How much does Medicare pay for CPT 90867?

Medicare allowed an average of $285.49 per service and paid $221.75 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $825.33, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 90867?

Treatment using magnetic field to stimulate nerve cells in brain, initial delivery and management. It was billed 5,905 times to 5,045 Medicare beneficiaries by 203 providers in 2024.

Does 90867 pay differently in an office than a hospital?

Yes. The allowed amount averaged $285.88 in an office setting and $210.02 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 90867 most?

Psychiatry, with 5,494 services from 187 clinicians. Next are Nurse Practitioner, Neurology, Geriatric Psychiatry.

CPT 90867

Treatment using magnetic field to stimulate nerve cells in brain, initial delivery and management

$285.49Medicare-allowed amount per service, averaged across 5,905 services

Providers submitted

$825.33

Asking price, not received

Medicare allowed

$285.49

The fee schedule figure

Medicare paid

$221.75

Balance is patient coinsurance

Providers submitted an average of $825.33 for this code and Medicare allowed $285.49 — 2.9× 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 $221.75 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $285.88
Hospital / facility: $210.02

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. 5,874 services were billed in an office setting and 31 in a facility.

Services: 5,905
Beneficiaries: 5,045
Providers billing it: 203
Total allowed: $1,685,818

What Medicare pays for CPT 90867

Across 5,905 services billed by 203 providers to 5,045 beneficiaries, Medicare allowed an average of $285.49 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 90867

Specialty	Services	Beneficiaries	Avg allowed	Providers
Psychiatry	5,494	4,721	$287.69	187
Nurse Practitioner	206	124	$249.25	4
Neurology	92	90	$252.16	5
Geriatric Psychiatry	42	41	$290.46	2
Neuropsychiatry	18	17	$316.96	1
Pain Management	16	15	$202.30	1
Physician Assistant	13	13	$186.20	1
Family Practice	12	12	$375.52	1
Internal Medicine	12	12	$218.20	1

90867 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	2,912	$302.08	$236.43	47
California	594	$234.07	$179.67	33
Washington	266	$213.89	$164.89	8
New York	261	$364.03	$286.05	12
Texas	220	$265.73	$213.84	11
Massachusetts	186	$368.20	$291.96	8
New Jersey	176	$284.12	$224.18	8
Illinois	143	$361.35	$292.37	9
Pennsylvania	101	$285.86	$215.97	5
Nevada	84	$204.02	$162.94	5
Maryland	82	$292.74	$230.30	5
Arkansas	73	$239.36	$184.70	3
Oregon	63	$204.17	$155.30	5
North Carolina	57	$202.84	$158.68	4
Kentucky	56	$189.11	$151.33	2
Nebraska	55	$164.92	$135.98	2
Connecticut	51	$374.96	$294.07	2
Utah	44	$205.97	$161.66	3
Georgia	42	$322.11	$273.32	2
Hawaii	42	$230.67	$171.35	2
Wisconsin	40	$353.51	$282.70	2
South Carolina	29	$207.76	$156.99	2
Virginia	29	$232.18	$188.60	2
Alabama	28	$325.50	$269.91	1
Kansas	27	$176.44	$131.99	2
Colorado	27	$273.02	$214.25	2
Montana	23	$197.45	$149.34	2
Michigan	18	$162.60	$100.68	1
Tennessee	17	$318.29	$253.60	1
Ohio	15	$193.27	$143.57	1
Minnesota	15	$374.87	$298.68	1
West Virginia	15	$176.10	$137.01	1
Oklahoma	14	$234.92	$142.34	1
Indiana	14	$178.21	$118.41	1
District of Columbia	14	$346.86	$232.63	1
New Mexico	13	$270.80	$209.52	1
Alaska	13	$279.05	$222.33	1
Maine	12	$374.89	$297.46	1
New Hampshire	12	$337.90	$262.21	1
Missouri	11	$166.94	$148.75	1
Delaware	11	$292.82	$230.39	1

Related codes

90837Psychotherapy$127.42
90834Psychotherapy$88.04
90832Psychotherapy$65.95
90833Psychotherapy$64.86
90836Psychotherapy$88.70
90868Treatment using magnetic field to stimulate nerve cells in brain, subs$183.83
90853Group psychotherapy$23.01
90870Therapy using electrical currents$103.73
90838Psychotherapy$113.05
90847Family psychotherapy$92.01
90839Psychotherapy for crisis$113.12
90846Family psychotherapy without patient$83.43

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.