How much does Medicare pay for CPT 71101?

Medicare allowed an average of $19.00 per service and paid $13.53 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $83.35, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 71101?

X-ray of ribs on side of body, minimum of 3 views. It was billed 127,162 times to 122,824 Medicare beneficiaries by 5,580 providers in 2024.

Does 71101 pay differently in an office than a hospital?

Yes. The allowed amount averaged $28.82 in an office setting and $12.52 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 71101 most?

Diagnostic Radiology, with 103,498 services from 4,699 clinicians. Next are Portable X-Ray Supplier, Family Practice, Interventional Radiology.

CPT 71101

X-ray of ribs on side of body, minimum of 3 views

$19.00Medicare-allowed amount per service, averaged across 127,162 services

Providers submitted

$83.35

Asking price, not received

Medicare allowed

$19.00

The fee schedule figure

Medicare paid

$13.53

Balance is patient coinsurance

Providers submitted an average of $83.35 for this code and Medicare allowed $19.00 — 4.4× 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 $13.53 (71%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $28.82
Hospital / facility: $12.52

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. 50,515 services were billed in an office setting and 76,647 in a facility.

Services: 127,162
Beneficiaries: 122,824
Providers billing it: 5,580
Total allowed: $2,416,078

What Medicare pays for CPT 71101

Across 127,162 services billed by 5,580 providers to 122,824 beneficiaries, Medicare allowed an average of $19.00 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 71101

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	103,498	102,048	$16.82	4,699
Portable X-Ray Supplier	7,306	4,867	$23.57	70
Family Practice	5,177	5,036	$34.85	252
Interventional Radiology	2,996	2,988	$16.75	150
Independent Diagnostic Testing Facility (IDTF)	1,944	1,887	$35.86	84
Emergency Medicine	1,854	1,834	$37.04	87
Internal Medicine	1,526	1,416	$33.84	59
Physician Assistant	1,018	1,002	$27.98	72
Nurse Practitioner	793	756	$29.66	56
Pediatric Medicine	185	173	$29.80	8
General Practice	130	127	$32.49	6
Nuclear Medicine	110	109	$14.07	6
Orthopedic Surgery	98	95	$42.53	6
Radiation Oncology	95	89	$20.15	3
Vascular Surgery	83	81	$12.42	3

71101 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	12,144	$25.54	$16.14	509
Illinois	9,160	$17.00	$11.83	365
Florida	7,564	$20.90	$15.09	334
New York	7,271	$27.80	$18.33	282
Massachusetts	5,871	$20.01	$13.13	220
Pennsylvania	5,699	$20.40	$14.71	252
Texas	5,034	$17.77	$13.10	259
Maryland	4,932	$24.60	$17.06	134
Ohio	4,640	$14.62	$10.71	195
Minnesota	4,299	$16.58	$11.59	177
Virginia	4,298	$19.13	$13.59	192
North Carolina	4,038	$15.75	$11.77	174
Michigan	3,372	$14.21	$10.15	162
Washington	3,241	$18.64	$12.40	150
Missouri	2,720	$13.73	$10.39	143
South Carolina	2,713	$15.41	$11.36	128
Tennessee	2,602	$16.94	$13.14	120
Indiana	2,399	$14.05	$10.39	109
Georgia	2,342	$14.77	$10.93	117
Wisconsin	2,079	$18.26	$13.01	109
New Jersey	2,024	$23.75	$15.92	108
Kansas	1,999	$16.17	$12.28	82
Kentucky	1,888	$15.85	$11.86	79
Arizona	1,865	$22.73	$16.32	80
Colorado	1,670	$18.19	$12.09	79
Nebraska	1,650	$14.70	$10.89	76
Mississippi	1,540	$14.78	$11.43	59
Iowa	1,447	$16.30	$12.32	71
Oregon	1,378	$16.14	$10.89	75
Alabama	1,215	$16.09	$12.37	67
Louisiana	1,206	$17.14	$13.06	68
Oklahoma	1,188	$17.02	$13.11	46
New Hampshire	1,114	$13.96	$9.63	50
Arkansas	1,049	$14.30	$11.61	46
Connecticut	901	$16.81	$11.62	50
West Virginia	874	$13.62	$9.53	45
Rhode Island	806	$25.07	$17.13	31
Nevada	744	$13.97	$10.13	46
Delaware	709	$17.01	$12.05	29
North Dakota	694	$16.63	$11.50	25
Utah	688	$19.41	$13.77	26
South Dakota	663	$12.70	$9.03	26
Maine	607	$13.22	$8.83	30
Idaho	595	$12.37	$8.92	29
New Mexico	521	$15.28	$10.57	28
Vermont	343	$13.68	$9.85	19
Montana	340	$12.76	$8.87	22
Hawaii	315	$19.37	$11.62	18
Alaska	261	$20.84	$11.46	16
Wyoming	215	$15.45	$11.23	11
District of Columbia	125	$21.33	$14.30	6
AP	66	$18.79	$10.16	3
Guam	22	$45.89	$25.37	1
Puerto Rico	11	$12.40	$9.92	1
XX	11	$12.85	$9.00	1

Related codes

71100X-ray of ribs on side of body$20.66
71110X-ray of ribs on both sides of body$26.96
71111X-ray of ribs on both sides of body$31.13

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.