How much does Medicare pay for CPT 93784?

Medicare allowed an average of $46.29 per service and paid $34.36 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $374.81, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93784?

Ambulatory blood pressure monitoring, 1 day or longer, with recording, scanning analysis, interpretation, and report. It was billed 3,950 times to 3,950 Medicare beneficiaries by 140 providers in 2024.

Does 93784 pay differently in an office than a hospital?

Yes. The allowed amount averaged $46.31 in an office setting and $38.89 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 93784 most?

Cardiology, with 2,023 services from 75 clinicians. Next are Nephrology, Hospitalist, Internal Medicine.

CPT 93784

Ambulatory blood pressure monitoring, 1 day or longer, with recording, scanning analysis, interpretation, and report

$46.29Medicare-allowed amount per service, averaged across 3,950 services

Providers submitted

$374.81

Asking price, not received

Medicare allowed

$46.29

The fee schedule figure

Medicare paid

$34.36

Balance is patient coinsurance

Providers submitted an average of $374.81 for this code and Medicare allowed $46.29 — 8.1× 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 $34.36 (74%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $46.31
Hospital / facility: $38.89

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. 3,938 services were billed in an office setting and 12 in a facility.

Services: 3,950
Beneficiaries: 3,950
Providers billing it: 140
Total allowed: $182,846

What Medicare pays for CPT 93784

Across 3,950 services billed by 140 providers to 3,950 beneficiaries, Medicare allowed an average of $46.29 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 93784

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	2,023	2,023	$47.78	75
Nephrology	775	775	$44.78	28
Hospitalist	406	406	$42.24	1
Internal Medicine	247	247	$46.27	13
Interventional Cardiology	223	223	$50.65	9
Neurology	86	86	$43.20	2
Family Practice	81	81	$40.18	6
Clinical Cardiac Electrophysiology	39	39	$47.97	2
Advanced Heart Failure and Transplant Cardiology	31	31	$38.41	1
Nurse Practitioner	26	26	$43.21	2
Physician Assistant	13	13	$36.34	1

93784 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	862	$49.91	$33.61	35
Florida	847	$42.39	$34.27	13
California	630	$51.97	$33.02	20
New Jersey	205	$47.37	$33.76	12
Minnesota	204	$45.40	$34.25	8
Arizona	182	$43.11	$33.39	5
Maryland	156	$47.30	$31.31	4
Illinois	90	$44.94	$33.95	3
Texas	85	$41.57	$33.43	4
Massachusetts	77	$46.27	$33.24	5
U.S. Virgin Islands	75	$42.00	$31.12	1
Connecticut	69	$48.01	$33.76	5
Alabama	68	$39.40	$32.73	5
Ohio	66	$41.67	$34.26	3
Puerto Rico	59	$41.72	$30.76	3
Nevada	48	$46.17	$31.54	1
Michigan	47	$42.80	$31.03	3
North Carolina	44	$39.19	$35.76	2
Georgia	30	$41.00	$35.24	2
Oklahoma	28	$38.36	$35.49	1
Oregon	24	$43.92	$34.52	1
Wisconsin	17	$40.86	$30.73	1
Kentucky	13	$40.24	$35.33	1
Utah	12	$41.59	$36.17	1
Pennsylvania	12	$38.89	$33.58	1

Related codes

93793Anticoagulant management of patient taking warfarin$10.67
93798Outpatient heart rehabilitation$21.02
93750Evaluation of lower heart chamber assist device$39.06
93797Outpatient heart rehabilitation$13.89
93702Measurement of lymphedema extracellular fluid$118.63
93790Ambulatory blood pressure monitoring$17.75
93701Measurement of heart blood flow and respiration$29.65

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.