Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

63046 Partial removal of spine bone with release of middle spinal cord and/or nerves, 1 segment CPT · Musculoskeletal procedure

Classification Procedure › Musculoskeletal › Laminotomy or Laminectomy - Lumbar (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 62 services ▼ 59.2% YoY · 59 beneficiaries (CY2024, Medicare FFS)

Medicare paid $39K · $628.67 avg / service, national

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

Billing groups

Named groups billing this code

Named-group FFS services

Attributable volume · fee-for-service

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

-59.2%

FFS enrollment -2.2%

Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.

Estimated all-Medicare volume estimate

FFS + estimated MA

~53 services

26 observed fee-for-service (49%) · ~27 estimated Medicare Advantage.

Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 63046 (CY2024)

IL 33 NC 15 LA 14

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Billed → allowed → paid

Named-group submitted charges

$258K

Named-group allowed amount

$20K

Named-group Medicare payments

$16K

Avg charge / svc

$9,920

Avg allowed / svc

$778

Avg payment / svc

$619

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

Average charge per group

$9,855–9,869

$9,869–9,884

$9,884–9,898

$9,898–9,912

$9,912–9,926

$9,926–9,941

$9,941–9,955

$9,955+

$9,855 2 groups · avg submitted charge / service $9,975

Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — the free tier previews every panel, gated.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 63046 services, highest first, CY2024
#	Physician group activate to sort	City activate to sort	St activate to sort	Specialty activate to sort	Providers activate to sort	63046 svcs sorted descending — activate to reverse	Submitted charges activate to sort	Avg charge activate to sort	Medicare $ locked column	Share* activate to sort	Phone
1	SPINE CENTER LLC	BATON ROUGE	LA	PHYSICIAN ASSISTANT	17	14	$139,652	$9,975	premium	100.0%	(833) 774-6327
2	ENDEAVOR HEALTH MEDICAL GROUP	EVANSTON	IL	NURSE PRACTITIONER	3380	12	$118,260	$9,855	premium	36.4%	—

*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. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →