How much does Medicare pay for CPT 92933?

Medicare allowed an average of $610.77 per service and paid $485.93 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2324.61, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 92933?

Removal of plaque, insertion of stent and balloon dilation of single coronary artery or branch. It was billed 2,950 times to 2,544 Medicare beneficiaries by 151 providers in 2024.

Which specialty bills 92933 most?

Interventional Cardiology, with 1,463 services from 81 clinicians. Next are Cardiology, Internal Medicine, Interventional Radiology.

CPT 92933

Removal of plaque, insertion of stent and balloon dilation of single coronary artery or branch

$610.77Medicare-allowed amount per service, averaged across 2,950 services

Providers submitted

$2324.61

Asking price, not received

Medicare allowed

$610.77

The fee schedule figure

Medicare paid

$485.93

Balance is patient coinsurance

Providers submitted an average of $2324.61 for this code and Medicare allowed $610.77 — 3.8× 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 $485.93 (80%); the rest is the patient’s coinsurance and deductible.

Services: 2,950
Beneficiaries: 2,544
Providers billing it: 151
Total allowed: $1,801,772

What Medicare pays for CPT 92933

Across 2,950 services billed by 151 providers to 2,544 beneficiaries, Medicare allowed an average of $610.77 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 92933

Specialty	Services	Beneficiaries	Avg allowed	Providers
Interventional Cardiology	1,463	1,267	$607.03	81
Cardiology	1,368	1,178	$617.31	65
Internal Medicine	96	84	$593.20	4
Interventional Radiology	23	15	$533.80	1

92933 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 York	556	$709.59	$475.37	17
Massachusetts	214	$599.39	$457.48	9
California	198	$619.11	$474.31	12
Texas	196	$609.29	$472.42	11
Georgia	172	$592.72	$465.70	10
Florida	147	$652.50	$477.25	8
Missouri	109	$572.23	$462.23	5
Washington	109	$582.57	$455.92	5
Iowa	108	$483.07	$424.54	2
Oklahoma	108	$589.04	$492.66	8
Illinois	107	$673.95	$483.18	8
Michigan	90	$562.57	$440.53	4
Arizona	74	$588.78	$477.76	5
Arkansas	70	$527.91	$450.58	4
Pennsylvania	58	$585.39	$463.48	4
New Jersey	53	$639.66	$484.87	4
Indiana	46	$526.18	$441.04	3
New Mexico	45	$567.23	$407.88	2
Kentucky	42	$618.91	$494.17	3
Maine	37	$590.25	$498.35	2
Nebraska	34	$542.83	$464.71	2
Oregon	32	$495.35	$400.44	1
South Dakota	32	$582.10	$454.44	2
Ohio	29	$592.78	$463.19	2
North Carolina	28	$538.70	$465.60	2
Kansas	27	$525.56	$473.99	2
District of Columbia	25	$677.39	$506.87	2
North Dakota	23	$497.74	$419.26	1
Wisconsin	22	$537.11	$428.31	1
Virginia	20	$573.87	$475.12	1
Louisiana	20	$577.69	$475.95	1
Alabama	18	$559.45	$470.85	1
South Carolina	18	$534.48	$446.11	1
Tennessee	17	$532.03	$399.08	1
Maryland	14	$493.62	$410.67	1
Mississippi	14	$593.09	$497.61	1
Rhode Island	13	$633.14	$503.15	1
Colorado	13	$578.05	$464.45	1
Hawaii	12	$536.46	$439.23	1

Related codes

92928Insertion of stents$525.63
92960External shock to heart to regulate heart beat$103.99
92978Ultrasound evaluation of heart blood vessel or graft$91.55
92979Ultrasound evaluation of heart blood vessel or graft$72.73
92972Shockwave destruction of calcified plaque in coronary artery accessed$141.81
92941Removal of plaque and blood clot$623.51
92920Balloon dilation of single coronary artery or branch$406.19
92943Removal of plaque$618.11
92950Manual attempt to restore blood circulation and breathing$178.69

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.