How much does Medicare pay for CPT 29130?

Medicare allowed an average of $37.77 per service and paid $28.74 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $171.11, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 29130?

Application of nonmoveable finger splint. It was billed 2,581 times to 1,980 Medicare beneficiaries by 96 providers in 2024.

Does 29130 pay differently in an office than a hospital?

Yes. The allowed amount averaged $37.89 in an office setting and $11.94 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 29130 most?

Hand Surgery, with 1,293 services from 38 clinicians. Next are Orthopedic Surgery, Occupational Therapist in Private Practice, Plastic and Reconstructive Surgery.

CPT 29130

Application of nonmoveable finger splint

$37.77Medicare-allowed amount per service, averaged across 2,581 services

Providers submitted

$171.11

Asking price, not received

Medicare allowed

$37.77

The fee schedule figure

Medicare paid

$28.74

Balance is patient coinsurance

Providers submitted an average of $171.11 for this code and Medicare allowed $37.77 — 4.5× 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 $28.74 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $37.89
Hospital / facility: $11.94

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. 2,570 services were billed in an office setting and 11 in a facility.

Services: 2,581
Beneficiaries: 1,980
Providers billing it: 96
Total allowed: $97,484

What Medicare pays for CPT 29130

Across 2,581 services billed by 96 providers to 1,980 beneficiaries, Medicare allowed an average of $37.77 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 29130

Specialty	Services	Beneficiaries	Avg allowed	Providers
Hand Surgery	1,293	948	$36.57	38
Orthopedic Surgery	708	545	$39.40	30
Occupational Therapist in Private Practice	275	231	$42.63	12
Plastic and Reconstructive Surgery	90	72	$30.49	5
General Surgery	77	57	$38.95	2
Physician Assistant	35	33	$35.91	2
Emergency Medicine	23	23	$40.81	2
Nurse Practitioner	21	19	$24.34	1
Rheumatology	21	16	$42.96	1
Sports Medicine	15	13	$22.74	1
Internal Medicine	12	12	$32.74	1
Family Practice	11	11	$45.65	1

29130 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	651	$40.08	$26.51	16
Florida	544	$34.29	$24.62	13
California	475	$39.26	$26.43	22
Texas	168	$38.12	$29.23	8
Massachusetts	99	$44.76	$31.46	4
New Jersey	88	$44.02	$28.65	5
Pennsylvania	72	$34.48	$25.20	4
Wisconsin	60	$37.34	$29.86	3
Michigan	55	$40.86	$29.87	2
Louisiana	53	$29.08	$26.61	3
Oregon	51	$35.42	$26.09	3
Illinois	51	$31.60	$23.52	3
Indiana	51	$34.82	$26.64	1
Hawaii	40	$37.16	$26.17	1
Ohio	35	$32.53	$26.66	2
Maryland	20	$42.61	$28.34	1
Delaware	18	$40.83	$33.22	1
Washington	14	$36.75	$30.13	1
Arizona	13	$33.67	$27.23	1
Alabama	12	$32.42	$27.81	1
Arkansas	11	$11.94	$11.33	1

Related codes

29125Application of nonmoveable forearm to hand splint$61.34

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.