How much does Medicare pay for CPT 75894?

Medicare allowed an average of $76.92 per service and paid $61.45 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $494.08, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 75894?

Review by radiologist of image for insertion of material to block blood flow. It was billed 9,525 times to 7,869 Medicare beneficiaries by 436 providers in 2024.

Does 75894 pay differently in an office than a hospital?

Yes. The allowed amount averaged $952.82 in an office setting and $70.90 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 75894 most?

Neurosurgery, with 4,759 services from 217 clinicians. Next are Diagnostic Radiology, Neurology, Interventional Radiology.

CPT 75894

Review by radiologist of image for insertion of material to block blood flow

$76.92Medicare-allowed amount per service, averaged across 9,525 services

Providers submitted

$494.08

Asking price, not received

Medicare allowed

$76.92

The fee schedule figure

Medicare paid

$61.45

Balance is patient coinsurance

Providers submitted an average of $494.08 for this code and Medicare allowed $76.92 — 6.4× 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 $61.45 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $952.82
Hospital / facility: $70.90

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. 65 services were billed in an office setting and 9,460 in a facility.

Services: 9,525
Beneficiaries: 7,869
Providers billing it: 436
Total allowed: $732,663

What Medicare pays for CPT 75894

Across 9,525 services billed by 436 providers to 7,869 beneficiaries, Medicare allowed an average of $76.92 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 75894

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurosurgery	4,759	3,992	$71.50	217
Diagnostic Radiology	1,799	1,473	$68.99	82
Neurology	1,516	1,258	$70.05	74
Interventional Radiology	1,252	1,000	$72.29	56
General Surgery	77	46	$814.87	2
Neuropsychiatry	67	55	$70.18	2
Vascular Surgery	22	19	$84.91	1
Critical Care (Intensivists)	17	13	$63.02	1
Internal Medicine	16	13	$73.78	1

75894 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	1,004	$71.45	$54.93	44
Florida	888	$139.31	$106.46	42
New York	752	$80.35	$54.94	29
Texas	654	$69.71	$54.95	30
Pennsylvania	508	$69.66	$54.93	28
Illinois	500	$77.00	$55.02	22
Massachusetts	370	$71.96	$55.00	15
Arizona	292	$67.42	$54.92	12
Virginia	270	$69.97	$54.97	11
North Carolina	270	$67.32	$54.93	14
Minnesota	265	$63.41	$55.01	9
New Jersey	257	$74.52	$54.92	13
Ohio	233	$68.20	$54.90	13
Maryland	222	$70.62	$55.11	7
Washington	210	$70.99	$55.33	10
Tennessee	173	$64.02	$54.95	10
Indiana	168	$65.71	$54.91	9
Kentucky	160	$68.23	$54.93	9
Iowa	159	$64.14	$54.96	6
Georgia	156	$70.25	$54.91	6
Connecticut	152	$75.17	$54.95	5
South Carolina	151	$66.24	$54.91	8
Colorado	145	$72.18	$54.95	6
Nevada	142	$67.54	$54.82	4
Missouri	136	$67.86	$55.06	6
Michigan	125	$74.48	$54.94	8
Louisiana	116	$67.05	$55.13	7
Kansas	113	$64.24	$54.89	5
Alabama	104	$62.83	$55.14	5
Mississippi	71	$63.23	$54.90	4
Oklahoma	71	$65.48	$55.08	3
Utah	70	$65.96	$55.17	4
Hawaii	67	$67.66	$54.99	3
West Virginia	66	$71.08	$54.92	3
South Dakota	54	$63.42	$54.90	2
Oregon	50	$69.91	$54.82	3
Delaware	45	$67.50	$55.19	2
North Dakota	42	$64.86	$54.85	2
District of Columbia	39	$74.26	$55.31	2
Wisconsin	38	$62.21	$54.85	2
New Hampshire	32	$69.21	$54.90	2
Vermont	31	$63.49	$54.95	2
Montana	29	$68.77	$54.94	1
Nebraska	28	$61.45	$55.01	2
Rhode Island	28	$69.37	$54.93	2
Alaska	26	$83.77	$55.03	1
Arkansas	15	$62.42	$55.07	1
Idaho	15	$63.15	$55.06	1
Maine	13	$66.11	$54.92	1

Related codes

75898Imaging of blood vessel$96.01
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
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.