How much does Medicare pay for CPT 60100?

Medicare allowed an average of $75.67 per service and paid $57.28 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $402.55, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 60100?

Needle biopsy of thyroid through skin. It was billed 1,245 times to 1,098 Medicare beneficiaries by 64 providers in 2024.

Does 60100 pay differently in an office than a hospital?

Yes. The allowed amount averaged $89.09 in an office setting and $70.13 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 60100 most?

Diagnostic Radiology, with 696 services from 38 clinicians. Next are Interventional Radiology, Endocrinology, Otolaryngology.

CPT 60100

Needle biopsy of thyroid through skin

$75.67Medicare-allowed amount per service, averaged across 1,245 services

Providers submitted

$402.55

Asking price, not received

Medicare allowed

$75.67

The fee schedule figure

Medicare paid

$57.28

Balance is patient coinsurance

Providers submitted an average of $402.55 for this code and Medicare allowed $75.67 — 5.3× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $57.28 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $89.09
Hospital / facility: $70.13

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 364 services were billed in an office setting and 881 in a facility.

Services: 1,245
Beneficiaries: 1,098
Providers billing it: 64
Total allowed: $94,209

What Medicare pays for CPT 60100

Across 1,245 services billed by 64 providers to 1,098 beneficiaries, Medicare allowed an average of $75.67 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 60100

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	696	611	$72.91	38
Interventional Radiology	312	286	$75.46	15
Endocrinology	66	52	$61.36	3
Otolaryngology	63	56	$109.29	3
Internal Medicine	31	17	$76.15	1
Physician Assistant	25	24	$95.50	1
Family Practice	19	19	$76.16	1
General Surgery	17	17	$101.09	1
Surgical Oncology	16	16	$66.86	1

60100 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	280	$86.02	$62.00	14
Texas	111	$73.98	$51.04	5
Florida	110	$75.49	$57.02	6
Illinois	106	$72.94	$50.99	7
Oklahoma	101	$69.68	$52.07	4
New York	68	$65.67	$48.77	4
Pennsylvania	66	$73.56	$52.30	3
Missouri	61	$63.80	$50.30	3
Maryland	54	$66.87	$50.17	3
Ohio	46	$74.06	$57.34	3
Michigan	35	$50.81	$43.16	1
Virginia	27	$67.62	$46.15	1
Massachusetts	27	$93.97	$73.64	1
North Dakota	24	$58.62	$48.87	1
Rhode Island	22	$73.70	$52.75	1
Guam	21	$112.32	$74.79	1
Louisiana	17	$101.09	$85.44	1
Georgia	16	$70.49	$59.85	1
Arizona	15	$72.96	$48.58	1
Tennessee	14	$99.66	$79.62	1
District of Columbia	13	$74.63	$53.00	1
Kentucky	11	$70.46	$60.12	1

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.