How much does Medicare pay for CPT 92972?

Medicare allowed an average of $141.81 per service and paid $113.26 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $534.94, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 92972?

Shockwave destruction of calcified plaque in coronary artery accessed through skin using catheter. It was billed 8,981 times to 8,123 Medicare beneficiaries by 469 providers in 2024.

Which specialty bills 92972 most?

Interventional Cardiology, with 5,596 services from 294 clinicians. Next are Cardiology, Internal Medicine, Peripheral Vascular Disease.

CPT 92972

Shockwave destruction of calcified plaque in coronary artery accessed through skin using catheter

$141.81Medicare-allowed amount per service, averaged across 8,981 services

Providers submitted

$534.94

Asking price, not received

Medicare allowed

$141.81

The fee schedule figure

Medicare paid

$113.26

Balance is patient coinsurance

Providers submitted an average of $534.94 for this code and Medicare allowed $141.81 — 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 $113.26 (80%); the rest is the patient’s coinsurance and deductible.

Services: 8,981
Beneficiaries: 8,123
Providers billing it: 469
Total allowed: $1,273,596

What Medicare pays for CPT 92972

Across 8,981 services billed by 469 providers to 8,123 beneficiaries, Medicare allowed an average of $141.81 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 92972

Specialty	Services	Beneficiaries	Avg allowed	Providers
Interventional Cardiology	5,596	5,064	$141.22	294
Cardiology	3,032	2,738	$142.98	154
Internal Medicine	307	280	$141.06	18
Peripheral Vascular Disease	19	18	$131.54	1
Vascular Surgery	16	12	$146.51	1
Cardiac Surgery	11	11	$149.26	1

92972 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	1,524	$144.42	$111.19	78
Texas	749	$139.07	$111.44	35
New York	635	$159.55	$111.43	32
Illinois	558	$144.38	$111.49	28
Massachusetts	495	$147.07	$111.21	21
Pennsylvania	414	$138.79	$111.50	20
Georgia	343	$138.92	$110.59	20
Virginia	327	$138.04	$109.62	19
Missouri	325	$136.63	$111.13	21
North Carolina	285	$134.78	$111.15	16
Arkansas	277	$131.67	$111.23	15
Tennessee	274	$132.76	$111.56	14
New Jersey	265	$153.14	$111.56	14
Indiana	234	$133.40	$111.46	13
South Carolina	220	$135.20	$111.32	12
California	214	$150.81	$113.98	13
Colorado	190	$141.31	$111.36	9
Michigan	184	$140.17	$111.16	11
Iowa	136	$129.97	$111.71	5
Louisiana	123	$137.97	$111.26	6
Kansas	110	$133.94	$111.38	6
Maryland	106	$145.21	$111.44	5
Minnesota	105	$137.48	$111.34	7
Washington	94	$148.33	$111.64	3
Mississippi	89	$133.24	$111.23	5
Alabama	84	$133.09	$111.31	5
Nebraska	80	$133.10	$111.43	5
Wisconsin	70	$136.86	$111.80	5
West Virginia	67	$134.80	$111.43	2
Vermont	61	$137.50	$111.43	4
Oklahoma	60	$139.07	$110.77	4
New Mexico	58	$137.97	$111.29	2
Rhode Island	37	$142.30	$111.35	2
New Hampshire	33	$140.22	$111.48	2
Delaware	29	$140.04	$111.26	1
District of Columbia	24	$153.05	$111.16	2
Kentucky	18	$141.91	$111.39	1
Connecticut	17	$147.41	$111.59	1
Utah	16	$137.46	$111.23	1
Ohio	14	$141.44	$111.30	1
Arizona	14	$138.34	$111.70	1
Maine	12	$137.04	$111.08	1
Oregon	11	$148.55	$111.69	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
92941Removal of plaque and blood clot$623.51
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.