How much does Medicare pay for CPT 93567?

Medicare allowed an average of $36.07 per service and paid $28.72 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $264.10, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93567?

Injection for imaging of aorta above heart valve with review by radiologist. It was billed 7,232 times to 7,119 Medicare beneficiaries by 213 providers in 2024.

Does 93567 pay differently in an office than a hospital?

Yes. The allowed amount averaged $37.88 in an office setting and $36.06 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 93567 most?

Cardiology, with 4,736 services from 128 clinicians. Next are Interventional Cardiology, Internal Medicine, Clinical Cardiac Electrophysiology.

CPT 93567

Injection for imaging of aorta above heart valve with review by radiologist

$36.07Medicare-allowed amount per service, averaged across 7,232 services

Providers submitted

$264.10

Asking price, not received

Medicare allowed

$36.07

The fee schedule figure

Medicare paid

$28.72

Balance is patient coinsurance

Providers submitted an average of $264.10 for this code and Medicare allowed $36.07 — 7.3× 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 $28.72 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $37.88
Hospital / facility: $36.06

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. 55 services were billed in an office setting and 7,177 in a facility.

Services: 7,232
Beneficiaries: 7,119
Providers billing it: 213
Total allowed: $260,858

What Medicare pays for CPT 93567

Across 7,232 services billed by 213 providers to 7,119 beneficiaries, Medicare allowed an average of $36.07 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 93567

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	4,736	4,646	$35.88	128
Interventional Cardiology	2,305	2,283	$36.71	79
Internal Medicine	145	145	$32.09	4
Clinical Cardiac Electrophysiology	46	45	$36.23	2

93567 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	2,021	$34.83	$28.55	30
Florida	918	$39.16	$28.62	33
Arkansas	765	$31.62	$28.64	14
New York	564	$42.65	$28.62	23
Texas	353	$36.04	$28.57	14
Pennsylvania	296	$36.31	$28.59	10
New Jersey	244	$38.75	$28.64	9
Nevada	236	$33.70	$28.66	8
Michigan	211	$39.02	$28.66	9
District of Columbia	173	$39.48	$28.68	2
Illinois	147	$38.94	$28.69	6
Iowa	146	$32.34	$28.68	4
Oklahoma	137	$34.51	$28.42	2
Maryland	132	$38.55	$28.59	4
Louisiana	108	$34.92	$28.59	7
Alabama	104	$31.97	$28.83	4
Mississippi	103	$31.48	$28.65	2
Georgia	85	$36.64	$28.65	5
North Carolina	79	$33.42	$28.69	2
Tennessee	68	$32.28	$28.38	5
Indiana	55	$32.40	$28.75	4
Ohio	52	$35.33	$28.66	1
Missouri	40	$36.19	$28.61	3
Wisconsin	30	$32.14	$28.65	2
Kentucky	29	$34.65	$28.65	1
Arizona	27	$34.99	$28.63	2
Puerto Rico	18	$35.40	$28.62	1
Utah	18	$34.98	$28.58	1
Virginia	17	$32.12	$29.46	1
Massachusetts	17	$35.66	$28.57	1
Delaware	15	$35.86	$28.61	1
West Virginia	13	$35.68	$28.56	1
Colorado	11	$35.80	$28.58	1

Related codes

93571Ultrasound evaluation of heart blood vessel during diagnosis or treatm$63.31
93503Insertion of tube in pulmonary artery for monitoring$84.96
93505Biopsy of heart muscle$209.72
93572Ultrasound evaluation of heart blood vessel during diagnosis or treatm$45.65

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.