How much does Medicare pay for CPT 93288?

Medicare allowed an average of $41.61 per service and paid $30.24 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $120.44, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93288?

Evaluation of single, dual, multiple lead or leadless pacemaker system. It was billed 120,106 times to 88,761 Medicare beneficiaries by 2,336 providers in 2024.

Does 93288 pay differently in an office than a hospital?

Yes. The allowed amount averaged $46.60 in an office setting and $19.91 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 93288 most?

Cardiology, with 63,599 services from 1,274 clinicians. Next are Clinical Cardiac Electrophysiology, Nurse Practitioner, Interventional Cardiology.

CPT 93288

Evaluation of single, dual, multiple lead or leadless pacemaker system

$41.61Medicare-allowed amount per service, averaged across 120,106 services

Providers submitted

$120.44

Asking price, not received

Medicare allowed

$41.61

The fee schedule figure

Medicare paid

$30.24

Balance is patient coinsurance

Providers submitted an average of $120.44 for this code and Medicare allowed $41.61 — 2.9× 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 $30.24 (73%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $46.60
Hospital / facility: $19.91

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. 97,653 services were billed in an office setting and 22,453 in a facility.

Services: 120,106
Beneficiaries: 88,761
Providers billing it: 2,336
Total allowed: $4,997,611

What Medicare pays for CPT 93288

Across 120,106 services billed by 2,336 providers to 88,761 beneficiaries, Medicare allowed an average of $41.61 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 93288

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	63,599	44,343	$45.04	1,274
Clinical Cardiac Electrophysiology	32,950	26,210	$37.99	513
Nurse Practitioner	11,549	9,258	$34.60	230
Interventional Cardiology	4,872	3,693	$41.66	147
Internal Medicine	3,493	2,404	$41.71	80
Physician Assistant	2,562	2,024	$35.16	69
Cardiac Surgery	196	141	$23.22	4
Advanced Heart Failure and Transplant Cardiology	184	124	$28.19	4
Certified Clinical Nurse Specialist	179	151	$33.03	5
Undefined Physician type	162	151	$54.42	2
Diagnostic Radiology	127	71	$63.42	1
Hospitalist	121	115	$51.75	1
Thoracic Surgery	56	38	$19.75	3
Nuclear Medicine	56	38	$58.26	3

93288 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	15,907	$55.27	$35.24	289
Florida	10,609	$45.74	$33.89	242
Texas	9,972	$39.11	$29.53	226
New York	5,073	$45.24	$29.92	121
Maryland	4,515	$42.56	$29.51	64
Illinois	4,362	$40.60	$28.99	80
Tennessee	4,224	$37.62	$29.72	73
Ohio	3,573	$30.81	$23.63	72
Massachusetts	3,545	$37.59	$24.80	73
New Jersey	3,477	$54.45	$36.57	79
Arizona	3,148	$35.26	$26.72	61
Arkansas	3,103	$39.22	$30.91	45
Virginia	2,840	$47.19	$33.26	50
Indiana	2,658	$39.33	$29.93	34
Washington	2,643	$44.65	$30.93	46
Pennsylvania	2,503	$45.52	$32.86	58
West Virginia	2,460	$24.01	$17.84	24
Georgia	2,400	$34.34	$25.99	62
Oklahoma	2,324	$27.85	$21.81	32
North Carolina	2,294	$45.84	$32.41	37
Kentucky	2,185	$29.61	$22.72	48
Mississippi	2,134	$37.98	$30.60	20
Louisiana	2,128	$34.40	$26.89	43
Alabama	2,127	$45.51	$37.16	34
Wisconsin	2,092	$34.05	$24.10	27
Michigan	2,029	$37.10	$28.38	52
Utah	1,956	$41.57	$32.02	35
Kansas	1,750	$35.69	$27.52	33
Missouri	1,653	$27.15	$20.85	40
Nevada	1,574	$43.65	$32.01	34
Colorado	1,134	$35.32	$26.19	28
South Carolina	936	$48.11	$38.11	27
Idaho	930	$19.64	$14.46	12
Hawaii	870	$37.87	$25.50	14
New Mexico	622	$29.39	$21.94	12
Minnesota	470	$20.64	$15.35	9
Alaska	445	$30.30	$17.38	8
New Hampshire	433	$41.18	$30.62	7
Puerto Rico	432	$54.70	$36.54	7
South Dakota	421	$32.54	$24.46	7
Iowa	401	$27.33	$20.88	16
Delaware	340	$47.63	$35.33	12
Connecticut	302	$50.42	$33.93	13
Nebraska	213	$45.46	$36.32	5
Montana	205	$41.60	$28.92	2
Guam	173	$60.59	$33.68	2
Maine	149	$25.79	$18.10	4
Oregon	134	$32.78	$23.55	5
District of Columbia	87	$31.98	$22.10	4
Vermont	64	$19.37	$13.77	4
Rhode Island	63	$29.05	$18.10	3
Wyoming	24	$23.67	$18.04	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.