Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

Q9961 High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml HCPCS · Standard X-ray imaging

Classification Imaging › Standard X-ray › Contrast Agent (CMS RBCS)

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

National scale 14,303 services · est. · 285 FFS beneficiaries (CY2024, all-Medicare estimate) — 6,840 observed fee-for-service services

Medicare paid $3K · est. · $0.22 avg / service, national — $2K 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.

7,899

Scaled from 3,940 observed FFS services.

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

-8.5%

All-Medicare est. · observed FFS -15.3%

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

Estimated all-Medicare volume estimate

FFS + estimated MA

~7,899 services

3,940 observed fee-for-service (50%) · ~3,959 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 — Q9961 (CY2024)

NC 6,447 CA 4,666 AZ 2,617 ID 199 MD 176

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

$10K

Named-group allowed amount

$1K

Named-group Medicare payments

$2K · est.

— $904 observed FFS

Avg charge / svc

Avg allowed / svc

Avg payment / svc

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

$0–2

$2–3

$3–4

$4–6

$6–7

$7–8

$8–10

$10+

$0 4 groups · avg submitted charge / service $12

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 Q9961 services, highest first, CY2024
#	Physician group locked column	City locked column	St locked column	Specialty locked column	Providers locked column	Q9961 svcs	Submitted charges locked column	Avg charge locked column	Medicare $ locked column	Share of state* locked column	Phone
1	TOWER UROLOGY INC	LOS ANGELES	CA	UROLOGY	13	2,300	$5,520	$2	premium	100.0%	3108549898159
2	TOWER UROLOGY INC	LOS ANGELES	AZ	UROLOGY	13	1,300	$3,100	$2	premium	100.0%	3108549898159
3	ADR LLC	CUMBERLAND	MD	CARDIOVASCULAR DISEASE (CARDIOLOGY)	4	134	$25	$0	premium	100.0%	(301) 777-3522
4	HAMPTON ROADS ORTHOPAEDIC AND SPORTS MEDICINE LLC	NEWPORT NEWS	VA	ORTHOPEDIC SURGERY	26	104	$1,248	$12	premium	100.0%	(757) 873-1554
5	ST LUKES CLINIC-TREASURE VALLEY LLC	BOISE	ID	PHYSICIAN ASSISTANT	1159	102	$593	$6	premium	100.0%	(208) 381-4210

*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 →