How much does Medicare pay for CPT 92941?

Medicare allowed an average of $623.51 per service and paid $492.68 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2499.61, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 92941?

Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel. It was billed 5,259 times to 5,153 Medicare beneficiaries by 339 providers in 2024.

Which specialty bills 92941 most?

Cardiology, with 2,658 services from 169 clinicians. Next are Interventional Cardiology, Internal Medicine, Peripheral Vascular Disease.

CPT 92941

Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel

$623.51Medicare-allowed amount per service, averaged across 5,259 services

Providers submitted

$2499.61

Asking price, not received

Medicare allowed

$623.51

The fee schedule figure

Medicare paid

$492.68

Balance is patient coinsurance

Providers submitted an average of $2499.61 for this code and Medicare allowed $623.51 — 4.0× 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 $492.68 (79%); the rest is the patient’s coinsurance and deductible.

Services: 5,259
Beneficiaries: 5,153
Providers billing it: 339
Total allowed: $3,279,039

What Medicare pays for CPT 92941

Across 5,259 services billed by 339 providers to 5,153 beneficiaries, Medicare allowed an average of $623.51 per service. 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 92941

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	2,658	2,599	$621.01	169
Interventional Cardiology	2,408	2,362	$624.20	157
Internal Medicine	149	148	$629.81	10
Peripheral Vascular Disease	17	17	$812.38	1
Vascular Surgery	15	15	$657.07	1
Clinical Cardiac Electrophysiology	12	12	$650.20	1

92941 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	786	$627.98	$496.96	48
Pennsylvania	307	$634.75	$498.22	23
Texas	239	$634.64	$497.84	15
New Jersey	239	$675.16	$500.48	15
Florida	234	$661.63	$491.74	14
New York	233	$658.47	$494.93	16
Washington	216	$618.23	$485.23	12
Maryland	215	$670.10	$497.10	14
Virginia	209	$594.23	$484.99	14
Massachusetts	205	$638.49	$498.51	13
Indiana	141	$573.35	$485.16	9
South Carolina	140	$607.95	$499.52	11
Nevada	132	$612.79	$489.72	7
Ohio	130	$551.17	$454.41	8
New Hampshire	128	$618.88	$499.83	8
Oregon	115	$614.53	$495.09	8
Illinois	114	$672.82	$494.96	7
Wisconsin	107	$570.58	$494.66	7
Iowa	107	$569.82	$500.25	5
North Carolina	101	$578.29	$483.36	7
Montana	88	$629.31	$492.41	5
New Mexico	77	$632.55	$503.79	5
Kentucky	76	$600.00	$494.15	6
Colorado	75	$628.40	$493.71	5
Arkansas	72	$567.57	$495.68	5
Idaho	63	$565.95	$487.49	4
Louisiana	58	$610.53	$501.68	3
Tennessee	56	$583.21	$479.19	4
Michigan	51	$650.17	$483.64	4
Utah	50	$614.33	$492.83	3
Georgia	46	$617.57	$492.41	3
Arizona	44	$591.21	$501.07	3
Missouri	43	$610.25	$500.38	2
Alabama	40	$576.41	$489.14	3
Vermont	36	$595.13	$497.20	2
South Dakota	35	$573.06	$489.69	3
West Virginia	33	$608.94	$489.91	2
Wyoming	31	$645.70	$502.35	2
Oklahoma	30	$601.11	$492.27	2
Alaska	29	$812.58	$498.90	2
Mississippi	26	$594.15	$496.55	2
Rhode Island	25	$614.49	$487.58	2
Connecticut	19	$670.71	$502.38	1
Minnesota	13	$570.46	$501.14	1
North Dakota	12	$548.01	$512.80	1
Kansas	11	$633.26	$502.19	1
Delaware	11	$629.30	$494.19	1
District of Columbia	11	$676.49	$483.76	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
92933Removal of plaque$610.77
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.