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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
0546T Radiofrequency spectroscopy evaluation of surgical margins during partial mastectomy, with report HCPCS · Anatomic Pathology test
Classification Test Anatomic Pathology Surgical Pathology Examination (CMS RBCS)
First observed 2019
National scale 303 services · est. ▲ 0.4% YoY · 165 FFS beneficiaries (CY2024, all-Medicare estimate) — 165 observed fee-for-service services
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Data year CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Market overview
Market Brief 0546T
The whole of 0546T, written up and sourced.

The Brief is a national document for 0546T. Its findings page carries one finding per chapter, each opening the chapter that prints its figure and the table behind it — like these, from the United States, CY2024, the market on this page.

  1. 1Size and growth. The national market for 0546T ran ~303 all-Medicare services (estimated), 165 observed fee-for-service in CY2024. The market is roughly flat year over year. 5 billing groups and 5 clinicians bill it.
  2. 2Payment. Half the field lists between $342 and $1,784 per service; the median group lists $444. Submitted charges are provider-set list amounts, not payments.
  3. 3Geography. FL, VA, IA and DC lead the state markets — together 100% of state-market volume.
Estimated all-Medicare volume estimate
FFS + estimated MA

~303 services

165 observed fee-for-service (54%) · ~138 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
Average charge
per service, submitted list amounts — not payments · named-group basis, observed FFS
Average payment
per service, Medicare paid amounts — not charges · all disclosed claims, observed FFS basis
Charge-to-payment ratio
average list price vs average Medicare payment per service · named-group basis
What they charge

Half the field lists between $342 and $1,784

Submitted charges are provider-set list amounts, not payments · median $444 (named groups)
Every group, one dot5 billing groups · median $444

Each dot is one billing group — 5 of them list this code

$0$1,000$2,000average submitted charge per service, per billing groupmedian $444
One dot per billing group, 0546T nationwide CY2024 — average submitted charge per service, provider-set list amounts, not payments. The axis caps near the 95th percentile so the cluster is legible; groups beyond it draw at the cap in accent and are counted on the chart.
Where the market isobserved FFS services by state · CY2024
MEVTNHWAIDMTNDMNWIILMINYMARIORNVWYSDIA: 45IAINOHPANJCTCAUTCONEMOKYWVVA: 47VAMDDEAZNMKSARTNNCSCDC: 14DCOKLAMSALGAHIAKTXFL: 59FL
Shaded low→high on observed fee-for-service services billed from each state · the /stats tile grid, at national scope. Shading ranks the states rather than spacing them along the range, so neighboring shades mean adjacent RANKS, not equal gaps — the key names the lowest and highest; each tile carries its own figure.
Which states movedservices per 1,000 FFS beneficiaries · CY2021 → CY2024
CY2021CY2024DC: 0 → 0FL: 0 → 0IA: 0 → 0VA: 0 → 0DC 0IA 0VA 0FL 00 DC0 IA0 VA0 FL
One line per state market, 4 drawn; the 4 leading states by volume are in accent, the rest are context lines. Both columns share one scale, so a slope is real change. A RATE against each state’s own fee-for-service population — assumption-free, and no all-Medicare estimate is used or implied. CY2021 is the left period because CY2020 is the pandemic year and a slope off it would read as growth almost everywhere. 2 states with a rate in only one of the two years are not drawn.

Open a state market: FL · VA · IA · DC — the group ranking lives in the Provider groups tab. Territories bill too; the tile grid draws the 50 states and DC.

Every group in this market, placed by list charge against volume

This market’s groups, on one chart5 groups · bubble = services
One billing groupOne billing groupOne billing groupOne billing groupOne billing group$200$500$1,000$1,500$2,000+Average submitted charge per service — list amounts, not paymentsServices per group — 0546T, CY2024
One mark per physician group, 0546T nationwide CY2024 — marks are unnamed here: a mark’s position is its average list charge, and that figure is part of the platform. Submitted charges are provider-set list amounts, not payments.

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