How much does Medicare pay for CPT 77001?

Medicare allowed an average of $21.63 per service and paid $17.22 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $126.69, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 77001?

Fluoroscopic guidance for insertion or removal of central vein access device. It was billed 189,876 times to 179,310 Medicare beneficiaries by 5,684 providers in 2024.

Does 77001 pay differently in an office than a hospital?

Yes. The allowed amount averaged $80.22 in an office setting and $17.17 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 77001 most?

Diagnostic Radiology, with 79,008 services from 2,237 clinicians. Next are Interventional Radiology, Physician Assistant, General Surgery.

CPT 77001

Fluoroscopic guidance for insertion or removal of central vein access device

$21.63Medicare-allowed amount per service, averaged across 189,876 services

Providers submitted

$126.69

Asking price, not received

Medicare allowed

$21.63

The fee schedule figure

Medicare paid

$17.22

Balance is patient coinsurance

Providers submitted an average of $126.69 for this code and Medicare allowed $21.63 — 5.9× 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 $17.22 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $80.22
Hospital / facility: $17.17

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. 13,417 services were billed in an office setting and 176,459 in a facility.

Services: 189,876
Beneficiaries: 179,310
Providers billing it: 5,684
Total allowed: $4,107,018

What Medicare pays for CPT 77001

Across 189,876 services billed by 5,684 providers to 179,310 beneficiaries, Medicare allowed an average of $21.63 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 77001

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	79,008	74,865	$20.45	2,237
Interventional Radiology	51,861	49,049	$22.51	1,373
Physician Assistant	19,827	18,793	$15.92	461
General Surgery	12,620	12,303	$18.27	661
Vascular Surgery	9,579	8,856	$28.04	412
Nephrology	7,223	6,258	$42.71	216
Nurse Practitioner	4,144	3,824	$19.80	97
Surgical Oncology	2,057	2,045	$17.51	92
Internal Medicine	1,063	955	$33.71	27
Thoracic Surgery	856	843	$17.65	40
Colorectal Surgery (Proctology)	185	182	$16.82	11
Interventional Cardiology	185	170	$17.40	7
Cardiac Surgery	160	144	$17.63	8
Critical Care (Intensivists)	152	128	$24.70	3
General Practice	123	115	$17.75	7

77001 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	18,093	$25.33	$18.74	482
Florida	15,244	$20.68	$16.05	439
Texas	13,449	$22.59	$18.17	426
New York	10,253	$29.88	$21.00	314
Illinois	10,033	$20.39	$15.47	263
Pennsylvania	9,752	$18.21	$14.40	276
North Carolina	6,550	$22.14	$18.40	194
Ohio	6,513	$17.05	$13.73	210
Virginia	6,440	$23.94	$18.63	185
Georgia	5,569	$25.79	$21.03	177
New Jersey	4,939	$23.25	$17.17	150
Michigan	4,813	$23.22	$18.50	164
Tennessee	4,767	$23.46	$19.90	143
Maryland	4,645	$25.45	$19.13	120
Massachusetts	4,610	$22.41	$16.77	130
Missouri	4,526	$16.87	$13.58	132
Indiana	4,401	$17.99	$14.91	126
Arizona	4,391	$20.80	$16.87	114
Washington	3,855	$19.72	$15.36	115
Wisconsin	3,694	$16.12	$13.47	130
Minnesota	3,652	$18.77	$15.34	107
South Carolina	2,989	$17.92	$14.70	105
Oklahoma	2,530	$21.15	$17.84	76
Colorado	2,322	$18.15	$14.18	80
Kansas	2,233	$16.56	$13.76	59
Kentucky	2,176	$17.92	$14.56	82
Arkansas	2,165	$22.40	$19.77	59
Louisiana	2,021	$17.82	$14.36	73
Connecticut	1,933	$25.44	$18.71	68
Alabama	1,855	$20.07	$16.97	69
Mississippi	1,822	$16.54	$13.81	59
Nevada	1,739	$24.75	$20.25	56
Oregon	1,694	$21.44	$16.99	66
Iowa	1,471	$15.48	$13.06	38
Nebraska	1,363	$19.46	$16.67	41
Utah	1,285	$17.25	$13.92	47
Idaho	1,204	$15.93	$13.21	34
New Hampshire	1,073	$16.61	$13.46	29
New Mexico	961	$25.54	$20.55	31
North Dakota	886	$16.71	$13.73	16
Delaware	813	$25.52	$20.47	23
District of Columbia	803	$22.86	$16.87	23
South Dakota	771	$16.78	$13.83	15
West Virginia	656	$16.60	$13.21	25
Rhode Island	644	$19.68	$15.18	26
Montana	572	$17.20	$13.77	16
Alaska	425	$21.16	$13.43	10
Vermont	393	$16.05	$12.67	10
Maine	315	$16.37	$13.22	19
Hawaii	257	$16.96	$13.82	14
Wyoming	155	$17.38	$13.78	10
Puerto Rico	82	$48.25	$38.47	5
Guam	79	$65.55	$46.50	3

Related codes

77067Screening mammography$65.10
77063Screening 3d breast mammography$34.08
77080Dxa bone density measurement of hip$21.30
77014Ct guidance for insertion of radiation therapy fields$70.52
77065Diagnostic mammography of 1 breast$64.22
77066Diagnostic mammography of both breasts$84.05
77002Fluoroscopic guidance for needle placement$90.55
77049Mri scan of both breasts$196.04
77081Dxa bone density measurement of forearm$19.89
77012Review by radiologist of ct guidance for needle placement$69.78
77085Dxa bone density measurement of hip$38.47
77092Interpretation of trabecular bone score (tbs) and report on fracture r$9.60

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.