Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

0686T Acoustic energy destruction of malignant liver tissue using imaging guidance HCPCS · Procedure

Classification Procedure › Digestive/Gastrointestinal (CMS RBCS)

First observed 2024

National scale 58 services · est. · 27 FFS beneficiaries (CY2024, all-Medicare estimate) — 29 observed fee-for-service services

Medicare paid $58K · est. · $998.80 avg / service, national — $29K observed FFS

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named groups billing this code

Named-group all-Medicare svcs · est.

Scaled from 13 observed FFS services.

FFS of Medicare

49%

Payer-mix frame

Services YoY

—

Estimated all-Medicare volume estimate

FFS + estimated MA

~26 services

13 observed fee-for-service (50%) · ~13 estimated Medicare Advantage.

Billing for this code concentrates in one state — scaled by the national payer mix (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 0686T (CY2024)

CA 32 WA 25

Est. all-Medicare services by billing state (scaled estimate — assumes MA utilization mirrors FFS); open a bar for that state's ranked market.

Billed → allowed → paid

Named-group submitted charges

$48K

Named-group allowed amount

$18K

Named-group Medicare payments

$30K · est.

— $15K observed FFS

Avg charge / svc

$3,663

Avg allowed / svc

$1,420

Avg payment / svc

$1,133

Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.

Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — each panel renders gated on the free tier.

See it in full: nuclear heart imaging (78452) in Arizona is open as a live example — every paid panel, on real data.

View the live example →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 0686T services, highest first, CY2024
#	Physician group locked column	City locked column	St locked column	Specialty locked column	Providers locked column	0686T svcs	Submitted charges locked column	Avg charge locked column	Medicare $ locked column	Share of state* locked column	Phone
1	SWEDISH HEALTH SERVICES	SEATTLE	WA	PHYSICIAN ASSISTANT	1033	13	$47,619	$3,663	premium	100.0%	—

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix — and the observed foundation every market figure here builds on. Market totals anchor on a labeled all-Medicare estimate scaled from that foundation, with the observed count disclosed beside it — Medicare only, never all-payer. Modeled all-payer databases project every payer statistically and typically run higher. Same market, different denominator. How the numbers reconcile →