How much does Medicare pay for CPT 93287?

Medicare allowed an average of $24.16 per service and paid $18.76 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $157.01, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93287?

Programming of single, dual or multiple lead implantable defibrillator system before or after surgery. It was billed 7,770 times to 4,526 Medicare beneficiaries by 185 providers in 2024.

Does 93287 pay differently in an office than a hospital?

Yes. The allowed amount averaged $46.12 in an office setting and $20.53 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 93287 most?

Clinical Cardiac Electrophysiology, with 4,872 services from 117 clinicians. Next are Cardiology, Physician Assistant, Nurse Practitioner.

CPT 93287

Programming of single, dual or multiple lead implantable defibrillator system before or after surgery

$24.16Medicare-allowed amount per service, averaged across 7,770 services

Providers submitted

$157.01

Asking price, not received

Medicare allowed

$24.16

The fee schedule figure

Medicare paid

$18.76

Balance is patient coinsurance

Providers submitted an average of $157.01 for this code and Medicare allowed $24.16 — 6.5× 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 $18.76 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $46.12
Hospital / facility: $20.53

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. 1,104 services were billed in an office setting and 6,666 in a facility.

Services: 7,770
Beneficiaries: 4,526
Providers billing it: 185
Total allowed: $187,723

What Medicare pays for CPT 93287

Across 7,770 services billed by 185 providers to 4,526 beneficiaries, Medicare allowed an average of $24.16 per service. That is 1.7 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 93287

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Cardiac Electrophysiology	4,872	2,741	$22.62	117
Cardiology	1,345	799	$29.10	33
Physician Assistant	648	387	$18.81	14
Nurse Practitioner	596	413	$23.30	14
Diagnostic Radiology	168	113	$56.61	3
Certified Clinical Nurse Specialist	78	33	$19.17	1
Internal Medicine	45	22	$20.93	2
Interventional Cardiology	18	18	$20.40	1

93287 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	1,046	$25.21	$17.58	13
Minnesota	786	$29.13	$22.05	19
Virginia	632	$20.09	$15.69	17
Pennsylvania	625	$24.34	$18.17	18
Arizona	450	$20.39	$15.28	8
Florida	447	$32.22	$25.11	8
Massachusetts	431	$21.16	$15.83	14
California	397	$37.07	$25.62	7
Illinois	391	$19.33	$14.59	7
Ohio	367	$20.44	$16.11	13
Kansas	345	$20.58	$16.02	8
Georgia	269	$20.95	$17.64	7
Maryland	249	$23.62	$17.82	4
Wisconsin	187	$23.97	$18.34	6
Michigan	184	$20.71	$15.67	6
Utah	163	$16.90	$13.02	4
North Dakota	101	$20.50	$15.78	3
Washington	96	$21.95	$16.38	2
Texas	87	$20.72	$15.06	2
Alaska	84	$22.87	$15.02	2
South Carolina	68	$20.14	$16.41	3
Oregon	66	$18.66	$12.47	1
Delaware	60	$51.23	$37.89	2
Maine	52	$21.67	$15.77	2
Arkansas	32	$19.68	$16.42	1
Connecticut	30	$20.36	$16.40	1
New Hampshire	25	$17.61	$13.95	2
New Jersey	24	$19.06	$11.88	1
North Carolina	23	$20.06	$13.62	1
South Dakota	22	$20.25	$15.65	1
Montana	19	$21.11	$16.39	1
District of Columbia	12	$23.96	$16.36	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.