How much does Medicare pay for CPT 75820?

Medicare allowed an average of $62.07 per service and paid $49.32 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $210.61, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 75820?

Review by radiologist of 1 arm or leg vein of 1 arm or leg image. It was billed 5,634 times to 5,254 Medicare beneficiaries by 232 providers in 2024.

Does 75820 pay differently in an office than a hospital?

Yes. The allowed amount averaged $107.03 in an office setting and $48.15 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 75820 most?

Clinical Cardiac Electrophysiology, with 2,044 services from 69 clinicians. Next are Cardiology, Vascular Surgery, Diagnostic Radiology.

CPT 75820

Review by radiologist of 1 arm or leg vein of 1 arm or leg image

$62.07Medicare-allowed amount per service, averaged across 5,634 services

Providers submitted

$210.61

Asking price, not received

Medicare allowed

$62.07

The fee schedule figure

Medicare paid

$49.32

Balance is patient coinsurance

Providers submitted an average of $210.61 for this code and Medicare allowed $62.07 — 3.4× 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 $49.32 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $107.03
Hospital / facility: $48.15

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. 1,332 services were billed in an office setting and 4,302 in a facility.

Services: 5,634
Beneficiaries: 5,254
Providers billing it: 232
Total allowed: $349,702

What Medicare pays for CPT 75820

Across 5,634 services billed by 232 providers to 5,254 beneficiaries, Medicare allowed an average of $62.07 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 75820

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Cardiac Electrophysiology	2,044	2,011	$49.12	69
Cardiology	1,620	1,496	$63.46	59
Vascular Surgery	651	554	$83.18	34
Diagnostic Radiology	404	338	$73.88	20
Nephrology	261	243	$65.03	14
Interventional Cardiology	182	163	$67.94	8
General Surgery	169	165	$67.64	10
Interventional Radiology	144	138	$68.39	9
Internal Medicine	108	107	$68.33	6
Thoracic Surgery	21	17	$96.26	1
Peripheral Vascular Disease	19	11	$102.40	1
Undefined Physician type	11	11	$50.16	1

75820 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	984	$67.09	$46.29	27
Florida	894	$63.33	$46.91	28
Texas	495	$60.98	$48.63	27
Maryland	430	$71.24	$51.84	19
New Jersey	330	$67.47	$47.19	14
Michigan	263	$80.72	$60.06	14
Alabama	234	$47.70	$38.45	9
Arizona	226	$70.81	$59.45	5
New York	207	$78.02	$52.49	10
Pennsylvania	179	$47.01	$35.75	6
Mississippi	137	$44.78	$35.63	4
Illinois	124	$49.50	$35.09	7
Massachusetts	109	$49.58	$33.58	4
Oklahoma	88	$43.34	$35.83	5
Kansas	81	$45.32	$35.84	2
Arkansas	76	$44.25	$36.09	3
Ohio	71	$45.10	$35.00	4
Virginia	70	$49.40	$36.01	2
Louisiana	69	$45.86	$35.99	4
Connecticut	68	$87.12	$63.78	5
South Carolina	62	$46.77	$35.93	5
Indiana	58	$69.34	$56.67	4
Nevada	43	$46.92	$35.89	2
North Carolina	43	$46.32	$34.31	3
Nebraska	36	$44.68	$35.91	2
Georgia	33	$69.26	$62.27	2
Wisconsin	27	$45.20	$35.58	2
Utah	27	$47.56	$35.93	1
Montana	24	$46.72	$35.87	2
Delaware	23	$114.54	$82.36	1
New Mexico	21	$46.76	$35.84	1
Idaho	16	$44.98	$35.90	1
Missouri	14	$45.80	$35.41	1
Tennessee	13	$45.85	$35.92	1
Minnesota	13	$45.92	$36.02	1
Washington	12	$47.45	$35.87	1
South Dakota	12	$45.44	$35.77	1
Colorado	11	$47.45	$34.94	1
Kentucky	11	$46.07	$35.97	1

Related codes

75898Imaging of blood vessel$96.01
75894Review by radiologist of image for insertion of material to block bloo$76.92
75822Review by radiologist of both arms and legs veins of both arms or legs$111.17
75825Review by radiologist of major lower body vein image$90.69
75827Review by radiologist of major upper body vein image$86.09

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.