How much does Medicare pay for CPT 90901?

Medicare allowed an average of $40.14 per service and paid $31.60 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $82.91, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 90901?

Biofeedback training. It was billed 84,687 times to 7,173 Medicare beneficiaries by 190 providers in 2024.

Does 90901 pay differently in an office than a hospital?

Yes. The allowed amount averaged $40.16 in an office setting and $17.71 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 90901 most?

Nurse Practitioner, with 32,987 services from 60 clinicians. Next are Physical Therapist in Private Practice, Family Practice, Neurology.

CPT 90901

Biofeedback training

$40.14Medicare-allowed amount per service, averaged across 84,687 services

Providers submitted

$82.91

Asking price, not received

Medicare allowed

$40.14

The fee schedule figure

Medicare paid

$31.60

Balance is patient coinsurance

Providers submitted an average of $82.91 for this code and Medicare allowed $40.14 — 2.1× 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 $31.60 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $40.16
Hospital / facility: $17.71

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. 84,629 services were billed in an office setting and 58 in a facility.

Services: 84,687
Beneficiaries: 7,173
Providers billing it: 190
Total allowed: $3,399,336

What Medicare pays for CPT 90901

Across 84,687 services billed by 190 providers to 7,173 beneficiaries, Medicare allowed an average of $40.14 per service. That is 11.8 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 90901

Specialty	Services	Beneficiaries	Avg allowed	Providers
Nurse Practitioner	32,987	1,630	$37.62	60
Physical Therapist in Private Practice	32,242	4,042	$41.69	85
Family Practice	7,186	342	$43.43	11
Neurology	2,665	396	$44.92	3
Physician Assistant	2,246	203	$38.30	8
Internal Medicine	1,920	170	$39.74	5
Psychiatry	1,643	105	$41.05	4
Emergency Medicine	1,120	15	$39.44	1
Neuropsychiatry	888	60	$41.33	2
Psychologist, Clinical	666	34	$39.68	1
Occupational Therapist in Private Practice	646	78	$37.78	3
Speech Language Pathologist	372	30	$43.45	2
Physical Medicine and Rehabilitation	49	26	$43.76	2
Colorectal Surgery (Proctology)	43	29	$47.38	2
Orthopedic Surgery	14	13	$36.71	1

90901 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	45,925	$41.35	$28.69	88
Arizona	6,628	$40.07	$31.27	7
New York	5,555	$46.74	$31.50	20
Missouri	4,341	$33.21	$28.89	7
Virginia	3,818	$36.34	$27.49	5
Utah	3,637	$37.06	$30.59	4
Nevada	2,958	$38.77	$30.30	6
Pennsylvania	2,121	$37.87	$31.04	1
Indiana	1,212	$35.65	$28.53	4
Ohio	1,094	$33.55	$27.17	3
Illinois	997	$35.77	$28.71	6
Georgia	966	$41.52	$30.55	2
Michigan	863	$34.01	$27.12	1
Nebraska	764	$37.46	$31.31	5
Texas	585	$37.65	$30.94	2
Massachusetts	540	$42.95	$29.24	2
South Carolina	526	$32.16	$27.25	1
Montana	454	$40.17	$31.12	3
Maine	334	$39.93	$31.14	8
Oklahoma	332	$37.94	$32.10	1
Washington	286	$46.35	$31.87	1
Florida	255	$39.14	$31.43	3
District of Columbia	179	$39.27	$27.29	1
Kansas	91	$37.42	$30.72	2
New Hampshire	80	$41.00	$31.61	1
New Jersey	56	$45.10	$32.10	1
Tennessee	26	$35.73	$30.97	1
Maryland	22	$14.76	$32.00	1
Minnesota	15	$40.39	$32.03	1
West Virginia	14	$36.71	$23.77	1
Colorado	13	$36.88	$27.25	1

Related codes

90960Dialysis services$347.78
90935Hemodialysis procedure$68.67
90961Dialysis services$286.31
90970Dialysis services$9.13
90966Home dialysis services per month (20 years or older)$281.93
90962Dialysis services$199.48
90945Dialysis procedure including 1 evaluation$83.22
90913Biofeedback training for bowel or bladder control$30.27
90912Biofeedback training for bowel or bladder control$74.05
90937Hemodialysis procedure requiring repeated evaluation$102.75
90947Dialysis procedure requiring repeat evaluation$118.72
90999Other inpatient or outpatient dialysis procedure$107.25

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.