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CMS RVU26D · Effective 2026-10-01

93018 in Wyoming**

Office / nonfacility

$13.61

Base rate per service

Facility setting

$13.61

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 testing

About 93018: Cardiovascular stress test interpretation and report only

Physician interpretation and written report of an exercise or pharmacologic cardiovascular stress test, reported when the billing physician provides the reading rather than the complete test.

This service involves reviewing ECG tracings, heart rate and blood pressure responses, symptoms, arrhythmias, and ST-segment changes recorded during a treadmill, bicycle, or pharmacologic stress test, then issuing a signed report. The report addresses ischemic findings and a conclusion, along with exercise capacity and the reason for stopping when exercise is used. Cardiologists commonly interpret stress tests performed in hospital outpatient departments or other facilities. One physician may supervise the test while a different physician interprets it.

CMS designates 93018 as a professional-component-only code for the interpretation and report. When separately billed, the equipment, staff, and tracing are represented by 93017, rather than 93018. Because 93018 already identifies the professional service, modifier 26 is not appended. A physician who both supervises and interprets a facility test may report 93016 with 93018. When one billing entity provides supervision, tracing, and interpretation, report the complete stress test with 93015 instead. Documentation should include the interpreting physician's signed findings and conclusion.

CMS billing rules for 93018

Professional and technical components
Professional-component-only code: interpretation and report; a separate code covers the technical portion.

Where the value comes from

  • Work RVU0.29 · 71%
  • Practice expense (office) RVU0.11 · 27%
  • Malpractice RVU0.01 · 2%

883.4K

Medicare services in 2024 · #156 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.

93018 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

93015

Cardiac stress test

Global: supervision, tracing, interpretation

$73.13

93015 covers the complete stress test when the billing entity provides supervision, tracing, and interpretation. Use 93018 for only the interpretation and report.

93016

Stress test supervision

Supervision without tracing or interpretation

$20.62

93016 covers supervision during the test without interpretation. 93018 covers the interpretation and report; a physician providing both services may report both codes.

93017

Stress test

Tracing only

$38.91

93017 represents the tracing-only portion of the stress test. 93018 represents the physician's interpretation and report.

93010

ECG interpretation

Interpretation and report only

$8.26

93010 is for interpreting a routine 12-lead ECG, such as a resting tracing. 93018 is for interpreting the ECG findings from cardiovascular stress testing.

The same code, a different location

How does Wyoming** compare?

93018 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $13.61

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $14.65

    $1.04 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $14.91

    $1.30 higher than Wyoming**

  4. Miami

    $14.36

    $0.75 higher than Wyoming**

  5. Chicago

    $14.21

    $0.60 higher than Wyoming**

  6. Manhattan

    $15.11

    $1.50 higher than Wyoming**

  7. Alaska*

    $18.63

    $5.02 higher than Wyoming**

Other payment areas listed in Wyoming 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, 93018 ranges from $13.01 in Arkansas to $18.63 in Alaska*. 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

  • Alabama

    Alabama · 93018

    Office

    $13.09

    Facility

    $13.09

    $0.52 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 93018

    Office

    $13.01

    Facility

    $13.01

    $0.60 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 93018

    Office

    $13.53

    Facility

    $13.53

    $0.08 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 93018

    Office

    $14.10

    Facility

    $14.10

    $0.49 higher than Wyoming** for the office setting.

  • Chico

    California · 93018

    Office

    $14.06

    Facility

    $14.06

    $0.45 higher than Wyoming** for the office setting.

  • El Centro

    California · 93018

    Office

    $14.06

    Facility

    $14.06

    $0.45 higher than Wyoming** for the office setting.

  • Fresno

    California · 93018

    Office

    $14.06

    Facility

    $14.06

    $0.45 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 93018

    Office

    $14.06

    Facility

    $14.06

    $0.45 higher than Wyoming** for the office setting.

  • Madera

    California · 93018

    Office

    $14.06

    Facility

    $14.06

    $0.45 higher than Wyoming** for the office setting.

  • Merced

    California · 93018

    Office

    $14.06

    Facility

    $14.06

    $0.45 higher than Wyoming** for the office setting.

  • Modesto

    California · 93018

    Office

    $14.06

    Facility

    $14.06

    $0.45 higher than Wyoming** for the office setting.

  • Napa

    California · 93018

    Office

    $15.31

    Facility

    $15.31

    $1.70 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 93018

    Office

    $14.51

    Facility

    $14.51

    $0.90 higher than Wyoming** for the office setting.

  • Redding

    California · 93018

    Office

    $14.06

    Facility

    $14.06

    $0.45 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 93018

    Office

    $14.06

    Facility

    $14.06

    $0.45 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 93018

    Office

    $14.17

    Facility

    $14.17

    $0.56 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 93018

    Office

    $14.49

    Facility

    $14.49

    $0.88 higher than Wyoming** for the office setting.

  • Salinas

    California · 93018

    Office

    $14.42

    Facility

    $14.42

    $0.81 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 93018

    Office

    $14.55

    Facility

    $14.55

    $0.94 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 93018

    Office

    $15.94

    Facility

    $15.94

    $2.33 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 93018

    Office

    $15.93

    Facility

    $15.93

    $2.32 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 93018

    Office

    $16.23

    Facility

    $16.23

    $2.62 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 93018

    Office

    $16.18

    Facility

    $16.18

    $2.57 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 93018

    Office

    $14.21

    Facility

    $14.21

    $0.60 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 93018

    Office

    $14.53

    Facility

    $14.53

    $0.92 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 93018

    Office

    $14.42

    Facility

    $14.42

    $0.81 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 93018

    Office

    $14.67

    Facility

    $14.67

    $1.06 higher than Wyoming** for the office setting.

  • Stockton

    California · 93018

    Office

    $14.06

    Facility

    $14.06

    $0.45 higher than Wyoming** for the office setting.

  • Vallejo

    California · 93018

    Office

    $15.29

    Facility

    $15.29

    $1.68 higher than Wyoming** for the office setting.

  • Visalia

    California · 93018

    Office

    $14.06

    Facility

    $14.06

    $0.45 higher than Wyoming** for the office setting.

  • Yuba City

    California · 93018

    Office

    $14.06

    Facility

    $14.06

    $0.45 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 93018

    Office

    $13.97

    Facility

    $13.97

    $0.36 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 93018

    Office

    $14.24

    Facility

    $14.24

    $0.63 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 93018

    Office

    $13.66

    Facility

    $13.66

    $0.05 higher than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 93018

    Office

    $14.01

    Facility

    $14.01

    $0.40 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 93018

    Office

    $13.70

    Facility

    $13.70

    $0.09 higher than Wyoming** for the office setting.

  • Atlanta

    Georgia · 93018

    Office

    $13.85

    Facility

    $13.85

    $0.24 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 93018

    Office

    $13.36

    Facility

    $13.36

    $0.25 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 93018

    Office

    $14.06

    Facility

    $14.06

    $0.45 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 93018

    Office

    $13.18

    Facility

    $13.18

    $0.43 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 93018

    Office

    $13.22

    Facility

    $13.22

    $0.39 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 93018

    Office

    $13.74

    Facility

    $13.74

    $0.13 higher than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 93018

    Office

    $13.56

    Facility

    $13.56

    $0.05 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 93018

    Office

    $14.12

    Facility

    $14.12

    $0.51 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 93018

    Office

    $13.25

    Facility

    $13.25

    $0.36 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 93018

    Office

    $13.18

    Facility

    $13.18

    $0.43 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 93018

    Office

    $13.26

    Facility

    $13.26

    $0.35 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 93018

    Office

    $13.52

    Facility

    $13.52

    $0.09 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 93018

    Office

    $13.26

    Facility

    $13.26

    $0.35 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 93018

    Office

    $14.77

    Facility

    $14.77

    $1.16 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 93018

    Office

    $13.98

    Facility

    $13.98

    $0.37 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 93018

    Office

    $14.20

    Facility

    $14.20

    $0.59 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 93018

    Office

    $13.81

    Facility

    $13.81

    $0.20 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 93018

    Office

    $13.27

    Facility

    $13.27

    $0.34 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 93018

    Office

    $13.54

    Facility

    $13.54

    $0.07 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 93018

    Office

    $13.79

    Facility

    $13.79

    $0.18 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 93018

    Office

    $13.42

    Facility

    $13.42

    $0.19 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 93018

    Office

    $13.57

    Facility

    $13.57

    $0.04 lower than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 93018

    Office

    $13.46

    Facility

    $13.46

    $0.15 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 93018

    Office

    $13.52

    Facility

    $13.52

    $0.09 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 93018

    Office

    $13.18

    Facility

    $13.18

    $0.43 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 93018

    Office

    $13.10

    Facility

    $13.10

    $0.51 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 93018

    Office

    $13.69

    Facility

    $13.69

    $0.08 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 93018

    Office

    $13.33

    Facility

    $13.33

    $0.28 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 93018

    Office

    $13.50

    Facility

    $13.50

    $0.11 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 93018

    Office

    $13.20

    Facility

    $13.20

    $0.41 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 93018

    Office

    $13.80

    Facility

    $13.80

    $0.19 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 93018

    Office

    $14.92

    Facility

    $14.92

    $1.31 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 93018

    Office

    $14.45

    Facility

    $14.45

    $0.84 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 93018

    Office

    $13.46

    Facility

    $13.46

    $0.15 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 93018

    Office

    $13.64

    Facility

    $13.64

    $0.03 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 93018

    Office

    $15.29

    Facility

    $15.29

    $1.68 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 93018

    Office

    $14.55

    Facility

    $14.55

    $0.94 higher than Wyoming** for the office setting.

  • Queens

    New York · 93018

    Office

    $15.13

    Facility

    $15.13

    $1.52 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 93018

    Office

    $13.41

    Facility

    $13.41

    $0.20 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 93018

    Office

    $13.38

    Facility

    $13.38

    $0.23 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 93018

    Office

    $13.23

    Facility

    $13.23

    $0.38 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 93018

    Office

    $14.17

    Facility

    $14.17

    $0.56 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 93018

    Office

    $13.58

    Facility

    $13.58

    $0.03 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 93018

    Office

    $14.08

    Facility

    $14.08

    $0.47 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 93018

    Office

    $13.37

    Facility

    $13.37

    $0.24 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 93018

    Office

    $13.73

    Facility

    $13.73

    $0.12 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 93018

    Office

    $13.96

    Facility

    $13.96

    $0.35 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 93018

    Office

    $13.37

    Facility

    $13.37

    $0.24 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 93018

    Office

    $13.47

    Facility

    $13.47

    $0.14 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 93018

    Office

    $13.21

    Facility

    $13.21

    $0.40 lower than Wyoming** for the office setting.

  • Austin

    Texas · 93018

    Office

    $13.89

    Facility

    $13.89

    $0.28 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 93018

    Office

    $13.34

    Facility

    $13.34

    $0.27 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 93018

    Office

    $13.67

    Facility

    $13.67

    $0.06 higher than Wyoming** for the office setting.

  • Dallas

    Texas · 93018

    Office

    $13.72

    Facility

    $13.72

    $0.11 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 93018

    Office

    $13.69

    Facility

    $13.69

    $0.08 higher than Wyoming** for the office setting.

  • Galveston

    Texas · 93018

    Office

    $13.69

    Facility

    $13.69

    $0.08 higher than Wyoming** for the office setting.

  • Houston

    Texas · 93018

    Office

    $13.87

    Facility

    $13.87

    $0.26 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 93018

    Office

    $13.47

    Facility

    $13.47

    $0.14 lower than Wyoming** for the office setting.

  • Utah

    Utah · 93018

    Office

    $13.44

    Facility

    $13.44

    $0.17 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 93018

    Office

    $13.53

    Facility

    $13.53

    $0.08 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 93018

    Office

    $13.73

    Facility

    $13.73

    $0.12 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 93018

    Office

    $13.49

    Facility

    $13.49

    $0.12 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 93018

    Office

    $13.94

    Facility

    $13.94

    $0.33 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 93018

    Office

    $14.95

    Facility

    $14.95

    $1.34 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 93018

    Office

    $13.31

    Facility

    $13.31

    $0.30 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 93018

    Office

    $13.36

    Facility

    $13.36

    $0.25 lower than Wyoming** for the office setting.

See how rates vary across the country

93018 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$13.01

$18.63

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$18.631
AL$13.091
AR$13.011
AZ$13.531
CA$14.06–$16.2329
CO$13.971
CT$14.241
DC$14.911
DE$13.661
FL$13.70–$14.363
GA$13.36–$13.852
GU$14.061
HI$14.061
IA$13.181
ID$13.221
IL$13.56–$14.214
IN$13.251
KS$13.181
KY$13.261
LA$13.26–$13.522
MA$13.98–$14.772
MD$13.81–$14.913
ME$13.27–$13.542
MI$13.42–$13.792
MN$13.571
MO$13.18–$13.523
MS$13.101
MT$13.691
NC$13.331
ND$13.501
NE$13.201
NH$13.801
NJ$14.45–$14.922
NM$13.461
NV$13.641
NY$13.41–$15.295
OH$13.381
OK$13.231
OR$13.58–$14.172
PA$13.37–$14.082
PR$13.731
RI$13.961
SC$13.371
SD$13.471
TN$13.211
TX$13.34–$13.898
UT$13.441
VA$13.53–$14.912
VI$13.731
VT$13.491
WA$13.94–$14.952
WI$13.311
WV$13.361
WY$13.611

Explore 93018 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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.

Browse all communities in Wyoming →

Why are the office and facility amounts different?

For 93018 in Wyoming**, the physician’s office rate is $13.61 and the facility-setting rate is $13.61: a difference of $0.00.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 93018 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$14.97

$13.61 × 110% = $14.97

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.

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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 93018 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

11,939

Code
93018
Physician work
0.29
Practice expense
0.11
Malpractice
0.01

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 93018 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.29× 1.0000.2900
Practice expense0.11× 1.0000.1100
Malpractice0.01× 0.7400.0074
Total RVUs0.4074
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$13.61

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 93018 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.291
Practice expense0.111
Malpractice0.010.74

(0.29 × 1 + 0.11 × 1 + 0.01 × 0.74) × $33.4009 = $13.61

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.291
Practice expense0.111
Malpractice0.010.74

(0.29 × 1 + 0.11 × 1 + 0.01 × 0.74) × $33.4009 = $13.61

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

93018 · Office / nonfacility

$13.61

Effective 2026-10-01

The base rate is $0.11 higher than on 2025-10-01, moving from $13.50 to $13.61 (0.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $13.50changed to$13.61

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.30 changed to 0.29
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $13.50

    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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$13.61$13.61RVU26D
2026-07-01$13.61$13.61RVU26C
2026-04-01$13.61$13.61RVU26B
2026-01-01$13.61$13.61RVU26A
2025-10-01$13.50$13.50RVU25D
2025-07-01$13.50$13.50RVU25C
2025-04-01$13.50$13.50RVU25B
2025-01-01$13.50$13.50RVU25A

93018 billing questions

Should modifier 26 be added to this code?

No. The code itself identifies the interpretation and report, so modifier 26 is not used.

When is the global stress test code used instead of this one?

Report 93015 when the billing entity provides supervision, tracing, and interpretation, often in an office that supplies the equipment. Report 93018 when billing only for the interpretation and report.

Can the same physician bill supervision and interpretation separately?

Yes. For a facility test, a physician who both supervises and interprets it may report 93016 and 93018, while the facility provides the tracing.

Is this reported with nuclear myocardial perfusion imaging?

It may be reported alongside myocardial perfusion imaging when the stress ECG interpretation is performed and documented separately. Interpretation of the perfusion images is a distinct service.

Is it separately reportable with a stress echocardiogram?

It depends on the echocardiography code and services provided. With 93350, the stress ECG interpretation may be reported separately; 93351 includes the stress test supervision, ECG monitoring, interpretation, and report.

What documentation supports this code?

A signed report should reflect the physician's review of the tracings and hemodynamic data, relevant ST changes or arrhythmias, exercise tolerance when applicable, and a clinical conclusion.

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.

RVUs for 93018PPRRVU2026_Oct_nonQPP.csv, line 11,939 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet