How much does Medicare pay for CPT 75726?

Medicare allowed an average of $108.92 per service and paid $86.94 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $404.26, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 75726?

Review by radiologist of abdominal artery image. It was billed 14,721 times to 9,424 Medicare beneficiaries by 417 providers in 2024.

Does 75726 pay differently in an office than a hospital?

Yes. The allowed amount averaged $153.33 in an office setting and $91.35 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 75726 most?

Interventional Radiology, with 7,410 services from 193 clinicians. Next are Diagnostic Radiology, Vascular Surgery, Cardiology.

CPT 75726

Review by radiologist of abdominal artery image

$108.92Medicare-allowed amount per service, averaged across 14,721 services

Providers submitted

$404.26

Asking price, not received

Medicare allowed

$108.92

The fee schedule figure

Medicare paid

$86.94

Balance is patient coinsurance

Providers submitted an average of $404.26 for this code and Medicare allowed $108.92 — 3.7× 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 $86.94 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $153.33
Hospital / facility: $91.35

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. 4,173 services were billed in an office setting and 10,548 in a facility.

Services: 14,721
Beneficiaries: 9,424
Providers billing it: 417
Total allowed: $1,603,411

What Medicare pays for CPT 75726

Across 14,721 services billed by 417 providers to 9,424 beneficiaries, Medicare allowed an average of $108.92 per service. That is 1.6 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 75726

Specialty	Services	Beneficiaries	Avg allowed	Providers
Interventional Radiology	7,410	5,030	$114.78	193
Diagnostic Radiology	7,108	4,227	$102.34	212
Vascular Surgery	54	37	$107.56	3
Cardiology	51	44	$162.89	3
Interventional Cardiology	30	30	$163.06	2
General Surgery	29	29	$96.30	2
Emergency Medicine	20	13	$98.14	1
Undefined Physician type	19	14	$88.48	1

75726 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
California	1,563	$96.72	$68.43	46
Massachusetts	993	$92.89	$65.85	15
New York	864	$125.65	$91.84	20
Pennsylvania	849	$93.34	$68.41	24
Texas	808	$114.47	$88.59	25
North Carolina	741	$125.57	$102.75	14
Maryland	694	$136.95	$100.18	12
Florida	607	$103.61	$77.87	27
Arizona	581	$132.79	$103.98	14
Missouri	579	$125.30	$99.10	13
Virginia	568	$156.53	$111.06	12
Illinois	484	$96.06	$68.15	17
Tennessee	434	$99.69	$80.91	16
South Carolina	418	$87.72	$68.51	13
Washington	408	$105.06	$77.74	16
Ohio	342	$102.96	$81.04	14
Michigan	334	$147.95	$112.83	7
Alabama	294	$100.67	$82.09	7
Nebraska	217	$85.90	$68.39	8
Iowa	212	$109.90	$87.69	6
Minnesota	211	$88.89	$68.54	5
Georgia	198	$90.99	$68.78	8
Oklahoma	187	$85.41	$68.65	8
Louisiana	165	$87.96	$68.77	5
Wisconsin	164	$102.77	$79.21	7
Oregon	163	$91.42	$68.43	8
Mississippi	156	$138.08	$105.60	3
Kentucky	153	$128.05	$105.16	4
Kansas	147	$88.05	$68.52	4
South Dakota	145	$87.93	$68.44	4
Arkansas	136	$85.31	$68.51	4
Montana	123	$87.73	$68.76	3
Indiana	116	$86.28	$68.51	3
New Hampshire	107	$88.57	$68.80	4
Colorado	99	$128.92	$97.69	3
Utah	74	$89.49	$67.54	2
District of Columbia	60	$98.26	$68.42	2
Nevada	57	$89.03	$68.33	3
New Mexico	38	$160.84	$127.27	1
Idaho	37	$86.36	$68.37	2
New Jersey	35	$84.89	$68.41	1
West Virginia	33	$91.20	$68.92	2
Vermont	32	$87.59	$68.39	1
Connecticut	29	$92.75	$68.37	1
Delaware	24	$90.42	$68.50	1
Hawaii	23	$84.82	$69.89	1
North Dakota	19	$87.58	$68.29	1

Related codes

75710Review by radiologist of arm or leg artery image$112.35
75774Review by radiologist of additional artery image$68.38
75716Review by radiologist of both arms or legs arteries image$122.18
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.