How much does Medicare pay for CPT 75825?

Medicare allowed an average of $90.69 per service and paid $72.31 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $321.22, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 75825?

Review by radiologist of major lower body vein image. It was billed 3,179 times to 2,694 Medicare beneficiaries by 129 providers in 2024.

Does 75825 pay differently in an office than a hospital?

Yes. The allowed amount averaged $110.45 in an office setting and $52.06 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 75825 most?

Cardiology, with 903 services from 29 clinicians. Next are Vascular Surgery, Interventional Cardiology, Diagnostic Radiology.

CPT 75825

Review by radiologist of major lower body vein image

$90.69Medicare-allowed amount per service, averaged across 3,179 services

Providers submitted

$321.22

Asking price, not received

Medicare allowed

$90.69

The fee schedule figure

Medicare paid

$72.31

Balance is patient coinsurance

Providers submitted an average of $321.22 for this code and Medicare allowed $90.69 — 3.5× 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 $72.31 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $110.45
Hospital / facility: $52.06

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. 2,103 services were billed in an office setting and 1,076 in a facility.

Services: 3,179
Beneficiaries: 2,694
Providers billing it: 129
Total allowed: $288,304

What Medicare pays for CPT 75825

Across 3,179 services billed by 129 providers to 2,694 beneficiaries, Medicare allowed an average of $90.69 per service. That is 1.2 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 75825

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	903	689	$98.26	29
Vascular Surgery	770	684	$82.23	37
Interventional Cardiology	561	503	$87.42	25
Diagnostic Radiology	297	237	$86.34	14
Interventional Radiology	208	183	$90.30	9
General Surgery	181	159	$77.91	7
Internal Medicine	141	131	$125.54	3
Cardiac Surgery	46	46	$103.56	1
Thoracic Surgery	42	34	$84.83	2
Clinical Cardiac Electrophysiology	30	28	$88.33	2

75825 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	704	$100.43	$77.48	24
Texas	445	$81.28	$65.00	20
California	323	$101.68	$66.94	9
New York	264	$97.72	$63.26	11
Arizona	186	$88.62	$72.55	5
Maryland	135	$121.24	$81.33	4
Michigan	130	$91.18	$65.80	5
Illinois	90	$93.81	$77.05	4
North Carolina	89	$85.19	$67.99	4
Alabama	79	$76.65	$59.24	4
Mississippi	73	$49.06	$37.51	2
Louisiana	69	$80.18	$70.18	2
Tennessee	54	$81.83	$68.02	3
Georgia	52	$89.86	$74.42	3
New Mexico	48	$84.44	$71.21	2
Nevada	47	$86.47	$67.91	2
Arkansas	44	$49.16	$37.52	3
Colorado	41	$100.98	$84.74	3
South Carolina	40	$103.30	$70.02	2
Oklahoma	35	$47.48	$37.69	2
Ohio	26	$80.32	$63.46	2
New Jersey	25	$54.19	$37.43	2
Hawaii	23	$118.33	$84.51	1
Delaware	23	$100.82	$84.04	1
Wisconsin	23	$47.98	$37.53	1
Kansas	18	$96.40	$79.90	1
District of Columbia	18	$59.68	$37.48	1
Kentucky	15	$49.77	$37.38	1
Virginia	13	$95.28	$86.23	1
Missouri	13	$50.56	$37.59	1
Washington	12	$51.03	$37.48	1
Pennsylvania	11	$54.69	$37.47	1
Connecticut	11	$120.76	$84.51	1

Related codes

75898Imaging of blood vessel$96.01
75894Review by radiologist of image for insertion of material to block bloo$76.92
75820Review by radiologist of 1 arm or leg vein of 1 arm or leg image$62.07
75822Review by radiologist of both arms and legs veins of both arms or legs$111.17
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.