How much does Medicare pay for CPT 77077?

Medicare allowed an average of $29.88 per service and paid $22.00 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $129.26, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 77077?

X-ray of joints, multiple. It was billed 32,151 times to 29,706 Medicare beneficiaries by 459 providers in 2024.

Does 77077 pay differently in an office than a hospital?

Yes. The allowed amount averaged $37.76 in an office setting and $16.93 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 77077 most?

Diagnostic Radiology, with 16,132 services from 184 clinicians. Next are Orthopedic Surgery, Physician Assistant, Podiatry.

CPT 77077

X-ray of joints, multiple

$29.88Medicare-allowed amount per service, averaged across 32,151 services

Providers submitted

$129.26

Asking price, not received

Medicare allowed

$29.88

The fee schedule figure

Medicare paid

$22.00

Balance is patient coinsurance

Providers submitted an average of $129.26 for this code and Medicare allowed $29.88 — 4.3× 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 $22.00 (74%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $37.76
Hospital / facility: $16.93

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. 19,990 services were billed in an office setting and 12,161 in a facility.

Services: 32,151
Beneficiaries: 29,706
Providers billing it: 459
Total allowed: $960,672

What Medicare pays for CPT 77077

Across 32,151 services billed by 459 providers to 29,706 beneficiaries, Medicare allowed an average of $29.88 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 77077

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	16,132	15,736	$18.87	184
Orthopedic Surgery	10,626	9,310	$42.18	161
Physician Assistant	2,152	1,998	$33.95	58
Podiatry	1,611	1,171	$45.27	22
Nurse Practitioner	695	656	$36.57	12
Rheumatology	351	305	$36.54	6
Sports Medicine	146	143	$42.61	5
Independent Diagnostic Testing Facility (IDTF)	121	119	$35.36	4
Plastic and Reconstructive Surgery	117	106	$46.71	1
Emergency Medicine	61	61	$43.02	1
Hand Surgery	50	42	$52.13	1
Pain Management	48	18	$42.49	1
Interventional Radiology	41	41	$15.94	3

77077 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
New York	9,677	$18.80	$12.75	34
Colorado	2,278	$37.74	$25.32	32
Florida	1,683	$43.04	$32.73	34
North Carolina	1,605	$36.45	$27.85	41
Illinois	1,585	$34.07	$24.02	30
North Dakota	1,419	$41.86	$31.26	13
Massachusetts	1,372	$17.35	$10.86	15
South Carolina	1,014	$43.09	$34.80	13
Washington	970	$35.91	$23.45	25
Virginia	926	$24.40	$16.60	15
Texas	912	$40.30	$30.20	12
Oklahoma	850	$41.65	$33.52	5
Indiana	735	$26.59	$21.03	9
California	703	$32.41	$21.41	22
Ohio	631	$33.79	$27.20	21
Kentucky	559	$34.15	$28.17	4
Pennsylvania	541	$30.44	$22.99	13
Minnesota	426	$16.48	$11.67	11
Kansas	410	$37.82	$29.83	10
Michigan	345	$36.51	$27.25	12
Georgia	323	$40.99	$33.96	4
Iowa	322	$41.27	$30.79	9
Rhode Island	289	$45.80	$33.41	4
Mississippi	286	$19.95	$16.06	9
South Dakota	256	$22.83	$16.78	9
Wisconsin	244	$17.63	$12.44	4
Vermont	237	$14.96	$10.87	6
Arkansas	211	$40.31	$34.63	3
Louisiana	209	$39.58	$30.36	4
Nevada	180	$43.40	$32.28	3
Montana	154	$40.69	$31.14	5
Maine	141	$42.47	$33.04	2
Oregon	116	$27.72	$19.45	3
Nebraska	96	$39.81	$30.42	3
Maryland	95	$20.86	$16.03	3
Idaho	72	$15.38	$10.84	4
Connecticut	70	$34.22	$23.80	2
Wyoming	69	$42.86	$31.49	4
New Jersey	52	$50.29	$35.09	1
Missouri	34	$34.62	$27.58	2
Utah	31	$37.17	$30.05	2
New Hampshire	12	$32.22	$21.94	1
Arizona	11	$15.81	$9.09	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
77012Review by radiologist of ct guidance for needle placement$69.78
77085Dxa bone density measurement of hip$38.47

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.