How much does Medicare pay for CPT 76937?

Medicare allowed an average of $17.11 per service and paid $13.63 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $101.44, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 76937?

Ultrasonic guidance for blood vessel access. It was billed 477,828 times to 413,730 Medicare beneficiaries by 12,208 providers in 2024.

Does 76937 pay differently in an office than a hospital?

Yes. The allowed amount averaged $36.17 in an office setting and $13.46 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 76937 most?

Diagnostic Radiology, with 107,555 services from 2,445 clinicians. Next are Interventional Radiology, Anesthesiology, Vascular Surgery.

CPT 76937

Ultrasonic guidance for blood vessel access

$17.11Medicare-allowed amount per service, averaged across 477,828 services

Providers submitted

$101.44

Asking price, not received

Medicare allowed

$17.11

The fee schedule figure

Medicare paid

$13.63

Balance is patient coinsurance

Providers submitted an average of $101.44 for this code and Medicare allowed $17.11 — 5.9× 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 $13.63 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $36.17
Hospital / facility: $13.46

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. 76,863 services were billed in an office setting and 400,965 in a facility.

Services: 477,828
Beneficiaries: 413,730
Providers billing it: 12,208
Total allowed: $8,175,637

What Medicare pays for CPT 76937

Across 477,828 services billed by 12,208 providers to 413,730 beneficiaries, Medicare allowed an average of $17.11 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 76937

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	107,555	96,571	$15.89	2,445
Interventional Radiology	82,320	71,696	$18.07	1,567
Anesthesiology	72,468	65,061	$13.58	2,723
Vascular Surgery	68,223	52,822	$22.91	1,415
Cardiology	28,416	23,944	$19.50	551
Interventional Cardiology	23,570	19,984	$18.29	448
Physician Assistant	20,666	19,636	$12.00	583
General Surgery	11,627	10,111	$18.09	426
Nurse Practitioner	8,912	8,119	$12.24	329
Neurosurgery	7,888	6,773	$14.01	224
Nephrology	7,178	5,374	$21.94	136
Internal Medicine	6,667	5,620	$17.43	191
Pulmonary Disease	6,173	5,272	$13.57	272
Clinical Cardiac Electrophysiology	5,796	5,404	$14.18	95
Critical Care (Intensivists)	3,997	3,514	$13.84	186

76937 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	58,442	$19.08	$14.08	1,352
Florida	49,179	$17.68	$13.70	1,138
Texas	37,738	$16.98	$13.67	1,009
New York	29,772	$18.12	$12.94	802
Pennsylvania	19,715	$14.11	$11.01	480
New Jersey	18,060	$19.66	$14.36	362
Illinois	17,921	$16.09	$12.36	459
Virginia	13,730	$18.29	$14.38	337
North Carolina	13,187	$17.24	$14.35	357
Massachusetts	12,961	$16.74	$12.83	338
Maryland	12,155	$22.12	$16.40	223
Georgia	11,551	$17.31	$13.99	312
Ohio	11,475	$14.06	$11.37	399
Arizona	11,294	$19.38	$15.83	260
Washington	11,119	$14.90	$11.61	300
Michigan	10,792	$19.12	$15.04	333
Indiana	10,723	$13.70	$11.50	249
Minnesota	10,069	$13.69	$11.23	245
Tennessee	9,506	$17.66	$15.08	225
Wisconsin	8,213	$13.03	$10.90	250
Missouri	7,779	$15.17	$12.27	212
Oklahoma	7,398	$14.23	$11.88	167
South Carolina	5,983	$15.93	$13.16	165
Colorado	5,490	$15.58	$12.16	165
Kentucky	5,487	$14.27	$11.69	204
Arkansas	5,387	$15.69	$13.60	116
Oregon	5,293	$16.80	$13.51	164
Connecticut	5,070	$22.64	$16.49	145
Louisiana	4,991	$14.64	$11.97	144
Nevada	4,086	$15.51	$12.46	132
Nebraska	3,877	$13.25	$11.27	97
Kansas	3,702	$14.79	$12.42	90
Mississippi	3,695	$18.52	$15.81	96
Alabama	3,597	$16.34	$13.97	121
Iowa	3,065	$13.56	$11.43	108
Utah	2,851	$16.16	$13.18	77
South Dakota	2,447	$19.51	$16.04	40
District of Columbia	2,401	$21.36	$15.42	59
Idaho	1,912	$13.00	$10.86	51
Delaware	1,767	$22.29	$17.50	39
Montana	1,683	$13.31	$10.68	51
North Dakota	1,623	$12.94	$10.60	26
New Mexico	1,540	$17.26	$13.74	48
West Virginia	1,536	$13.51	$10.68	46
New Hampshire	1,466	$13.04	$10.43	47
Rhode Island	1,377	$16.20	$12.55	31
Alaska	1,134	$22.82	$14.63	27
Hawaii	941	$16.33	$12.99	26
Maine	926	$15.12	$11.95	46
Vermont	683	$12.64	$10.26	15
Guam	606	$36.98	$26.65	4
Wyoming	345	$13.16	$10.64	14
Puerto Rico	43	$13.10	$10.67	3
U.S. Virgin Islands	29	$13.94	$10.66	1
ZZ	16	$14.59	$10.64	1

Related codes

76942Ultrasonic guidance for needle placement$45.45
76981Ultrasound scan of organ tissue for measuring elasticity$81.38
76998Ultrasonic guidance during surgery$51.66
76982Ultrasound scan of growth for measuring elasticity$63.16
76965Ultrasonic guidance for administration of radiation therapy$69.84
76984Ultrasound of chest aorta during surgery$29.82
76983Ultrasound scan of growth for measuring elasticity$52.08

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.