How much does Medicare pay for CPT 37765?

Medicare allowed an average of $255.82 per service and paid $201.42 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1598.26, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 37765?

Removal of varicose veins of arm or leg, 10-20 incisions. It was billed 5,124 times to 3,438 Medicare beneficiaries by 138 providers in 2024.

Does 37765 pay differently in an office than a hospital?

Yes. The allowed amount averaged $264.30 in an office setting and $170.05 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 37765 most?

Vascular Surgery, with 2,010 services from 61 clinicians. Next are General Surgery, Thoracic Surgery, Anesthesiology.

CPT 37765

Removal of varicose veins of arm or leg, 10-20 incisions

$255.82Medicare-allowed amount per service, averaged across 5,124 services

Providers submitted

$1598.26

Asking price, not received

Medicare allowed

$255.82

The fee schedule figure

Medicare paid

$201.42

Balance is patient coinsurance

Providers submitted an average of $1598.26 for this code and Medicare allowed $255.82 — 6.2× 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 $201.42 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $264.30
Hospital / facility: $170.05

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. 4,663 services were billed in an office setting and 461 in a facility.

Services: 5,124
Beneficiaries: 3,438
Providers billing it: 138
Total allowed: $1,310,822

What Medicare pays for CPT 37765

Across 5,124 services billed by 138 providers to 3,438 beneficiaries, Medicare allowed an average of $255.82 per service. That is 1.5 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 37765

Specialty	Services	Beneficiaries	Avg allowed	Providers
Vascular Surgery	2,010	1,407	$266.71	61
General Surgery	843	500	$237.84	18
Thoracic Surgery	445	266	$258.30	8
Anesthesiology	322	177	$176.96	2
Cardiology	319	212	$268.05	10
Diagnostic Radiology	181	119	$390.36	6
Ambulatory Surgical Center	132	105	$141.39	5
Emergency Medicine	121	91	$270.63	3
Interventional Radiology	120	84	$235.01	4
Family Practice	112	95	$265.88	3
Obstetrics & Gynecology	89	66	$321.80	3
Physician Assistant	88	65	$262.07	4
General Practice	82	46	$211.33	1
Cardiac Surgery	78	61	$254.77	2
Peripheral Vascular Disease	76	56	$222.82	2

37765 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
Florida	1,260	$263.36	$203.19	21
California	440	$279.53	$201.07	11
Mississippi	380	$185.25	$168.97	3
New York	347	$308.02	$213.67	13
Maryland	311	$267.37	$204.94	7
Texas	248	$292.30	$236.83	7
Colorado	239	$224.07	$186.54	4
Georgia	225	$344.55	$274.68	7
Illinois	161	$259.25	$192.32	7
Arizona	146	$143.56	$115.00	3
Ohio	138	$246.49	$206.09	2
New Jersey	115	$300.01	$211.57	4
Indiana	115	$175.66	$151.92	4
Oklahoma	98	$219.11	$186.47	3
Alabama	94	$194.93	$178.59	6
Montana	94	$199.57	$156.19	2
Kansas	86	$197.49	$174.44	3
Tennessee	75	$240.58	$209.15	2
Massachusetts	69	$219.63	$165.04	2
Michigan	66	$326.57	$253.96	4
Arkansas	60	$262.28	$254.68	2
New Mexico	55	$267.73	$228.46	4
North Carolina	47	$293.94	$253.59	2
Kentucky	47	$238.03	$188.48	2
Virginia	44	$247.18	$214.61	2
Washington	36	$280.18	$216.41	2
Wyoming	28	$229.05	$190.81	2
Missouri	17	$316.67	$249.87	1
Oregon	16	$235.57	$175.04	1
Vermont	15	$194.69	$166.38	1
Nevada	15	$275.64	$239.83	1
Pennsylvania	14	$375.67	$327.51	1
Louisiana	12	$320.39	$272.94	1
Utah	11	$196.10	$163.03	1

Related codes

37766Removal of varicose veins of arm or leg$359.89
37799Other procedure on blood vessel$191.43

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.