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Remote Monitoring Check of an Implanted Defibrillator (ICD)

Illinois rates for HCPCS 93295

Data from an implanted cardiac defibrillator is transmitted electronically to a clinical team, allowing them to review the device's settings, battery status, and any recorded heart rhythm events without requiring an in-person office visit. This remote check covers a period of monitoring over time, rather than a single point-in-time reading. It helps the care team catch problems, like device alerts or abnormal rhythms, between scheduled in-person visits.

Rates data updated July 2026.

How much does Remote Monitoring Check of an Implanted Defibrillator (ICD) cost?

$53.70

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $85.11 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$53.70$38.90 to $72.44
FacilityA hospital or hospital-owned outpatient department$85.11$42.66 to $240

How much rates vary

Facilitymedian $85 · 10th to 90th $43 to $537Professionalmedian $54 · 10th to 90th $35 to $141
$10$20$50$100$200$500$1Kfacility $85professional $54

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$57.54
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$63.10
Typical High
$144.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$43.65
Typical High
$53.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$302.00
Typical High
$912.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$53.70
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$60.26
Typical High
$125.89
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$63.10
Typical High
$223.87
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$44.67
Typical High
$46.77
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$61.66
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$63.10
Typical High
$100.00

Where Illinois sits

The same service costs 2.5 times more in Iowa than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 40th of 51

$53.70

IA $93.33SC $38.02

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.