How much does Medicare pay for CPT 93790?

Medicare allowed an average of $17.75 per service and paid $13.29 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $87.19, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93790?

Ambulatory blood pressure monitoring, 1 day or longer, with review, interpretation and report. It was billed 5,853 times to 4,488 Medicare beneficiaries by 119 providers in 2024.

Does 93790 pay differently in an office than a hospital?

Yes. The allowed amount averaged $17.37 in an office setting and $18.08 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 93790 most?

Cardiology, with 2,603 services from 65 clinicians. Next are Pain Management, Internal Medicine, Nephrology.

CPT 93790

Ambulatory blood pressure monitoring, 1 day or longer, with review, interpretation and report

$17.75Medicare-allowed amount per service, averaged across 5,853 services

Providers submitted

$87.19

Asking price, not received

Medicare allowed

$17.75

The fee schedule figure

Medicare paid

$13.29

Balance is patient coinsurance

Providers submitted an average of $87.19 for this code and Medicare allowed $17.75 — 4.9× 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 $13.29 (75%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $17.37
Hospital / facility: $18.08

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 2,731 services were billed in an office setting and 3,122 in a facility.

Services: 5,853
Beneficiaries: 4,488
Providers billing it: 119
Total allowed: $103,891

What Medicare pays for CPT 93790

Across 5,853 services billed by 119 providers to 4,488 beneficiaries, Medicare allowed an average of $17.75 per service. That is 1.3 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 93790

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	2,603	2,561	$18.27	65
Pain Management	1,349	216	$16.66	3
Internal Medicine	707	559	$17.80	14
Nephrology	444	431	$18.78	13
Interventional Cardiology	352	344	$17.32	11
Nurse Practitioner	114	102	$15.49	5
Nuclear Medicine	77	77	$19.07	1
Pulmonary Disease	57	56	$17.35	1
Family Practice	50	50	$16.88	2
Clinical Cardiac Electrophysiology	32	30	$18.03	1
Certified Registered Nurse Anesthetist (CRNA)	26	21	$17.20	1
Endocrinology	26	26	$18.63	1
Advanced Heart Failure and Transplant Cardiology	16	15	$17.19	1

93790 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
Arizona	1,388	$16.68	$13.86	5
Massachusetts	960	$18.52	$12.78	16
California	922	$19.08	$12.64	13
Florida	534	$17.72	$13.14	11
Pennsylvania	287	$17.19	$12.56	10
Texas	166	$18.75	$13.47	6
Virginia	151	$17.09	$11.98	3
Minnesota	148	$17.13	$12.38	8
Georgia	142	$15.81	$10.11	4
Michigan	130	$17.51	$12.75	1
New York	127	$19.62	$12.94	6
Ohio	115	$16.96	$13.14	2
Connecticut	112	$18.48	$12.81	4
New Jersey	106	$19.18	$12.52	4
Indiana	66	$16.65	$13.21	3
Utah	57	$17.35	$12.15	1
Oklahoma	51	$16.49	$13.41	2
Wisconsin	51	$16.92	$12.76	2
South Carolina	44	$17.23	$12.60	3
Kentucky	43	$17.27	$12.64	2
Nebraska	37	$16.74	$10.96	1
Illinois	37	$18.36	$13.76	1
Nevada	37	$17.30	$12.95	1
Oregon	32	$17.64	$12.50	2
Alaska	18	$20.38	$11.10	1
Missouri	18	$17.12	$13.75	1
New Hampshire	15	$18.12	$12.90	1
Colorado	13	$14.94	$8.99	1
Mississippi	13	$16.58	$12.79	1
New Mexico	11	$18.08	$13.82	1
North Carolina	11	$14.31	$10.67	1
Tennessee	11	$16.71	$13.81	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
93784Ambulatory blood pressure monitoring$46.29
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.