How much does Medicare pay for CPT 77012?

Medicare allowed an average of $69.78 per service and paid $54.72 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $348.23, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 77012?

Review by radiologist of ct guidance for needle placement. It was billed 117,731 times to 115,020 Medicare beneficiaries by 4,048 providers in 2024.

Does 77012 pay differently in an office than a hospital?

Yes. The allowed amount averaged $116.27 in an office setting and $66.95 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 77012 most?

Diagnostic Radiology, with 74,547 services from 2,616 clinicians. Next are Interventional Radiology, Physician Assistant, Pulmonary Disease.

CPT 77012

Review by radiologist of ct guidance for needle placement

$69.78Medicare-allowed amount per service, averaged across 117,731 services

Providers submitted

$348.23

Asking price, not received

Medicare allowed

$69.78

The fee schedule figure

Medicare paid

$54.72

Balance is patient coinsurance

Providers submitted an average of $348.23 for this code and Medicare allowed $69.78 — 5.0× 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 $54.72 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $116.27
Hospital / facility: $66.95

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. 6,735 services were billed in an office setting and 110,996 in a facility.

Services: 117,731
Beneficiaries: 115,020
Providers billing it: 4,048
Total allowed: $8,215,269

What Medicare pays for CPT 77012

Across 117,731 services billed by 4,048 providers to 115,020 beneficiaries, Medicare allowed an average of $69.78 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 77012

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	74,547	72,878	$70.38	2,616
Interventional Radiology	30,484	29,816	$70.68	1,014
Physician Assistant	5,559	5,409	$57.37	198
Pulmonary Disease	3,226	3,156	$68.38	99
Nurse Practitioner	1,530	1,475	$56.98	46
Internal Medicine	797	784	$68.82	20
Critical Care (Intensivists)	432	423	$69.99	16
Neurosurgery	182	180	$65.11	5
Orthopedic Surgery	179	135	$131.94	4
Interventional Cardiology	169	167	$70.82	5
Thoracic Surgery	141	135	$74.63	4
Independent Diagnostic Testing Facility (IDTF)	66	62	$129.24	4
Undefined Physician type	52	51	$87.50	2
Radiation Oncology	49	49	$64.34	1
Cardiac Surgery	45	45	$64.74	1

77012 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	11,947	$77.05	$56.25	379
Florida	10,429	$74.50	$57.42	317
Texas	8,883	$67.01	$52.99	287
New York	6,193	$76.95	$55.25	214
Pennsylvania	5,183	$67.40	$52.25	201
Illinois	5,066	$70.83	$54.24	165
Ohio	4,331	$65.83	$52.18	170
Virginia	3,959	$66.29	$52.11	125
Georgia	3,689	$67.04	$52.41	115
Tennessee	3,505	$68.17	$56.37	110
Arizona	2,988	$68.39	$54.24	100
Maryland	2,891	$72.27	$54.56	84
Massachusetts	2,874	$71.67	$53.39	111
Washington	2,772	$70.13	$54.60	85
New Jersey	2,754	$74.47	$54.81	94
Missouri	2,710	$66.01	$52.53	87
Michigan	2,675	$67.35	$52.83	107
North Carolina	2,639	$64.20	$51.35	134
South Carolina	2,260	$64.88	$51.80	74
Indiana	2,255	$63.32	$51.00	79
Minnesota	1,778	$69.79	$54.64	76
Wisconsin	1,761	$64.71	$52.74	74
Arkansas	1,723	$69.16	$58.02	41
Oklahoma	1,639	$67.77	$55.39	53
Kentucky	1,406	$65.51	$52.73	49
Colorado	1,381	$63.94	$51.54	55
Mississippi	1,365	$64.06	$52.63	36
Louisiana	1,292	$67.56	$53.79	46
Oregon	1,235	$68.89	$53.41	50
Connecticut	1,124	$69.10	$52.08	47
Kansas	1,111	$72.02	$59.91	38
Iowa	1,059	$64.09	$52.76	32
Alabama	1,050	$63.88	$51.91	50
Nevada	985	$71.98	$57.71	41
Nebraska	978	$68.96	$57.78	30
Utah	934	$70.67	$56.75	43
West Virginia	864	$66.04	$52.10	24
Idaho	852	$60.34	$49.40	34
South Dakota	647	$65.80	$51.73	13
Delaware	646	$65.84	$52.04	15
New Hampshire	607	$66.91	$52.39	24
Montana	574	$66.91	$52.49	24
North Dakota	568	$65.46	$51.86	15
District of Columbia	425	$71.08	$53.09	13
New Mexico	399	$72.63	$55.87	18
Rhode Island	352	$66.50	$50.79	15
Alaska	244	$81.55	$51.70	12
Vermont	212	$66.12	$50.66	12
Wyoming	165	$64.32	$51.98	8
Maine	161	$66.49	$51.80	11
Hawaii	127	$65.90	$51.42	7
Puerto Rico	32	$103.80	$76.10	2
AA	17	$63.18	$51.16	1
Guam	15	$70.24	$47.35	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
77002Fluoroscopic guidance for needle placement$90.55
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
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.