How much does Medicare pay for CPT 62328?

Medicare allowed an average of $81.96 per service and paid $63.64 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $616.06, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 62328?

Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance. It was billed 17,459 times to 16,905 Medicare beneficiaries by 897 providers in 2024.

Does 62328 pay differently in an office than a hospital?

Yes. The allowed amount averaged $192.16 in an office setting and $78.29 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 62328 most?

Diagnostic Radiology, with 8,794 services from 473 clinicians. Next are Physician Assistant, Interventional Radiology, Nurse Practitioner.

CPT 62328

Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance

$81.96Medicare-allowed amount per service, averaged across 17,459 services

Providers submitted

$616.06

Asking price, not received

Medicare allowed

$81.96

The fee schedule figure

Medicare paid

$63.64

Balance is patient coinsurance

Providers submitted an average of $616.06 for this code and Medicare allowed $81.96 — 7.5× 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 $63.64 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $192.16
Hospital / facility: $78.29

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. 562 services were billed in an office setting and 16,897 in a facility.

Services: 17,459
Beneficiaries: 16,905
Providers billing it: 897
Total allowed: $1,430,940

What Medicare pays for CPT 62328

Across 17,459 services billed by 897 providers to 16,905 beneficiaries, Medicare allowed an average of $81.96 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 62328

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	8,794	8,485	$87.77	473
Physician Assistant	4,598	4,464	$69.21	224
Interventional Radiology	1,808	1,763	$84.32	97
Nurse Practitioner	1,673	1,631	$67.96	73
Neurology	178	167	$121.14	8
Pain Management	126	121	$156.78	7
Neurosurgery	113	108	$104.15	5
Internal Medicine	46	45	$82.21	2
Ambulatory Surgical Center	31	30	$335.58	2
General Practice	20	19	$77.76	1
Undefined Physician type	19	19	$77.85	1
Certified Registered Nurse Anesthetist (CRNA)	18	18	$77.69	1
Interventional Pain Management	12	12	$83.69	1
Anesthesiology	12	12	$94.14	1
Family Practice	11	11	$78.92	1

62328 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	1,700	$82.15	$64.43	82
California	1,620	$98.94	$69.70	88
Florida	1,320	$79.50	$59.96	62
New York	1,116	$88.74	$62.57	55
Ohio	798	$71.64	$55.63	34
Pennsylvania	703	$79.44	$60.31	41
North Carolina	638	$84.72	$67.58	36
Kansas	567	$75.60	$60.98	13
South Carolina	548	$71.41	$56.77	24
Arizona	494	$81.87	$65.00	28
Maryland	482	$97.36	$73.80	24
Kentucky	477	$72.25	$58.13	18
Missouri	463	$79.75	$64.11	27
Illinois	417	$81.72	$61.24	25
Tennessee	392	$81.30	$68.37	24
Mississippi	387	$74.23	$61.30	19
Minnesota	376	$70.86	$56.04	14
Virginia	350	$76.45	$58.89	19
Michigan	327	$90.92	$70.31	23
Georgia	323	$101.22	$79.89	15
New Jersey	310	$84.93	$62.43	19
Washington	302	$85.38	$64.11	19
Nebraska	298	$74.12	$63.56	15
Indiana	293	$72.48	$59.30	18
Louisiana	281	$77.18	$59.96	15
Oklahoma	255	$70.92	$57.52	9
Massachusetts	218	$82.27	$62.05	13
Utah	199	$67.93	$53.94	12
South Dakota	167	$78.79	$62.81	6
Arkansas	165	$85.09	$71.89	12
Alabama	163	$77.55	$63.14	9
Iowa	157	$77.56	$64.60	9
Connecticut	156	$79.68	$58.87	7
Colorado	134	$75.02	$58.75	9
Idaho	111	$66.01	$53.99	8
North Dakota	102	$78.41	$62.06	5
Wyoming	86	$77.62	$59.72	5
New Hampshire	75	$83.02	$64.30	5
Alaska	74	$99.98	$62.02	4
Wisconsin	72	$72.71	$58.33	5
West Virginia	67	$75.77	$57.99	5
Oregon	60	$75.16	$57.60	4
Vermont	46	$87.12	$64.17	2
District of Columbia	39	$90.88	$64.67	3
Delaware	39	$70.32	$53.68	2
Nevada	32	$73.94	$59.49	2
Maine	23	$82.88	$60.28	1
Montana	14	$69.88	$51.68	1
New Mexico	12	$61.84	$55.83	1
Rhode Island	11	$70.12	$53.28	1

Related codes

62323Injection of substance into lower spine canal$200.33
62321Injection of substance into middle or upper spine canal$215.08
62370Electronic analysis reprogramming and refill of spinal canal drug infu$76.65
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.