How much does Medicare pay for CPT 93650?

Medicare allowed an average of $527.25 per service and paid $418.24 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1988.58, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93650?

Destruction of heart conduction tissue to create heart block. It was billed 4,928 times to 4,838 Medicare beneficiaries by 282 providers in 2024.

Which specialty bills 93650 most?

Clinical Cardiac Electrophysiology, with 4,223 services from 236 clinicians. Next are Cardiology, Internal Medicine, Hospitalist.

CPT 93650

Destruction of heart conduction tissue to create heart block

$527.25Medicare-allowed amount per service, averaged across 4,928 services

Providers submitted

$1988.58

Asking price, not received

Medicare allowed

$527.25

The fee schedule figure

Medicare paid

$418.24

Balance is patient coinsurance

Providers submitted an average of $1988.58 for this code and Medicare allowed $527.25 — 3.8× 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 $418.24 (79%); the rest is the patient’s coinsurance and deductible.

Services: 4,928
Beneficiaries: 4,838
Providers billing it: 282
Total allowed: $2,598,288

What Medicare pays for CPT 93650

Across 4,928 services billed by 282 providers to 4,838 beneficiaries, Medicare allowed an average of $527.25 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 93650

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Cardiac Electrophysiology	4,223	4,148	$527.73	236
Cardiology	551	538	$522.85	36
Internal Medicine	115	114	$549.61	8
Hospitalist	20	19	$480.07	1
Undefined Physician type	19	19	$463.57	1

93650 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
Florida	574	$544.11	$405.94	33
Texas	462	$513.13	$410.36	25
Pennsylvania	307	$526.30	$421.39	16
South Carolina	304	$499.29	$412.32	14
California	283	$548.38	$420.82	16
Virginia	276	$525.12	$425.24	16
North Carolina	220	$498.32	$419.43	14
Georgia	210	$550.05	$427.55	13
Illinois	167	$586.42	$424.61	10
Montana	119	$520.44	$414.41	5
Missouri	116	$538.89	$425.12	7
New Jersey	114	$540.37	$406.51	6
Kansas	110	$492.51	$427.55	7
Michigan	108	$555.17	$422.45	6
Colorado	102	$543.28	$429.05	7
Oklahoma	101	$505.26	$426.92	4
Tennessee	99	$502.69	$427.66	5
Minnesota	96	$491.24	$425.21	7
Nebraska	94	$458.23	$412.44	5
Kentucky	88	$531.81	$420.52	5
Mississippi	82	$523.93	$428.62	3
Alaska	80	$666.76	$420.91	4
Indiana	79	$493.94	$426.76	5
Wisconsin	78	$498.31	$422.34	5
New York	74	$544.91	$428.36	5
Arizona	74	$509.68	$415.90	5
New Mexico	66	$508.21	$404.33	4
Arkansas	61	$465.99	$405.99	3
Washington	59	$566.26	$434.75	5
Massachusetts	45	$573.50	$424.13	4
Oregon	42	$491.77	$396.31	2
Maryland	36	$589.69	$424.27	1
Ohio	28	$508.33	$401.42	2
North Dakota	28	$564.93	$433.92	2
Idaho	25	$498.08	$424.94	2
Alabama	23	$481.14	$422.32	2
Louisiana	23	$487.65	$433.06	1
West Virginia	15	$504.03	$397.84	1
Maine	13	$560.06	$441.42	1
Iowa	13	$497.58	$426.59	1
Utah	12	$497.69	$404.27	1
Vermont	11	$519.02	$447.89	1
Connecticut	11	$532.92	$432.92	1

Related codes

93656Comprehensive electrophysiologic evaluation$911.22
93657Destruction of tissue of upper heart chamber through tube to treat abn$297.38
93655Insertion of catheters and destruction of tissue to treat abnormal hea$294.16
93623Programming of heart rhythm stimulation after drug infusion$65.91
93662Ultrasound evaluation of heart blood vessel$67.91
93653Comprehensive electrophysiologic evaluation$804.30
93622Insertion of catheters for recording and pacing of left lower heart ch$163.00
93609Insertion of tube in upper and/or lower heart chambers to record and i$269.78
93660Evaluation of heart function$111.98
93641Evaluation of single or dual chamber pacing cardioverter-defibrillator$156.53
93654Comprehensive electrophysiologic evaluation$954.56
93620Insertion of catheters for recording and pacing of right heart chamber$595.77

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.