How much does Medicare pay for CPT 37248?

Medicare allowed an average of $1242.61 per service and paid $987.26 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $4359.81, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 37248?

Balloon dilation of vein with review by radiologist, initial vein. It was billed 5,523 times to 4,649 Medicare beneficiaries by 199 providers in 2024.

Does 37248 pay differently in an office than a hospital?

Yes. The allowed amount averaged $1209.54 in an office setting and $1263.21 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 37248 most?

Ambulatory Surgical Center, with 1,599 services from 50 clinicians. Next are Nephrology, Vascular Surgery, Diagnostic Radiology.

CPT 37248

Balloon dilation of vein with review by radiologist, initial vein

$1242.61Medicare-allowed amount per service, averaged across 5,523 services

Providers submitted

$4359.81

Asking price, not received

Medicare allowed

$1242.61

The fee schedule figure

Medicare paid

$987.26

Balance is patient coinsurance

Providers submitted an average of $4359.81 for this code and Medicare allowed $1242.61 — 3.5× 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 $987.26 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $1209.54
Hospital / facility: $1263.21

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 2,120 services were billed in an office setting and 3,403 in a facility.

Services: 5,523
Beneficiaries: 4,649
Providers billing it: 199
Total allowed: $6,862,935

What Medicare pays for CPT 37248

Across 5,523 services billed by 199 providers to 4,649 beneficiaries, Medicare allowed an average of $1242.61 per service. That is 1.2 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 37248

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ambulatory Surgical Center	1,599	1,295	$2389.91	50
Nephrology	1,297	1,105	$765.68	48
Vascular Surgery	665	587	$640.81	26
Diagnostic Radiology	596	497	$847.03	19
Interventional Radiology	585	513	$751.75	26
Cardiology	261	200	$1020.27	6
Internal Medicine	225	198	$1055.32	11
Interventional Cardiology	120	91	$935.24	5
General Surgery	99	96	$313.31	5
Neurology	42	35	$345.99	1
Hospitalist	17	15	$277.63	1
Cardiac Surgery	17	17	$670.16	1

37248 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	734	$1295.44	$1053.99	30
California	714	$1174.41	$829.63	26
New York	529	$1283.84	$862.59	17
Florida	367	$1155.72	$950.38	14
Indiana	361	$1420.30	$1160.87	7
New Jersey	290	$1469.09	$1075.78	9
Illinois	272	$1285.71	$1007.94	12
Nevada	234	$1601.06	$1236.33	5
Maryland	225	$1143.86	$897.80	8
Georgia	213	$1379.39	$1112.40	11
Ohio	178	$1258.65	$1060.57	5
Arizona	149	$1092.62	$888.66	5
Massachusetts	149	$788.92	$634.95	3
Virginia	131	$1546.70	$1208.97	6
Tennessee	119	$1102.55	$995.36	4
North Carolina	118	$1657.96	$1375.19	4
Mississippi	109	$528.54	$489.85	4
Kansas	92	$1430.30	$1211.04	4
Pennsylvania	79	$1378.34	$1050.71	3
Rhode Island	68	$1363.32	$1076.88	2
Alabama	61	$1311.55	$1119.76	2
South Carolina	53	$952.58	$739.74	3
Louisiana	50	$1047.91	$999.54	1
Michigan	43	$546.16	$391.50	3
New Mexico	42	$579.62	$530.11	2
Connecticut	31	$1424.35	$993.43	1
Oklahoma	30	$178.69	$146.05	2
Wisconsin	29	$1298.33	$1042.68	2
District of Columbia	28	$235.99	$116.10	2
Washington	14	$319.30	$225.48	1
Kentucky	11	$211.88	$174.10	1

Related codes

37253Ultrasound evaluation of blood vessel$158.74
37252Ultrasound evaluation of blood vessel$758.72
37229Removal of plaque in artery of leg$7260.85
37225Removal of plaque in arteries of leg$5516.77
37243Occlusion of growths or obstructed vessels$4293.10
37227Removal of plaque and insertion of stents in arteries of leg$9119.72
37228Balloon dilation of artery of leg$1158.26
37224Balloon dilation of artery of leg$562.15
37242Occlusion of artery$4565.89
37215Insertion of stent and blood clot protection device in neck artery$885.92
37238Insertion of stent in vein$2975.98
37233Removal of plaque in artery of leg$1004.57

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.