Cost analysis for CPT 96372 — Injection of drug or substance under skin or into muscle
Average Medicare Payment
$9.43
2023 data
Total Payments (2023)
$59.2M
Services (2023)
6.0M
Price Change (2014–2023)
-44.3%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $16.93 | $138.5M | 8.0M | — |
| 2015 | $17.14 | $141.2M | 8.1M | +1.2% |
| 2016 | $16.87 | $143.4M | 8.3M | -1.6% |
| 2017 | $16.92 | $146.6M | 8.5M | +0.3% |
| 2018 | $13.67 | $116.5M | 8.3M | -19.2% |
| 2019 | $11.27 | $96.8M | 8.3M | -17.6% |
| 2020 | $9.42 | $64.8M | 6.6M | -16.4% |
| 2021 | $9.83 | $68.2M | 6.7M | +4.4% |
| 2022 | $9.67 | $64.3M | 6.4M | -1.6% |
| 2023 | $9.43 | $59.2M | 6.0M | -2.5% |
The most expensive state pays 1.5x more than the cheapest for this procedure. NY averages $12.08 vs MS at $8.14.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NY | $12.08 | $3.2M | 263.0K | 2.3K |
| AK | $11.87 | $95.9K | 8.1K | 124 |
| NJ | $11.68 | $1.8M | 152.9K | 1.3K |
| CA | $11.54 | $7.7M | 663.0K | 5.0K |
| DC | $11.49 | $41.3K | 3.6K | 52 |
| MD | $11.10 | $1.2M | 112.5K | 863 |
| CT | $11.07 | $285.8K | 25.8K | 274 |
| MA | $10.89 | $517.1K | 47.5K | 487 |
| GU | $10.87 | $9.1K | 833 | 13 |
| HI | $10.82 | $122.3K | 11.3K | 157 |
| VT | $10.75 | $12.7K | 1.2K | 10 |
| ME | $10.54 | $43.8K | 4.2K | 45 |
| RI | $10.51 | $38.8K | 3.7K | 58 |
| DE | $10.50 | $199.5K | 19.0K | 183 |
| PR | $10.38 | $9.9K | 952 | 9 |
| XX | $10.38 | $4.1K | 397 | 1 |
| MN | $10.37 | $243.0K | 23.4K | 369 |
| PA | $10.34 | $1.5M | 143.1K | 1.5K |
| WA | $10.34 | $456.6K | 44.1K | 568 |
| IL | $10.32 | $1.8M | 172.5K | 1.5K |
| CO | $10.20 | $403.1K | 39.5K | 499 |
| FL | $10.19 | $6.2M | 604.0K | 4.5K |
| VA | $10.19 | $1.5M | 150.4K | 1.4K |
| NV | $10.18 | $494.4K | 48.5K | 419 |
| OR | $10.04 | $234.7K | 23.4K | 292 |
| WI | $9.91 | $214.2K | 21.6K | 261 |
| VI | $9.89 | $10.4K | 1.1K | 12 |
| MT | $9.85 | $38.4K | 3.9K | 81 |
| SD | $9.83 | $84.8K | 8.6K | 104 |
| NH | $9.81 | $89.6K | 9.1K | 109 |
| AZ | $9.77 | $1.6M | 166.5K | 1.6K |
| MI | $9.73 | $1.4M | 144.8K | 1.7K |
| ND | $9.66 | $102.2K | 10.6K | 142 |
| WY | $9.59 | $102.7K | 10.7K | 157 |
| OH | $9.41 | $885.2K | 94.1K | 1.3K |
| UT | $9.35 | $345.4K | 36.9K | 442 |
| MO | $9.35 | $725.0K | 77.5K | 845 |
| TX | $9.34 | $4.9M | 519.4K | 6.0K |
| IA | $9.30 | $365.1K | 39.3K | 524 |
| NC | $9.23 | $2.0M | 218.9K | 2.7K |
| NE | $9.22 | $505.9K | 54.9K | 587 |
| KS | $9.21 | $611.9K | 66.4K | 643 |
| NM | $9.14 | $214.1K | 23.4K | 296 |
| SC | $9.13 | $1.4M | 155.6K | 1.6K |
| GA | $9.10 | $2.5M | 273.5K | 2.9K |
| IN | $9.07 | $936.6K | 103.2K | 1.3K |
| ID | $8.88 | $125.9K | 14.2K | 215 |
| OK | $8.86 | $1.5M | 170.6K | 1.3K |
| TN | $8.70 | $2.7M | 315.0K | 3.2K |
| LA | $8.69 | $1.3M | 151.1K | 1.6K |
| AP | $8.64 | $1.8K | 205 | 5 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Taylor Lancaster | Diagnostic Radiology | OK | $185.6K | 18.1K | $10.28 |
| Kristen Nelson | Nurse Practitioner | CA | $145.8K | 13.9K | $10.46 |
| Victor Fariwa | Internal Medicine | NY | $89.1K | 6.9K | $12.83 |
| William Harper | Urology | GA | $84.2K | 8.8K | $9.56 |
| Jessica Kearney | Nurse Practitioner | OK | $76.4K | 8.9K | $8.60 |
| Mairelis De La Cruz Hernandez | Nurse Practitioner | FL | $67.6K | 7.0K | $9.66 |
| Jennifer Curran Blair | Nurse Practitioner | OK | $60.0K | 6.9K | $8.69 |
| Robert Brennan | Infectious Disease | VA | $59.3K | 5.4K | $11.01 |
| Donald Middleton | Family Practice | AZ | $56.9K | 5.5K | $10.39 |
| Shane Frankl | Nurse Practitioner | TX | $55.0K | 6.1K | $8.99 |
| Kristin Tidwell | Nurse Practitioner | OK | $53.2K | 6.0K | $8.81 |
| Pankaj Shukla | Internal Medicine | CA | $51.6K | 4.5K | $11.60 |
| Amy White | Nurse Practitioner | MS | $51.2K | 5.9K | $8.63 |
| Hannah Krizzia Rivera | Nurse Practitioner | CA | $48.3K | 4.1K | $11.68 |
| Mohitkumar Ardeshana | Internal Medicine | CA | $45.7K | 3.7K | $12.30 |
| Janet Hall | Nurse Practitioner | CA | $43.7K | 3.7K | $11.70 |
| Spencer Wopart | Nurse Practitioner | OK | $43.2K | 4.9K | $8.81 |
| Min Wu | Family Practice | CA | $42.8K | 3.7K | $11.51 |
| Frederick Sabido | General Surgery | NY | $42.6K | 3.3K | $12.80 |
| Anselmo Mendive | Family Practice | FL | $41.2K | 3.5K | $11.74 |
Based on the data, CPT 96372 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 44.3% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.