How much does Medicare pay for CPT 47000?

Medicare allowed an average of $89.15 per service and paid $69.52 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $750.05, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 47000?

Needle biopsy of liver through skin. It was billed 18,834 times to 18,561 Medicare beneficiaries by 1,149 providers in 2024.

Does 47000 pay differently in an office than a hospital?

Yes. The allowed amount averaged $197.31 in an office setting and $84.58 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 47000 most?

Diagnostic Radiology, with 11,572 services from 713 clinicians. Next are Interventional Radiology, Physician Assistant, Nurse Practitioner.

CPT 47000

Needle biopsy of liver through skin

$89.15Medicare-allowed amount per service, averaged across 18,834 services

Providers submitted

$750.05

Asking price, not received

Medicare allowed

$89.15

The fee schedule figure

Medicare paid

$69.52

Balance is patient coinsurance

Providers submitted an average of $750.05 for this code and Medicare allowed $89.15 — 8.4× 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 $69.52 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $197.31
Hospital / facility: $84.58

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. 763 services were billed in an office setting and 18,071 in a facility.

Services: 18,834
Beneficiaries: 18,561
Providers billing it: 1,149
Total allowed: $1,679,051

What Medicare pays for CPT 47000

Across 18,834 services billed by 1,149 providers to 18,561 beneficiaries, Medicare allowed an average of $89.15 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 47000

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	11,572	11,406	$86.21	713
Interventional Radiology	5,907	5,821	$84.84	364
Physician Assistant	793	775	$82.30	43
Nurse Practitioner	165	165	$83.89	9
Gastroenterology	147	147	$100.99	7
Ambulatory Surgical Center	122	121	$621.55	5
Interventional Cardiology	36	35	$85.83	2
Internal Medicine	31	30	$81.79	2
Radiation Oncology	26	26	$79.62	2
Vascular Surgery	19	19	$77.69	1
Nuclear Medicine	16	16	$83.10	1

47000 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	1,517	$91.85	$73.60	94
California	1,482	$97.02	$69.12	92
Illinois	988	$90.99	$67.11	67
Florida	961	$88.25	$66.60	61
New York	893	$94.18	$66.78	53
Pennsylvania	848	$82.02	$62.09	60
Virginia	769	$78.88	$61.97	43
Tennessee	687	$92.23	$76.88	39
Massachusetts	669	$85.50	$61.58	38
Maryland	646	$85.14	$62.47	35
Arizona	544	$96.65	$75.09	29
Ohio	543	$92.79	$74.24	36
Missouri	520	$80.91	$64.40	31
Indiana	454	$75.41	$60.53	27
North Carolina	430	$77.69	$61.99	29
Georgia	421	$82.35	$62.86	28
Arkansas	412	$150.17	$130.13	21
New Jersey	384	$87.14	$63.20	25
South Carolina	384	$78.40	$61.82	24
Oklahoma	382	$74.95	$60.92	27
Nebraska	371	$140.84	$119.31	19
Kansas	347	$95.00	$79.82	18
Kentucky	324	$79.24	$62.66	19
Michigan	323	$80.55	$61.91	22
Iowa	320	$106.11	$89.96	15
Washington	312	$80.88	$62.16	19
Louisiana	289	$81.07	$62.93	18
Wisconsin	287	$77.93	$62.99	21
Minnesota	264	$82.21	$63.76	16
Mississippi	241	$77.06	$64.79	11
New Hampshire	155	$78.18	$60.33	8
South Dakota	154	$75.93	$59.90	8
Oregon	154	$82.90	$61.98	12
Alabama	153	$76.55	$61.27	8
Colorado	146	$80.59	$60.83	11
North Dakota	129	$76.85	$60.62	7
West Virginia	125	$77.84	$61.22	8
Idaho	125	$77.26	$64.25	9
Connecticut	122	$85.90	$64.23	9
Utah	104	$79.20	$64.12	7
Delaware	92	$82.00	$65.12	2
Nevada	81	$108.16	$85.49	6
District of Columbia	70	$83.95	$60.17	3
Montana	66	$81.27	$61.09	3
Vermont	54	$81.59	$63.00	4
New Mexico	46	$82.56	$61.20	4
Rhode Island	35	$85.45	$62.33	2
Hawaii	11	$86.52	$61.22	1

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.