How much does Medicare pay for CPT 01916?

Medicare allowed an average of $162.11 per service and paid $127.47 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2583.57, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 01916?

Anesthesia for x-ray exam of arteries and veins using contrast. It was billed 6,497 times to 6,086 Medicare beneficiaries by 299 providers in 2024.

Does 01916 pay differently in an office than a hospital?

Yes. The allowed amount averaged $175.53 in an office setting and $155.68 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 01916 most?

Anesthesiology, with 3,635 services from 170 clinicians. Next are Certified Registered Nurse Anesthetist (CRNA), Anesthesiology Assistant, Interventional Pain Management.

CPT 01916

Anesthesia for x-ray exam of arteries and veins using contrast

$162.11Medicare-allowed amount per service, averaged across 6,497 services

Providers submitted

$2583.57

Asking price, not received

Medicare allowed

$162.11

The fee schedule figure

Medicare paid

$127.47

Balance is patient coinsurance

Providers submitted an average of $2583.57 for this code and Medicare allowed $162.11 — 15.9× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $127.47 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $175.53
Hospital / facility: $155.68

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 2,105 services were billed in an office setting and 4,392 in a facility.

Services: 6,497
Beneficiaries: 6,086
Providers billing it: 299
Total allowed: $1,053,229

What Medicare pays for CPT 01916

Across 6,497 services billed by 299 providers to 6,086 beneficiaries, Medicare allowed an average of $162.11 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 01916

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	3,635	3,382	$165.20	170
Certified Registered Nurse Anesthetist (CRNA)	2,751	2,598	$159.34	122
Anesthesiology Assistant	100	95	$119.67	6
Interventional Pain Management	11	11	$221.37	1

01916 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
New York	1,455	$183.24	$132.92	42
Texas	900	$152.87	$122.02	45
Pennsylvania	697	$130.33	$97.20	39
New Jersey	380	$159.69	$116.09	20
Florida	343	$153.89	$115.38	20
California	304	$196.26	$150.37	15
Alabama	289	$152.76	$126.38	12
Tennessee	264	$140.85	$119.20	14
Georgia	246	$148.08	$117.00	10
Maryland	242	$156.37	$119.09	8
Massachusetts	183	$216.37	$168.21	12
Connecticut	158	$197.88	$150.98	7
North Carolina	118	$144.39	$119.44	6
Oklahoma	111	$156.21	$121.35	2
Kentucky	108	$164.13	$135.10	3
Ohio	101	$132.33	$101.62	8
Arizona	89	$188.43	$147.25	4
South Carolina	72	$115.38	$93.53	4
District of Columbia	67	$173.59	$124.67	4
Virginia	57	$161.91	$119.38	4
Louisiana	56	$161.24	$130.41	3
West Virginia	36	$106.43	$84.89	2
Indiana	32	$121.59	$96.57	2
Illinois	30	$181.96	$137.88	2
Mississippi	24	$133.41	$113.32	2
Nebraska	24	$182.94	$154.72	1
AP	23	$203.23	$165.27	1
Nevada	16	$168.01	$108.88	1
Missouri	14	$106.32	$73.22	1
Kansas	14	$109.20	$87.78	1
Washington	11	$190.88	$137.60	1
Iowa	11	$167.28	$139.71	1
Michigan	11	$155.94	$118.78	1
Delaware	11	$124.04	$95.18	1

Related codes

01922Anesthesia for x-ray or radiation therapy$135.98
01992Anesthesia for nerve block and injection procedure$117.33
01938Anesthesia for injection$85.34
01926Anesthesia for x-ray on artery of brain$227.98
01940Anesthesia for nerve destruction procedures on spine or spinal cord of$107.14
01996Daily hospital management of continuous spinal drug administration$62.53
01937Anesthesia for injection$89.46
01942Anesthesia for nerve modulation procedure spinal cord or repair of bon$152.21
01924Anesthesia for x-ray on arteries$214.93
01939Anesthesia for nerve destruction procedures on spine or spinal cord of$107.35
01991Anesthesia for nerve block and injection$78.53
01920Anesthesia for x-ray on heart vessels and chambers$181.92

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.