centro for the office setting.
South Carolina
South Carolina · 93247
Office
$233.91
Facility
Unavailable
$43.39 lower than El Centro for the office setting.
South Dakota**
South Dakota · 93247
Office
$252.96
Facility
Unavailable
$24.34 lower than El Centro for the office setting.
Tennessee
Tennessee · 93247
Office
$230.02
Facility
Unavailable
$47.28 lower than El Centro for the office setting.
Austin
Texas · 93247
Office
$267.81
Facility
Unavailable
$9.49 lower than El Centro for the office setting.
Beaumont
Texas · 93247
Office
$230.40
Facility
Unavailable
$46.90 lower than El Centro for the office setting.
Brazoria
Texas · 93247
Office
$250.83
Facility
Unavailable
$26.47 lower than El Centro for the office setting.
Dallas
Texas · 93247
Office
$252.12
Facility
Unavailable
$25.18 lower than El Centro for the office setting.
Fort Worth
Texas · 93247
Office
$249.60
Facility
Unavailable
$27.70 lower than El Centro for the office setting.
Galveston
Texas · 93247
Office
$251.35
Facility
Unavailable
$25.95 lower than El Centro for the office setting.
Houston
Texas · 93247
Office
$251.53
Facility
Unavailable
$25.77 lower than El Centro for the office setting.
Rest Of Texas
Texas · 93247
Office
$240.25
Facility
Unavailable
$37.05 lower than El Centro for the office setting.
Utah
Utah · 93247
Office
$237.97
Facility
Unavailable
$39.33 lower than El Centro for the office setting.
Virginia
Virginia · 93247
Office
$248.78
Facility
Unavailable
$28.52 lower than El Centro for the office setting.
Virgin Islands
United States Virgin Islands · 93247
Office
$255.96
Facility
Unavailable
$21.34 lower than El Centro for the office setting.
Vermont
Vermont · 93247
Office
$250.49
Facility
Unavailable
$26.81 lower than El Centro for the office setting.
Rest Of Washington
Washington · 93247
Office
$266.50
Facility
Unavailable
$10.80 lower than El Centro for the office setting.
Seattle (King Cnty)
Washington · 93247
Office
$310.51
Facility
Unavailable
$33.21 higher than El Centro for the office setting.
Wisconsin
Wisconsin · 93247
Office
$242.33
Facility
Unavailable
$34.97 lower than El Centro for the office setting.
West Virginia
West Virginia · 93247
Office
$220.20
Facility
Unavailable
$57.10 lower than El Centro for the office setting.
Wyoming**
Wyoming · 93247
Office
$253.09
Facility
Unavailable
$24.21 lower than El Centro for the office setting.
See how rates vary across the country
93247 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$217.37
$321.04
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $269.46 | 1 |
| AL | $221.43 | 1 |
| AR | $217.37 | 1 |
| AZ | $245.29 | 1 |
| CA | $277.30–$364.78 | 29 |
| CO | $269.29 | 1 |
| CT | $272.72 | 1 |
| DC | $298.22 | 1 |
| DE | $250.11 | 1 |
| FL | $242.22–$264.06 | 3 |
| GA | $225.94–$257.29 | 2 |
| GU | $287.68 | 1 |
| HI | $287.68 | 1 |
| IA | $231.49 | 1 |
| ID | $232.78 | 1 |
| IL | $231.37–$260.26 | 4 |
| IN | $234.55 | 1 |
| KS | $228.74 | 1 |
| KY | $225.08 | 1 |
| LA | $224.09–$238.31 | 2 |
| MA | $266.51–$302.19 | 2 |
| MD | $256.19–$298.22 | 3 |
| ME | $232.82–$250.78 | 2 |
| MI | $231.22–$244.56 | 2 |
| MN | $260.28 | 1 |
| MO | $218.28–$241.04 | 3 |
| MS | $217.95 | 1 |
| MT | $253.18 | 1 |
| NC | $236.12 | 1 |
| ND | $252.98 | 1 |
| NE | $233.50 | 1 |
| NH | $263.50 | 1 |
| NJ | $276.47–$293.66 | 2 |
| NM | $232.26 | 1 |
| NV | $253.38 | 1 |
| NY | $240.44–$301.25 | 5 |
| OH | $231.18 | 1 |
| OK | $226.05 | 1 |
| OR | $252.07–$281.16 | 2 |
| PA | $232.43–$263.61 | 2 |
| PR | $255.96 | 1 |
| RI | $261.49 | 1 |
| SC | $233.91 | 1 |
| SD | $252.96 | 1 |
| TN | $230.02 | 1 |
| TX | $230.40–$267.81 | 8 |
| UT | $237.97 | 1 |
| VA | $248.78–$298.22 | 2 |
| VI | $255.96 | 1 |
| VT | $250.49 | 1 |
| WA | $266.50–$310.51 | 2 |
| WI | $242.33 | 1 |
| WV | $220.20 | 1 |
| WY | $253.09 | 1 |
Where does this rate apply?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 93247 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$305.03
$277.30 × 110% = $305.03
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 93247 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
11,970
- Code
- 93247
- Physician work
- 0.00
- Practice expense
- 7.57
- Malpractice
- 0.01
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.017 | 0.0000 |
| Practice expense | 7.57 | × 1.096 | 8.2967 |
| Malpractice | 0.01 | × 0.541 | 0.0054 |
| Total RVUs | 8.3021 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, El Centro$277.30
Open 93247 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.017 |
| Practice expense | 7.57 | 1.096 |
| Malpractice | 0.01 | 0.541 |
(0 × 1.017 + 7.57 × 1.096 + 0.01 × 0.541) × $33.4009 = $277.30
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
93247 · Office / nonfacility
$277.30
Effective 2026-10-01
The base rate is $20.79 higher than on 2025-10-01, moving from $256.51 to $277.30 (8.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$256.51changed to$277.30
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 7.25 changed to 7.57
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.570 changed to 0.541
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $256.51
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $277.30 | Not available in this setting | RVU26D |
| 2026-07-01 | $277.30 | Not available in this setting | RVU26C |
| 2026-04-01 | $277.30 | Not available in this setting | RVU26B |
| 2026-01-01 | $277.30 | Not available in this setting | RVU26A |
| 2025-10-01 | $256.51 | Not available in this setting | RVU25D |
| 2025-07-01 | $256.51 | Not available in this setting | RVU25C |
| 2025-04-01 | $256.51 | Not available in this setting | RVU25B |
| 2025-01-01 | $256.51 | Not available in this setting | RVU25A |
93247 billing questions
How does 93247 differ from 93246?
93246 covers recording for the same monitoring duration. 93247 covers scanning, analysis, and the technical report.
Is the physician's interpretation included?
No. Physician review and interpretation are reported separately with 93248 when performed.
Should modifier 26 or TC be used?
No component modifier is needed to split this service. 93247 is the technical analysis service; the physician interpretation has a separate code.
How many units are reported for the monitoring period?
Report the service for the monitoring interval, not a unit for each monitored day.
When does the cardiovascular diagnostic multiple procedure reduction affect 93247?
CMS applies the reduction to the technical component when the cardiovascular diagnostic multiple procedure rule is triggered.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
