How much does Medicare pay for CPT 93282?

Medicare allowed an average of $63.79 per service and paid $46.00 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $230.75, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93282?

Programming of single lead implantable defibrillator system. It was billed 32,521 times to 24,681 Medicare beneficiaries by 1,179 providers in 2024.

Does 93282 pay differently in an office than a hospital?

Yes. The allowed amount averaged $71.35 in an office setting and $39.29 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 93282 most?

Clinical Cardiac Electrophysiology, with 20,423 services from 721 clinicians. Next are Cardiology, Nurse Practitioner, Physician Assistant.

CPT 93282

Programming of single lead implantable defibrillator system

$63.79Medicare-allowed amount per service, averaged across 32,521 services

Providers submitted

$230.75

Asking price, not received

Medicare allowed

$63.79

The fee schedule figure

Medicare paid

$46.00

Balance is patient coinsurance

Providers submitted an average of $230.75 for this code and Medicare allowed $63.79 — 3.6× 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 $46.00 (72%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $71.35
Hospital / facility: $39.29

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. 24,845 services were billed in an office setting and 7,676 in a facility.

Services: 32,521
Beneficiaries: 24,681
Providers billing it: 1,179
Total allowed: $2,074,515

What Medicare pays for CPT 93282

Across 32,521 services billed by 1,179 providers to 24,681 beneficiaries, Medicare allowed an average of $63.79 per service. That is 1.3 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 93282

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Cardiac Electrophysiology	20,423	15,611	$63.96	721
Cardiology	8,386	6,124	$66.41	318
Nurse Practitioner	1,465	1,213	$53.72	61
Physician Assistant	826	690	$53.04	27
Interventional Cardiology	653	430	$66.55	18
Internal Medicine	544	427	$61.50	26
Cardiac Surgery	88	70	$54.16	3
Certified Clinical Nurse Specialist	45	44	$33.43	1
Vascular Surgery	37	25	$38.59	1
Family Practice	24	22	$74.21	1
Hospitalist	15	14	$80.52	1
Critical Care (Intensivists)	15	11	$75.52	1

93282 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	4,319	$75.10	$49.31	112
Illinois	1,839	$66.13	$46.63	68
Maryland	1,717	$76.20	$51.24	41
Pennsylvania	1,664	$61.27	$42.51	73
New Jersey	1,511	$76.14	$50.04	51
California	1,505	$70.62	$47.07	45
Florida	1,483	$68.09	$49.90	57
Massachusetts	1,463	$59.74	$39.30	46
Virginia	1,396	$54.20	$37.22	59
Georgia	1,304	$59.76	$43.70	47
Texas	1,250	$60.14	$43.21	51
North Carolina	1,128	$57.12	$42.23	43
Ohio	983	$57.30	$42.87	46
Michigan	966	$52.32	$36.54	38
Indiana	730	$66.29	$49.53	33
Wisconsin	690	$59.48	$42.13	26
Tennessee	690	$57.54	$42.73	30
Washington	647	$64.14	$44.75	21
Minnesota	578	$60.74	$42.81	27
Mississippi	540	$52.65	$38.10	22
South Carolina	456	$66.87	$51.05	19
Missouri	442	$60.53	$44.37	22
Connecticut	396	$63.15	$42.65	18
Louisiana	383	$58.78	$45.45	10
Oregon	375	$46.18	$31.67	15
Kentucky	332	$69.60	$53.30	15
Oklahoma	328	$50.57	$39.48	9
Delaware	290	$60.56	$41.35	9
Arkansas	272	$48.53	$39.28	4
Arizona	248	$66.61	$49.28	11
Alabama	236	$52.03	$38.12	11
Montana	223	$61.66	$41.20	7
Nevada	199	$70.43	$48.55	6
Colorado	197	$66.58	$44.72	11
Iowa	194	$43.10	$32.65	9
North Dakota	171	$38.88	$27.71	6
South Dakota	163	$38.84	$27.16	5
District of Columbia	136	$68.47	$45.59	5
Vermont	132	$46.67	$31.49	7
West Virginia	126	$47.14	$33.56	7
New Hampshire	111	$43.39	$28.18	3
Alaska	107	$77.35	$45.23	2
Nebraska	106	$62.06	$47.52	6
Maine	99	$49.67	$31.76	6
Hawaii	94	$81.51	$55.56	3
Idaho	84	$51.99	$37.98	3
Kansas	76	$59.62	$45.51	5
New Mexico	75	$37.03	$26.52	5
Rhode Island	48	$40.06	$26.00	3
Utah	19	$44.16	$39.00	1

Related codes

93296Evaluation of single$21.59
93294Evaluation of single$28.57
93298Evaluation of cardiac rhythm monitor system$76.45
93297Evaluation of implantable heart and blood vessel monitoring system$45.47
93280Programming of dual lead pacemaker system$61.84
93295Evaluation of single$35.37
93229Electrocardiogram (ecg) up to 30 days continuous$1018.21
93247Heart rhythm analysis and report of continous external ekg over 8-15 d$299.31
93248Heart rhythm review and interpretation of continous external ekg over$24.98
93228Electrocardiogram (ecg) up to 30 days continuous$24.32
93243Heart rhythm analysis and report of continous external ekg over more t$279.98
93244Heart rhythm review$22.39

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.