How much does Medicare pay for CPT 01992?

Medicare allowed an average of $117.33 per service and paid $91.49 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1835.83, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 01992?

Anesthesia for nerve block and injection procedure, prone position. It was billed 80,506 times to 62,533 Medicare beneficiaries by 1,274 providers in 2024.

Does 01992 pay differently in an office than a hospital?

Yes. The allowed amount averaged $123.06 in an office setting and $115.33 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 01992 most?

Certified Registered Nurse Anesthetist (CRNA), with 53,064 services from 783 clinicians. Next are Anesthesiology, Pain Management, Interventional Pain Management.

CPT 01992

Anesthesia for nerve block and injection procedure, prone position

$117.33Medicare-allowed amount per service, averaged across 80,506 services

Providers submitted

$1835.83

Asking price, not received

Medicare allowed

$117.33

The fee schedule figure

Medicare paid

$91.49

Balance is patient coinsurance

Providers submitted an average of $1835.83 for this code and Medicare allowed $117.33 — 15.6× 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 $91.49 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $123.06
Hospital / facility: $115.33

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. 20,830 services were billed in an office setting and 59,676 in a facility.

Services: 80,506
Beneficiaries: 62,533
Providers billing it: 1,274
Total allowed: $9,445,769

What Medicare pays for CPT 01992

Across 80,506 services billed by 1,274 providers to 62,533 beneficiaries, Medicare allowed an average of $117.33 per service. That is 1.3 services per beneficiary, so this is a code patients typically receive more than once. 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 01992

Specialty	Services	Beneficiaries	Avg allowed	Providers
Certified Registered Nurse Anesthetist (CRNA)	53,064	40,844	$117.70	783
Anesthesiology	23,638	18,958	$117.02	457
Pain Management	3,064	2,284	$114.86	18
Interventional Pain Management	577	289	$122.48	7
Anesthesiology Assistant	148	143	$64.22	8
Interventional Radiology	15	15	$129.13	1

01992 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	17,337	$114.47	$90.01	253
California	11,206	$127.52	$98.52	173
Arizona	8,240	$116.40	$92.85	77
Alabama	7,194	$87.67	$73.28	127
Florida	4,447	$128.23	$98.64	71
Louisiana	3,115	$123.01	$97.67	51
New York	3,014	$143.27	$101.65	61
New Jersey	2,781	$126.36	$92.97	62
Kentucky	2,512	$106.68	$86.67	22
Nevada	2,218	$118.62	$95.78	17
Georgia	1,906	$121.08	$93.58	53
Oklahoma	1,867	$112.73	$93.45	23
Mississippi	1,558	$109.53	$93.09	16
Minnesota	1,300	$124.41	$98.01	14
Tennessee	1,143	$118.14	$96.14	23
Michigan	1,135	$117.90	$93.96	17
Maryland	1,073	$142.20	$105.15	17
Illinois	1,060	$119.18	$88.44	33
Pennsylvania	1,021	$79.38	$62.31	45
Ohio	946	$105.68	$82.53	21
Arkansas	773	$115.56	$96.18	8
District of Columbia	626	$148.58	$108.96	3
Indiana	573	$107.05	$86.94	10
Hawaii	506	$122.32	$93.22	3
Washington	464	$123.66	$95.85	4
Colorado	318	$122.43	$95.77	10
Massachusetts	297	$146.13	$113.65	6
Virginia	278	$126.23	$96.10	6
New Mexico	199	$123.96	$97.46	6
New Hampshire	172	$125.30	$100.33	3
North Carolina	153	$111.05	$86.19	6
Nebraska	139	$106.97	$85.14	3
Wisconsin	131	$128.55	$100.90	7
Iowa	120	$124.32	$97.98	1
Delaware	106	$104.65	$82.53	4
Kansas	104	$126.78	$98.28	1
Oregon	104	$119.88	$95.11	2
Connecticut	95	$144.28	$99.67	2
South Carolina	62	$117.60	$95.45	4
Wyoming	56	$126.63	$104.56	1
Maine	51	$119.96	$87.03	2
Missouri	49	$90.39	$76.21	3
West Virginia	37	$117.77	$96.72	2
Guam	20	$126.05	$95.14	1

Related codes

01922Anesthesia for x-ray or radiation therapy$135.98
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.