How much does Medicare pay for CPT 01926?

Medicare allowed an average of $227.98 per service and paid $179.99 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2588.47, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 01926?

Anesthesia for x-ray on artery of brain, heart, or chest. It was billed 41,653 times to 41,469 Medicare beneficiaries by 2,144 providers in 2024.

Does 01926 pay differently in an office than a hospital?

Yes. The allowed amount averaged $265.29 in an office setting and $227.78 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 01926 most?

Anesthesiology, with 29,592 services from 1,475 clinicians. Next are Certified Registered Nurse Anesthetist (CRNA), Anesthesiology Assistant, Critical Care (Intensivists).

CPT 01926

Anesthesia for x-ray on artery of brain, heart, or chest

$227.98Medicare-allowed amount per service, averaged across 41,653 services

Providers submitted

$2588.47

Asking price, not received

Medicare allowed

$227.98

The fee schedule figure

Medicare paid

$179.99

Balance is patient coinsurance

Providers submitted an average of $2588.47 for this code and Medicare allowed $227.98 — 11.4× 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 $179.99 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $265.29
Hospital / facility: $227.78

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. 224 services were billed in an office setting and 41,429 in a facility.

Services: 41,653
Beneficiaries: 41,469
Providers billing it: 2,144
Total allowed: $9,496,051

What Medicare pays for CPT 01926

Across 41,653 services billed by 2,144 providers to 41,469 beneficiaries, Medicare allowed an average of $227.98 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 01926

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	29,592	29,471	$240.31	1,475
Certified Registered Nurse Anesthetist (CRNA)	10,453	10,394	$201.56	572
Anesthesiology Assistant	1,248	1,247	$152.72	75
Critical Care (Intensivists)	181	179	$250.96	10
Pain Management	49	49	$271.52	3
Interventional Pain Management	26	26	$223.69	2
Allergy/ Immunology	22	22	$192.87	2
Physical Medicine and Rehabilitation	18	18	$92.40	1
Family Practice	17	17	$323.39	1
Emergency Medicine	16	15	$417.26	1
Pulmonary Disease	16	16	$182.01	1
General Practice	15	15	$120.66	1

01926 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
Texas	4,091	$226.05	$179.22	195
Florida	3,815	$218.13	$167.87	198
California	3,457	$318.12	$241.29	180
South Carolina	2,271	$162.30	$131.05	92
New York	2,105	$275.12	$198.61	117
Arizona	1,817	$270.87	$212.82	65
Georgia	1,663	$160.14	$125.57	90
Tennessee	1,370	$191.09	$155.85	76
Massachusetts	1,360	$263.93	$201.74	80
Missouri	1,347	$206.69	$163.06	75
Pennsylvania	1,292	$178.45	$139.17	73
North Carolina	1,253	$171.74	$138.18	62
Virginia	1,185	$229.14	$181.14	67
Washington	1,161	$241.47	$185.19	58
Kansas	1,126	$189.94	$154.21	54
Illinois	1,115	$258.57	$197.55	59
Indiana	918	$253.50	$209.01	48
New Jersey	891	$237.59	$179.68	54
Alabama	885	$159.40	$129.29	46
Oklahoma	782	$274.97	$220.06	30
Mississippi	753	$155.26	$126.91	44
Ohio	569	$219.78	$174.01	36
Nebraska	568	$190.97	$159.09	18
Connecticut	498	$212.08	$161.03	22
Maryland	481	$311.74	$239.01	27
Wisconsin	462	$224.77	$186.32	31
Arkansas	431	$257.51	$214.22	15
Michigan	422	$218.24	$168.16	28
South Dakota	394	$149.07	$123.23	17
Louisiana	382	$173.50	$139.63	21
Colorado	360	$255.14	$198.41	21
Minnesota	315	$191.24	$154.26	19
Oregon	293	$290.22	$229.85	16
Nevada	252	$269.30	$211.61	13
Kentucky	159	$174.69	$138.51	9
Idaho	151	$251.01	$208.74	10
Montana	147	$303.60	$238.69	8
District of Columbia	141	$255.39	$186.26	9
West Virginia	139	$188.73	$139.73	8
Iowa	123	$206.41	$170.93	9
Utah	118	$290.38	$230.58	7
Rhode Island	101	$216.17	$167.11	6
Maine	90	$228.61	$174.46	5
New Hampshire	81	$291.75	$224.99	5
North Dakota	80	$217.12	$175.53	6
Wyoming	75	$326.88	$249.44	3
Delaware	52	$239.25	$189.76	4
Alaska	45	$444.29	$257.65	3
New Mexico	43	$233.76	$183.28	3
ZZ	13	$483.60	$376.51	1
Puerto Rico	11	$168.56	$131.57	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
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.