How much does Medicare pay for CPT 77002?

Medicare allowed an average of $90.55 per service and paid $70.04 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $292.04, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 77002?

Fluoroscopic guidance for needle placement. It was billed 463,707 times to 257,012 Medicare beneficiaries by 6,944 providers in 2024.

Does 77002 pay differently in an office than a hospital?

Yes. The allowed amount averaged $106.46 in an office setting and $26.32 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 77002 most?

Physical Medicine and Rehabilitation, with 69,972 services from 794 clinicians. Next are Pain Management, Diagnostic Radiology, Anesthesiology.

CPT 77002

Fluoroscopic guidance for needle placement

$90.55Medicare-allowed amount per service, averaged across 463,707 services

Providers submitted

$292.04

Asking price, not received

Medicare allowed

$90.55

The fee schedule figure

Medicare paid

$70.04

Balance is patient coinsurance

Providers submitted an average of $292.04 for this code and Medicare allowed $90.55 — 3.2× 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 $70.04 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $106.46
Hospital / facility: $26.32

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. 371,649 services were billed in an office setting and 92,058 in a facility.

Services: 463,707
Beneficiaries: 257,012
Providers billing it: 6,944
Total allowed: $41,988,669

What Medicare pays for CPT 77002

Across 463,707 services billed by 6,944 providers to 257,012 beneficiaries, Medicare allowed an average of $90.55 per service. That is 1.8 services per beneficiary, so this is a code patients typically receive more than once. 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 77002

Specialty	Services	Beneficiaries	Avg allowed	Providers
Physical Medicine and Rehabilitation	69,972	35,732	$101.65	794
Pain Management	60,190	37,221	$88.95	969
Diagnostic Radiology	54,434	49,858	$54.71	1,757
Anesthesiology	42,864	27,122	$83.74	793
Interventional Pain Management	39,708	23,444	$100.26	529
Nurse Practitioner	36,312	9,565	$86.98	229
Orthopedic Surgery	32,203	21,033	$93.68	653
Family Practice	30,880	7,438	$113.54	52
Physician Assistant	29,300	19,290	$70.79	513
Emergency Medicine	9,327	2,392	$107.93	16
Interventional Radiology	7,896	7,387	$40.74	293
Internal Medicine	7,206	1,691	$125.03	26
General Practice	7,034	1,208	$128.72	11
Plastic and Reconstructive Surgery	5,700	1,515	$110.36	19
General Surgery	4,928	865	$119.07	7

77002 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
Illinois	49,820	$105.23	$79.82	347
Florida	46,558	$99.60	$79.24	568
Texas	41,559	$89.95	$72.37	581
New York	33,078	$115.93	$80.96	292
California	22,554	$95.91	$65.97	447
North Carolina	18,099	$92.17	$74.51	275
Arizona	18,030	$95.11	$75.17	231
Virginia	17,798	$90.53	$69.71	210
Georgia	16,269	$90.01	$72.96	228
South Carolina	16,015	$92.19	$76.91	166
Kentucky	14,527	$92.97	$78.34	113
New Jersey	13,765	$119.19	$83.04	145
Ohio	12,532	$76.58	$62.75	221
Pennsylvania	12,204	$80.60	$62.22	260
Massachusetts	12,128	$64.18	$45.12	213
Missouri	9,657	$57.63	$47.37	180
Minnesota	7,572	$76.03	$57.69	181
Indiana	7,122	$62.32	$51.36	173
Wisconsin	6,889	$61.66	$49.57	161
Michigan	6,795	$78.20	$62.19	173
Maryland	6,469	$86.43	$63.08	134
Washington	5,793	$86.66	$63.32	163
Tennessee	5,017	$76.57	$65.28	119
Utah	4,993	$94.60	$75.55	92
Oklahoma	4,618	$62.97	$54.74	104
Iowa	4,505	$73.77	$60.42	78
Nebraska	3,930	$77.28	$65.25	57
Colorado	3,763	$98.69	$74.41	81
Kansas	3,615	$44.39	$36.62	90
Alabama	3,569	$84.59	$74.35	80
New Hampshire	3,412	$61.96	$45.54	64
Arkansas	3,166	$64.14	$55.30	73
Louisiana	2,875	$70.74	$60.48	73
Oregon	2,779	$87.43	$66.11	70
Puerto Rico	2,651	$114.56	$88.23	2
Mississippi	2,590	$52.42	$45.82	50
Connecticut	2,244	$97.79	$70.20	60
Nevada	2,110	$95.49	$74.38	58
Idaho	1,887	$54.24	$44.21	57
Maine	1,443	$73.18	$55.09	33
South Dakota	1,369	$48.22	$37.68	30
Alaska	1,196	$109.90	$75.39	24
New Mexico	1,144	$77.04	$64.22	35
West Virginia	1,030	$29.08	$23.05	28
North Dakota	986	$50.98	$39.18	24
Delaware	947	$86.16	$68.44	23
Montana	700	$39.76	$30.44	17
Vermont	596	$44.85	$33.22	15
Rhode Island	522	$74.07	$55.33	16
Wyoming	424	$28.06	$21.67	14
District of Columbia	256	$64.58	$46.24	11
Guam	95	$122.49	$85.31	1
Hawaii	30	$102.14	$93.22	2
AP	12	$25.91	$20.56	1

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
77001Fluoroscopic guidance for insertion or removal of central vein access$21.63
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.