How much does Medicare pay for CPT 01940?

Medicare allowed an average of $107.14 per service and paid $83.73 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1565.21, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 01940?

Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance. It was billed 37,301 times to 33,842 Medicare beneficiaries by 1,112 providers in 2024.

Does 01940 pay differently in an office than a hospital?

Yes. The allowed amount averaged $108.09 in an office setting and $106.80 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 01940 most?

Certified Registered Nurse Anesthetist (CRNA), with 27,070 services from 730 clinicians. Next are Anesthesiology, Pain Management, Anesthesiology Assistant.

CPT 01940

Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance

$107.14Medicare-allowed amount per service, averaged across 37,301 services

Providers submitted

$1565.21

Asking price, not received

Medicare allowed

$107.14

The fee schedule figure

Medicare paid

$83.73

Balance is patient coinsurance

Providers submitted an average of $1565.21 for this code and Medicare allowed $107.14 — 14.6× 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 $83.73 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $108.09
Hospital / facility: $106.80

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. 9,974 services were billed in an office setting and 27,327 in a facility.

Services: 37,301
Beneficiaries: 33,842
Providers billing it: 1,112
Total allowed: $3,996,429

What Medicare pays for CPT 01940

Across 37,301 services billed by 1,112 providers to 33,842 beneficiaries, Medicare allowed an average of $107.14 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 01940

Specialty	Services	Beneficiaries	Avg allowed	Providers
Certified Registered Nurse Anesthetist (CRNA)	27,070	24,512	$109.32	730
Anesthesiology	9,630	8,761	$101.32	356
Pain Management	268	251	$118.99	10
Anesthesiology Assistant	190	189	$65.49	10
Interventional Pain Management	119	105	$117.04	4
Emergency Medicine	13	13	$142.62	1
Hospitalist	11	11	$141.35	1

01940 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	5,792	$97.96	$77.07	188
Florida	4,112	$112.84	$86.05	127
Arizona	3,080	$108.52	$86.34	77
California	2,813	$116.12	$89.85	84
Georgia	2,593	$114.52	$88.92	62
Louisiana	1,626	$105.13	$85.33	51
Kentucky	1,456	$96.95	$75.39	19
New York	1,368	$125.63	$90.00	49
Alabama	1,097	$99.41	$82.25	26
Michigan	1,086	$110.49	$85.48	32
Ohio	1,066	$60.78	$48.44	25
Tennessee	997	$112.53	$92.31	24
Illinois	960	$102.96	$77.64	36
Pennsylvania	869	$109.54	$85.55	34
New Jersey	803	$106.29	$80.51	27
Arkansas	698	$104.30	$87.13	14
Mississippi	548	$111.04	$96.59	18
Massachusetts	536	$121.99	$91.89	17
Indiana	501	$101.72	$83.16	16
Nebraska	443	$106.44	$87.08	6
Maryland	439	$121.25	$89.39	11
Minnesota	384	$112.02	$89.49	13
Virginia	371	$121.91	$91.52	11
North Carolina	348	$104.47	$84.83	14
Colorado	321	$122.98	$95.22	9
Hawaii	286	$111.45	$85.00	3
Washington	253	$137.17	$105.39	8
New Hampshire	235	$110.61	$83.37	7
South Carolina	227	$112.65	$90.62	11
Connecticut	219	$85.51	$64.04	10
Oregon	210	$126.69	$100.66	11
Missouri	196	$97.67	$77.78	9
Oklahoma	190	$116.56	$93.26	8
Idaho	151	$100.54	$83.66	6
Iowa	137	$110.70	$89.41	2
Nevada	128	$105.48	$84.54	6
Wisconsin	111	$76.93	$63.61	8
Kansas	109	$98.22	$76.70	5
South Dakota	105	$72.42	$59.16	8
District of Columbia	85	$100.14	$82.08	2
Maine	84	$79.23	$62.59	4
Delaware	80	$155.97	$119.03	4
Utah	55	$154.15	$131.49	2
Alaska	45	$111.19	$90.68	2
West Virginia	29	$61.76	$45.36	2
Rhode Island	23	$71.99	$56.44	1
New Mexico	14	$106.60	$85.36	1
Vermont	11	$114.00	$89.94	1
North Dakota	11	$66.84	$51.95	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
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.