How much does Medicare pay for CPT 75716?

Medicare allowed an average of $122.18 per service and paid $97.36 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $465.70, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 75716?

Review by radiologist of both arms or legs arteries image. It was billed 22,805 times to 20,519 Medicare beneficiaries by 845 providers in 2024.

Does 75716 pay differently in an office than a hospital?

Yes. The allowed amount averaged $158.66 in an office setting and $88.69 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 75716 most?

Vascular Surgery, with 8,384 services from 298 clinicians. Next are Cardiology, Interventional Cardiology, Interventional Radiology.

CPT 75716

Review by radiologist of both arms or legs arteries image

$122.18Medicare-allowed amount per service, averaged across 22,805 services

Providers submitted

$465.70

Asking price, not received

Medicare allowed

$122.18

The fee schedule figure

Medicare paid

$97.36

Balance is patient coinsurance

Providers submitted an average of $465.70 for this code and Medicare allowed $122.18 — 3.8× 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 $97.36 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $158.66
Hospital / facility: $88.69

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. 10,915 services were billed in an office setting and 11,890 in a facility.

Services: 22,805
Beneficiaries: 20,519
Providers billing it: 845
Total allowed: $2,786,315

What Medicare pays for CPT 75716

Across 22,805 services billed by 845 providers to 20,519 beneficiaries, Medicare allowed an average of $122.18 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 75716

Specialty	Services	Beneficiaries	Avg allowed	Providers
Vascular Surgery	8,384	7,566	$123.17	298
Cardiology	6,287	5,609	$121.47	223
Interventional Cardiology	4,100	3,761	$112.67	184
Interventional Radiology	1,122	1,020	$135.24	35
Diagnostic Radiology	908	761	$130.67	37
Thoracic Surgery	512	468	$139.36	11
General Surgery	505	458	$123.63	25
Internal Medicine	462	430	$126.67	17
Peripheral Vascular Disease	169	142	$120.61	2
Cardiac Surgery	151	131	$95.98	6
General Practice	96	86	$141.98	3
Undefined Physician type	47	29	$190.81	1
Neurosurgery	25	25	$79.89	1
Nephrology	20	18	$150.46	1
Clinical Cardiac Electrophysiology	17	15	$166.64	1

75716 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	3,320	$140.46	$104.88	107
California	2,765	$147.13	$104.13	77
Texas	2,724	$114.72	$88.15	109
New York	983	$129.52	$90.15	35
Maryland	962	$154.83	$108.87	25
New Jersey	868	$153.56	$105.32	24
Arkansas	759	$99.30	$79.52	25
Illinois	696	$98.85	$70.63	34
North Carolina	692	$108.27	$86.13	27
Mississippi	642	$101.83	$82.26	20
Oklahoma	619	$104.84	$84.72	29
Georgia	526	$115.38	$87.97	24
Missouri	525	$94.55	$72.17	19
Ohio	509	$89.21	$66.97	24
Michigan	505	$142.35	$105.83	18
Arizona	488	$131.93	$102.22	17
Tennessee	488	$113.86	$92.93	21
Pennsylvania	485	$103.01	$73.81	20
Indiana	401	$84.44	$67.08	21
Louisiana	396	$109.86	$86.43	19
South Dakota	295	$96.79	$74.75	8
Kansas	285	$83.64	$65.90	11
Virginia	283	$108.14	$81.38	14
Alabama	259	$121.65	$98.37	15
Massachusetts	215	$121.19	$86.84	10
Iowa	214	$97.92	$78.65	9
South Carolina	213	$93.36	$71.12	11
Nebraska	173	$83.20	$65.82	8
Kentucky	172	$100.10	$78.39	9
Nevada	149	$126.34	$93.21	4
Washington	148	$105.20	$71.38	8
West Virginia	143	$84.49	$66.19	5
Oregon	118	$141.30	$109.63	7
Guam	109	$167.12	$119.07	2
Idaho	97	$83.54	$65.37	1
Montana	78	$88.10	$66.08	3
Delaware	77	$107.77	$80.94	4
Wisconsin	62	$83.62	$64.85	4
Utah	59	$156.00	$122.33	3
Hawaii	52	$167.81	$122.68	1
Colorado	50	$89.11	$65.79	2
District of Columbia	48	$134.03	$87.99	2
North Dakota	33	$85.57	$65.32	2
Minnesota	30	$84.41	$64.93	2
Connecticut	29	$96.28	$65.92	2
New Hampshire	27	$94.56	$65.82	1
New Mexico	22	$153.45	$122.40	1
Rhode Island	12	$90.36	$66.02	1

Related codes

75710Review by radiologist of arm or leg artery image$112.35
75774Review by radiologist of additional artery image$68.38
75726Review by radiologist of abdominal artery image$108.92
75736Review by radiologist of pelvis artery image$86.20

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.