How much does Medicare pay for CPT 01922?

Medicare allowed an average of $135.98 per service and paid $106.92 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1596.91, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 01922?

Anesthesia for x-ray or radiation therapy. It was billed 148,157 times to 146,285 Medicare beneficiaries by 7,114 providers in 2024.

Does 01922 pay differently in an office than a hospital?

Yes. The allowed amount averaged $196.08 in an office setting and $134.94 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 01922 most?

Anesthesiology, with 94,033 services from 4,273 clinicians. Next are Certified Registered Nurse Anesthetist (CRNA), Anesthesiology Assistant, Critical Care (Intensivists).

CPT 01922

Anesthesia for x-ray or radiation therapy

$135.98Medicare-allowed amount per service, averaged across 148,157 services

Providers submitted

$1596.91

Asking price, not received

Medicare allowed

$135.98

The fee schedule figure

Medicare paid

$106.92

Balance is patient coinsurance

Providers submitted an average of $1596.91 for this code and Medicare allowed $135.98 — 11.7× 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 $106.92 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $196.08
Hospital / facility: $134.94

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. 2,523 services were billed in an office setting and 145,634 in a facility.

Services: 148,157
Beneficiaries: 146,285
Providers billing it: 7,114
Total allowed: $20,146,389

What Medicare pays for CPT 01922

Across 148,157 services billed by 7,114 providers to 146,285 beneficiaries, Medicare allowed an average of $135.98 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 01922

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	94,033	92,829	$139.84	4,273
Certified Registered Nurse Anesthetist (CRNA)	49,547	48,921	$130.65	2,584
Anesthesiology Assistant	3,125	3,106	$99.82	188
Critical Care (Intensivists)	426	422	$118.13	24
Emergency Medicine	345	337	$196.24	12
Pain Management	306	298	$136.88	14
Interventional Pain Management	212	210	$129.45	9
Allergy/ Immunology	46	45	$144.37	3
Internal Medicine	43	43	$109.49	2
General Practice	20	20	$175.00	1
Urology	15	15	$229.88	1
Thoracic Surgery	14	14	$137.73	1
Hospitalist	13	13	$125.24	1
Pulmonary Disease	12	12	$165.64	1

01922 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
Florida	18,510	$136.79	$104.23	818
Texas	12,418	$128.89	$101.11	539
New York	12,414	$182.31	$129.20	482
Pennsylvania	10,237	$111.00	$86.61	530
Michigan	7,387	$117.76	$90.67	404
Tennessee	7,129	$118.55	$96.26	296
New Jersey	7,083	$156.54	$115.37	334
California	6,758	$195.25	$147.58	336
Illinois	5,487	$144.34	$107.51	329
South Carolina	5,090	$103.35	$82.98	201
Massachusetts	4,470	$148.84	$112.81	231
Georgia	4,147	$102.90	$80.18	213
North Carolina	3,863	$108.59	$88.24	202
Virginia	3,726	$125.70	$99.06	181
Missouri	3,479	$118.66	$93.88	162
Louisiana	2,865	$108.43	$87.08	125
Arizona	2,837	$145.19	$113.85	137
Kansas	2,699	$121.50	$98.33	138
Ohio	2,216	$132.48	$104.38	126
Alabama	2,085	$116.59	$96.11	91
Indiana	2,015	$142.91	$115.56	101
Connecticut	1,637	$146.03	$110.11	91
Nebraska	1,604	$134.86	$112.33	82
Maryland	1,517	$151.69	$115.17	79
Kentucky	1,432	$116.03	$92.76	71
Wisconsin	1,411	$131.92	$106.86	86
North Dakota	1,226	$101.89	$81.36	63
South Dakota	1,168	$89.61	$72.76	46
New Hampshire	1,011	$132.40	$103.41	62
Minnesota	987	$164.36	$130.19	52
Washington	945	$171.64	$130.54	55
Colorado	901	$139.55	$108.73	57
Nevada	887	$169.67	$132.03	51
West Virginia	803	$107.61	$83.78	46
Mississippi	755	$95.23	$77.41	44
Oklahoma	700	$153.32	$123.84	35
Maine	648	$101.09	$78.76	30
Arkansas	627	$136.90	$113.37	22
Iowa	502	$152.15	$124.77	34
Delaware	403	$103.29	$80.23	20
Utah	258	$198.13	$155.86	13
Montana	255	$173.14	$128.97	12
Idaho	251	$161.79	$133.50	17
Rhode Island	234	$128.31	$100.42	14
Alaska	233	$235.68	$142.15	13
Wyoming	175	$203.06	$140.63	5
Hawaii	162	$127.88	$101.03	8
Oregon	144	$168.46	$133.12	10
District of Columbia	142	$103.77	$78.87	7
New Mexico	123	$153.33	$119.03	8
Puerto Rico	87	$136.92	$102.68	4
Vermont	14	$118.18	$95.74	1

Related codes

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
01916Anesthesia for x-ray exam of arteries and veins$162.11
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.