How much does Medicare pay for CPT 83880?

Medicare allowed an average of $38.42 per service and paid $38.42 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $172.36, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 83880?

Natriuretic peptide (heart and blood vessel protein) level. It was billed 874,498 times to 623,295 Medicare beneficiaries by 2,208 providers in 2024.

Does 83880 pay differently in an office than a hospital?

Yes. The allowed amount averaged $38.42 in an office setting and $38.47 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 83880 most?

Clinical Laboratory, with 756,206 services from 502 clinicians. Next are Cardiology, Internal Medicine, Family Practice.

CPT 83880

Natriuretic peptide (heart and blood vessel protein) level

$38.42Medicare-allowed amount per service, averaged across 874,498 services

Providers submitted

$172.36

Asking price, not received

Medicare allowed

$38.42

The fee schedule figure

Medicare paid

$38.42

Balance is patient coinsurance

Providers submitted an average of $172.36 for this code and Medicare allowed $38.42 — 4.5× 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 $38.42 (100%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $38.42
Hospital / facility: $38.47

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 874,370 services were billed in an office setting and 128 in a facility.

Services: 874,498
Beneficiaries: 623,295
Providers billing it: 2,208
Total allowed: $33,598,213

What Medicare pays for CPT 83880

Across 874,498 services billed by 2,208 providers to 623,295 beneficiaries, Medicare allowed an average of $38.42 per service. That is 1.4 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 83880

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	756,206	543,296	$38.44	502
Cardiology	32,118	20,292	$38.34	279
Internal Medicine	23,015	14,477	$38.24	374
Family Practice	14,573	10,820	$38.27	385
Pathology	14,367	11,110	$38.38	36
Nurse Practitioner	13,647	9,095	$38.31	298
Interventional Cardiology	7,864	4,966	$38.35	91
Physician Assistant	3,880	3,060	$38.37	105
Gastroenterology	1,110	708	$37.07	3
Endocrinology	1,099	865	$38.04	10
Advanced Heart Failure and Transplant Cardiology	1,051	728	$38.32	9
Hematology-Oncology	888	635	$38.44	7
Emergency Medicine	838	780	$38.28	37
Clinical Cardiac Electrophysiology	826	652	$38.37	17
Nephrology	784	277	$38.47	10

83880 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
New Jersey	116,871	$38.46	$38.47	35
California	108,086	$38.44	$38.47	140
Texas	107,946	$38.42	$38.47	226
Florida	56,836	$38.43	$38.47	104
New York	54,906	$38.45	$38.47	107
North Carolina	53,389	$38.45	$38.47	184
Ohio	28,749	$38.43	$38.47	39
Illinois	28,357	$38.41	$38.47	107
Kansas	27,868	$38.45	$38.47	48
Oklahoma	24,990	$38.40	$38.47	22
Tennessee	23,598	$38.33	$38.47	161
Massachusetts	21,576	$38.46	$38.47	59
Arizona	19,264	$38.44	$38.47	28
Alabama	18,561	$38.37	$38.47	66
Washington	17,391	$38.42	$38.47	27
Wisconsin	16,984	$38.20	$38.47	36
Pennsylvania	15,150	$38.44	$38.47	25
Virginia	12,734	$38.38	$38.47	41
Georgia	12,343	$38.38	$38.47	51
Minnesota	12,258	$38.37	$38.47	86
Michigan	10,692	$38.41	$38.46	28
Maryland	8,791	$38.41	$38.47	10
Colorado	8,046	$38.37	$38.47	15
Mississippi	6,508	$38.17	$38.47	81
Louisiana	6,138	$38.39	$38.47	48
Oregon	6,115	$38.39	$38.47	26
Nebraska	4,985	$38.44	$38.47	46
Iowa	4,357	$38.39	$38.47	39
Indiana	4,317	$38.39	$38.46	21
Kentucky	4,177	$38.41	$38.47	33
Nevada	4,126	$38.44	$38.47	6
Arkansas	4,043	$38.29	$38.47	44
South Carolina	3,929	$38.32	$38.47	61
Hawaii	3,303	$38.37	$38.47	2
Utah	3,058	$38.45	$38.47	31
Missouri	2,503	$38.40	$38.46	47
New Mexico	1,911	$38.32	$38.47	1
South Dakota	1,761	$38.45	$38.47	18
North Dakota	1,726	$38.42	$38.47	6
Rhode Island	1,686	$38.45	$38.47	2
Idaho	921	$38.44	$38.47	4
Maine	901	$38.47	$38.47	4
Connecticut	832	$38.46	$38.47	5
Puerto Rico	479	$37.29	$38.47	8
Delaware	359	$38.47	$38.47	3
New Hampshire	259	$38.45	$38.47	2
Montana	227	$38.39	$38.47	6
Wyoming	156	$38.47	$38.47	8
Alaska	112	$38.47	$38.47	5
Guam	93	$38.27	$38.47	1
U.S. Virgin Islands	79	$38.47	$38.47	3
West Virginia	51	$38.47	$38.47	2

Related codes

83861Microfluid analysis of tears$21.96
83883Nephelometry, test method using light$13.30
83876Myeloperoxidase (white blood cell enzyme) measurement$49.73
83825Mercury level$15.69
83835Metanephrines level$16.58
83874Myoglobin (muscle protein) level$12.63
83885Nickel level$24.00

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.