How much does Medicare pay for CPT 62321?

Medicare allowed an average of $215.08 per service and paid $165.67 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1493.56, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 62321?

Injection of substance into middle or upper spine canal using imaging guidance. It was billed 196,139 times to 150,305 Medicare beneficiaries by 4,603 providers in 2024.

Does 62321 pay differently in an office than a hospital?

Yes. The allowed amount averaged $241.91 in an office setting and $199.29 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 62321 most?

Ambulatory Surgical Center, with 48,756 services from 940 clinicians. Next are Pain Management, Anesthesiology, Interventional Pain Management.

CPT 62321

Injection of substance into middle or upper spine canal using imaging guidance

$215.08Medicare-allowed amount per service, averaged across 196,139 services

Providers submitted

$1493.56

Asking price, not received

Medicare allowed

$215.08

The fee schedule figure

Medicare paid

$165.67

Balance is patient coinsurance

Providers submitted an average of $1493.56 for this code and Medicare allowed $215.08 — 6.9× 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 $165.67 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $241.91
Hospital / facility: $199.29

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. 72,671 services were billed in an office setting and 123,468 in a facility.

Services: 196,139
Beneficiaries: 150,305
Providers billing it: 4,603
Total allowed: $42,185,576

What Medicare pays for CPT 62321

Across 196,139 services billed by 4,603 providers to 150,305 beneficiaries, Medicare allowed an average of $215.08 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 62321

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ambulatory Surgical Center	48,756	37,920	$347.51	940
Pain Management	45,404	34,520	$171.38	1,101
Anesthesiology	40,220	30,275	$167.27	972
Interventional Pain Management	28,186	20,820	$179.47	637
Physical Medicine and Rehabilitation	27,691	22,155	$166.37	774
Diagnostic Radiology	1,529	1,299	$182.21	50
Orthopedic Surgery	1,052	833	$191.25	31
Neurology	654	481	$216.42	20
Neurosurgery	614	468	$189.92	16
Certified Registered Nurse Anesthetist (CRNA)	464	353	$156.29	17
Interventional Radiology	328	239	$171.81	7
Family Practice	287	209	$181.43	9
Emergency Medicine	242	186	$125.46	7
Osteopathic Manipulative Medicine	222	172	$142.86	4
Internal Medicine	208	140	$181.95	7

62321 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	16,971	$214.69	$173.84	414
California	16,186	$258.63	$175.53	397
Florida	14,858	$236.96	$189.04	343
Georgia	9,932	$218.90	$178.47	244
Pennsylvania	8,623	$203.11	$159.20	205
Arizona	7,884	$229.81	$182.98	175
New York	7,723	$252.66	$175.27	192
Maryland	7,135	$231.55	$181.23	152
South Carolina	7,050	$213.81	$175.72	94
Illinois	6,901	$205.65	$157.55	169
Alabama	4,979	$182.42	$163.71	83
Virginia	4,921	$233.61	$177.01	105
Kansas	4,700	$167.60	$139.92	81
New Jersey	4,651	$249.95	$181.54	132
Oklahoma	4,598	$179.03	$149.67	69
North Carolina	4,538	$202.53	$164.94	125
Mississippi	4,490	$183.84	$162.97	59
Tennessee	4,415	$217.75	$187.40	103
Ohio	4,214	$175.74	$143.73	134
Louisiana	3,865	$185.10	$157.00	90
Indiana	3,827	$209.05	$171.62	113
Missouri	3,786	$157.28	$128.01	96
Kentucky	3,601	$186.92	$158.14	68
Arkansas	3,569	$185.91	$159.07	64
Michigan	3,414	$215.82	$173.48	94
Minnesota	3,238	$222.67	$173.50	86
Massachusetts	2,951	$172.16	$125.66	85
Utah	2,931	$233.88	$188.87	55
Colorado	2,837	$222.85	$173.39	82
Washington	2,267	$222.71	$164.62	64
Wisconsin	1,861	$176.20	$144.26	64
Delaware	1,381	$240.06	$188.52	21
Iowa	1,343	$182.81	$152.65	34
Nebraska	1,124	$206.30	$171.81	27
Idaho	1,074	$177.29	$146.61	31
Nevada	1,022	$240.49	$188.00	40
New Hampshire	992	$206.67	$158.25	30
Oregon	859	$244.26	$183.28	29
South Dakota	852	$126.65	$102.79	19
Montana	766	$189.61	$150.93	22
Connecticut	726	$269.08	$193.23	30
North Dakota	695	$164.29	$133.05	13
New Mexico	610	$210.70	$172.02	14
West Virginia	326	$164.46	$136.44	9
Alaska	315	$308.07	$195.44	9
Rhode Island	286	$192.23	$148.01	10
Vermont	240	$182.64	$138.20	5
Maine	219	$178.01	$138.73	7
Wyoming	195	$240.42	$193.06	8
District of Columbia	97	$184.91	$131.88	5
Hawaii	61	$204.46	$160.45	2
Puerto Rico	40	$221.94	$185.05	1

Related codes

62323Injection of substance into lower spine canal$200.33
62370Electronic analysis reprogramming and refill of spinal canal drug infu$76.65
62328Removal of spinal fluid$81.96
62369Electronic analysis reprogramming and refill of spinal canal drug infu$78.93
62368Electronic analysis and reprogramming of spinal canal drug infusion pu$39.38
62322Injection of substance into lower spine canal$84.43
62367Electronic analysis of spinal canal drug infusion pump$28.62
62362Insertion of programmable spinal canal drug infusion pump$4222.97
62324Insertion of tube and injection of substance into middle or upper spin$90.95
62304X-ray of lower spinal canal$156.91
62350Insertion, revision, or repositioning of spinal canal tube for medicat$922.79

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.