How much does Medicare pay for CPT 93572?

Medicare allowed an average of $45.65 per service and paid $36.41 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $296.03, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93572?

Ultrasound evaluation of heart blood vessel during diagnosis or treatment, each additional vessel. It was billed 2,232 times to 1,897 Medicare beneficiaries by 116 providers in 2024.

Which specialty bills 93572 most?

Cardiology, with 1,082 services from 51 clinicians. Next are Interventional Cardiology, Internal Medicine, Peripheral Vascular Disease.

CPT 93572

Ultrasound evaluation of heart blood vessel during diagnosis or treatment, each additional vessel

$45.65Medicare-allowed amount per service, averaged across 2,232 services

Providers submitted

$296.03

Asking price, not received

Medicare allowed

$45.65

The fee schedule figure

Medicare paid

$36.41

Balance is patient coinsurance

Providers submitted an average of $296.03 for this code and Medicare allowed $45.65 — 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 $36.41 (80%); the rest is the patient’s coinsurance and deductible.

Services: 2,232
Beneficiaries: 1,897
Providers billing it: 116
Total allowed: $101,891

What Medicare pays for CPT 93572

Across 2,232 services billed by 116 providers to 1,897 beneficiaries, Medicare allowed an average of $45.65 per service. That is 1.2 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 93572

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	1,082	918	$45.47	51
Interventional Cardiology	1,064	907	$45.23	60
Internal Medicine	52	44	$45.39	3
Peripheral Vascular Disease	34	28	$65.25	2

93572 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	219	$50.09	$39.84	8
Massachusetts	212	$51.81	$39.89	10
Florida	190	$42.52	$39.80	9
Ohio	140	$30.22	$39.82	6
Washington	123	$49.78	$39.95	8
Iowa	107	$45.49	$39.80	5
New Jersey	91	$52.65	$39.89	3
Missouri	87	$49.12	$40.29	5
Tennessee	86	$45.26	$39.79	5
Wisconsin	72	$42.23	$40.03	4
Georgia	71	$35.05	$39.96	4
Arizona	67	$46.01	$39.99	3
Arkansas	62	$41.23	$39.99	4
Illinois	60	$54.12	$39.96	4
Louisiana	56	$49.24	$40.00	3
Pennsylvania	46	$40.69	$39.86	2
Indiana	45	$39.87	$39.02	3
Texas	39	$45.15	$39.78	3
Minnesota	39	$46.24	$39.83	2
North Dakota	36	$47.19	$39.88	2
North Carolina	34	$22.97	$39.80	2
Alaska	34	$65.25	$39.87	2
Delaware	34	$50.07	$39.87	1
Idaho	34	$45.61	$39.82	1
Utah	32	$48.76	$39.79	2
Mississippi	31	$41.54	$40.15	2
Oklahoma	27	$46.67	$39.81	2
Montana	27	$49.55	$39.81	2
Colorado	27	$48.54	$39.83	1
New York	26	$55.15	$39.83	2
Maryland	16	$50.10	$39.60	1
Vermont	14	$38.77	$41.84	1
Nevada	13	$49.02	$39.83	1
Virginia	13	$25.74	$39.78	1
Kentucky	11	$25.04	$39.75	1
Oregon	11	$50.08	$39.87	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
93567Injection for imaging of aorta above heart valve$36.07
93505Biopsy of heart muscle$209.72

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.