How much does Medicare pay for CPT 93283?

Medicare allowed an average of $79.79 per service and paid $58.54 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $255.65, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93283?

Programming of dual lead implantable defibrillator system. It was billed 103,481 times to 75,948 Medicare beneficiaries by 2,787 providers in 2024.

Does 93283 pay differently in an office than a hospital?

Yes. The allowed amount averaged $86.38 in an office setting and $52.78 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 93283 most?

Clinical Cardiac Electrophysiology, with 62,317 services from 1,513 clinicians. Next are Cardiology, Nurse Practitioner, Interventional Cardiology.

CPT 93283

Programming of dual lead implantable defibrillator system

$79.79Medicare-allowed amount per service, averaged across 103,481 services

Providers submitted

$255.65

Asking price, not received

Medicare allowed

$79.79

The fee schedule figure

Medicare paid

$58.54

Balance is patient coinsurance

Providers submitted an average of $255.65 for this code and Medicare allowed $79.79 — 3.2× 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 $58.54 (73%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $86.38
Hospital / facility: $52.78

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. 83,185 services were billed in an office setting and 20,296 in a facility.

Services: 103,481
Beneficiaries: 75,948
Providers billing it: 2,787
Total allowed: $8,256,749

What Medicare pays for CPT 93283

Across 103,481 services billed by 2,787 providers to 75,948 beneficiaries, Medicare allowed an average of $79.79 per service. That is 1.4 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 93283

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Cardiac Electrophysiology	62,317	46,349	$80.47	1,513
Cardiology	26,847	18,766	$81.89	807
Nurse Practitioner	6,290	4,980	$67.47	210
Interventional Cardiology	2,810	1,903	$82.38	90
Internal Medicine	2,483	1,778	$79.16	74
Physician Assistant	2,225	1,767	$69.05	74
Certified Clinical Nurse Specialist	136	120	$60.50	5
Advanced Heart Failure and Transplant Cardiology	88	42	$61.71	2
Cardiac Surgery	72	63	$70.14	2
Hospitalist	54	48	$84.94	4
Critical Care (Intensivists)	47	37	$92.13	1
Undefined Physician type	38	32	$67.94	2
Family Practice	33	30	$91.86	1
Interventional Radiology	22	14	$87.01	1
Intensive Cardiac Rehabilitation	19	19	$107.26	1

93283 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	10,044	$89.21	$59.55	272
Florida	7,829	$86.57	$63.35	223
Texas	7,221	$77.77	$57.44	174
New York	5,999	$92.65	$61.91	145
Illinois	5,087	$83.13	$59.53	114
Ohio	4,586	$71.27	$53.65	129
Pennsylvania	4,213	$82.68	$59.13	138
New Jersey	3,653	$95.36	$62.92	78
North Carolina	3,305	$76.30	$58.51	93
Virginia	3,305	$71.91	$50.40	90
Georgia	3,148	$78.32	$59.30	76
Indiana	3,055	$81.15	$60.91	80
Arizona	2,911	$84.40	$63.63	68
South Carolina	2,606	$75.58	$57.63	68
Michigan	2,496	$69.52	$49.87	71
Tennessee	2,408	$73.41	$56.42	65
Arkansas	2,179	$62.44	$47.39	48
Missouri	2,145	$77.04	$57.15	66
Massachusetts	2,049	$79.01	$54.49	73
Kansas	2,044	$65.08	$50.08	41
Minnesota	2,037	$81.35	$58.01	64
Maryland	1,907	$93.14	$62.80	46
Washington	1,628	$84.11	$58.34	44
Wisconsin	1,524	$69.47	$51.43	54
Kentucky	1,487	$76.54	$57.21	45
Alabama	1,386	$71.44	$55.37	36
Iowa	1,182	$62.42	$49.21	33
Oklahoma	1,120	$64.15	$49.43	23
Mississippi	1,076	$69.18	$52.40	30
Connecticut	1,072	$76.49	$51.76	42
Nevada	872	$85.72	$61.04	21
Colorado	857	$84.34	$58.53	31
Nebraska	767	$79.56	$62.64	23
Louisiana	729	$75.97	$58.60	19
Oregon	679	$66.19	$45.57	25
Montana	577	$79.47	$54.69	12
West Virginia	461	$60.38	$45.53	15
North Dakota	455	$52.70	$37.93	8
Utah	436	$81.03	$61.81	11
Delaware	356	$72.91	$52.07	13
South Dakota	317	$53.11	$38.29	6
District of Columbia	299	$85.73	$57.58	8
Vermont	277	$67.02	$45.78	9
New Mexico	271	$53.25	$36.70	10
Idaho	268	$63.50	$47.01	8
Rhode Island	262	$67.31	$45.96	10
Alaska	233	$94.00	$55.03	4
Maine	218	$58.62	$38.04	9
New Hampshire	216	$61.05	$44.24	9
Wyoming	119	$90.60	$64.03	4
Hawaii	110	$76.06	$54.18	3

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.