Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

74170 Ct scan of abdomen before and after contrast CPT · CT Scan imaging

Classification Imaging › CT Scan › CT/CTA - Abdomen and Pelvis (CMS RBCS)

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

National scale 47,113 services ▲ 5.6% YoY · 45,223 beneficiaries (CY2024, Medicare FFS)

Medicare paid $4.5M · $94.84 avg / service, national

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

Billing groups

341

Named groups billing this code

Named-group all-Medicare svcs · est.

38,641

Scaled from 19,056 observed FFS services.

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

+9.2%

All-Medicare est. · observed FFS +5.6%

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

Estimated all-Medicare volume estimate

FFS + estimated MA

~38,641 services

19,056 observed fee-for-service (49%) · ~19,585 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 — 74170 (CY2024)

TX 4,700 CA 4,508 FL 3,724 NY 2,776 NC 2,765

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

$11.1M

Named-group allowed amount

$2.4M

Named-group Medicare payments

$1.8M

Avg charge / svc

$583

Avg allowed / svc

$125

Avg payment / svc

$93

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

$34–194

$194–354

$354–513

$513–673

$673–833

$833–992

$992–1,152

$1,152+

$34 341 groups · avg submitted charge / service $4,145

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 74170 services, highest first, CY2024
#	Physician group locked column	City locked column	St locked column	Specialty locked column	Providers locked column	74170 svcs	Submitted charges locked column	Avg charge locked column	Medicare $ locked column	Share of state* locked column	Phone
1	PRISMA HEALTH UNIVERSITY MEDICAL GROUP	GREENVILLE	SC	NURSE PRACTITIONER	2447	656	$157,445	$240	premium	25.1%	—
2	H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC	TAMPA	FL	PHYSICIAN ASSISTANT	1103	529	$129,773	$245	premium	14.2%	(813) 745-4673
3	KANSAS UNIVERSITY PHYSICIANS INC	KANSAS CITY	KS	NURSE PRACTITIONER	1815	368	$60,438	$164	premium	39.4%	(913) 588-1227
4	SUTTER VALLEY MEDICAL FOUNDATION	SACRAMENTO	CA	DIAGNOSTIC RADIOLOGY	2420	353	$459,051	$1,300	premium	7.8%	(916) 681-8852
5	VIRGINIA UROLOGY CENTER	RICHMOND	VA	UROLOGY	90	338	$312,650	$925	premium	17.0%	(804) 330-9105

That's the top 5 of 341 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →