How much does Medicare pay for CPT 93892?

Medicare allowed an average of $163.38 per service and paid $128.52 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $526.66, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93892?

Ultrasound of within the brain blood flow for blood clots. It was billed 36,349 times to 32,897 Medicare beneficiaries by 322 providers in 2024.

Does 93892 pay differently in an office than a hospital?

Yes. The allowed amount averaged $168.57 in an office setting and $60.66 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 93892 most?

Neurology, with 15,349 services from 158 clinicians. Next are Diagnostic Radiology, Ophthalmology, Interventional Radiology.

CPT 93892

Ultrasound of within the brain blood flow for blood clots

$163.38Medicare-allowed amount per service, averaged across 36,349 services

Providers submitted

$526.66

Asking price, not received

Medicare allowed

$163.38

The fee schedule figure

Medicare paid

$128.52

Balance is patient coinsurance

Providers submitted an average of $526.66 for this code and Medicare allowed $163.38 — 3.2× 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 $128.52 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $168.57
Hospital / facility: $60.66

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. 34,602 services were billed in an office setting and 1,747 in a facility.

Services: 36,349
Beneficiaries: 32,897
Providers billing it: 322
Total allowed: $5,938,700

What Medicare pays for CPT 93892

Across 36,349 services billed by 322 providers to 32,897 beneficiaries, Medicare allowed an average of $163.38 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 93892

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurology	15,349	14,935	$167.00	158
Diagnostic Radiology	6,332	3,742	$181.62	7
Ophthalmology	4,626	4,562	$148.08	39
Interventional Radiology	2,741	2,579	$139.46	3
Cardiology	2,366	2,312	$180.96	40
Internal Medicine	1,504	1,475	$165.61	23
Independent Diagnostic Testing Facility (IDTF)	1,034	1,015	$145.59	11
Optometry	625	623	$95.56	7
Neurosurgery	400	321	$127.75	7
Nuclear Medicine	224	223	$172.62	1
Family Practice	224	202	$150.78	8
Neuropsychiatry	220	220	$168.33	1
Interventional Cardiology	159	159	$190.36	2
Psychiatry	90	87	$142.36	3
General Practice	86	80	$101.75	2

93892 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	19,251	$177.35	$120.06	119
California	4,746	$159.82	$113.24	36
New Jersey	1,763	$174.25	$121.79	32
Louisiana	1,714	$143.45	$120.38	14
Texas	1,503	$138.09	$109.75	32
North Carolina	1,129	$121.83	$102.37	9
Florida	1,026	$132.90	$102.96	14
South Carolina	911	$158.81	$124.72	3
Maryland	748	$180.41	$120.45	6
Alabama	567	$91.60	$82.64	8
Arizona	528	$148.52	$120.92	7
Colorado	413	$182.36	$128.12	2
Illinois	359	$126.67	$95.52	2
Washington	312	$62.61	$43.55	11
District of Columbia	278	$187.44	$120.95	1
Connecticut	223	$160.84	$120.02	2
Georgia	183	$143.16	$114.71	5
Massachusetts	167	$61.24	$43.83	4
Minnesota	163	$83.02	$64.32	2
Ohio	153	$112.40	$91.66	5
Nevada	47	$155.83	$127.49	1
Pennsylvania	46	$169.26	$128.12	1
Arkansas	37	$154.75	$120.55	1
Indiana	36	$54.84	$39.96	2
South Dakota	25	$89.19	$71.61	2
Utah	21	$56.86	$42.71	1

Related codes

93880Ultrasound of both sides of head and neck blood flow$124.56
93886Complete ultrasound of within the brain blood flow$242.67
93890Ultrasound of within the brain blood flow following medication$249.23
93882Ultrasound of one side of head and neck blood flow$89.81
93888Ultrasound of within the brain blood flow$100.38
93893Ultrasound of within the brain blood flow for blood clots$108.15

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.