How much does Medicare pay for CPT 77089?

Medicare allowed an average of $39.56 per service and paid $27.36 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $193.22, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 77089?

Calculation of trabecular bone score (tbs) using imaging data with interpretation and report on fracture risk. It was billed 65,987 times to 65,671 Medicare beneficiaries by 469 providers in 2024.

Does 77089 pay differently in an office than a hospital?

Yes. The allowed amount averaged $39.60 in an office setting and $37.98 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 77089 most?

Diagnostic Radiology, with 27,237 services from 138 clinicians. Next are Endocrinology, Rheumatology, Internal Medicine.

CPT 77089

Calculation of trabecular bone score (tbs) using imaging data with interpretation and report on fracture risk

$39.56Medicare-allowed amount per service, averaged across 65,987 services

Providers submitted

$193.22

Asking price, not received

Medicare allowed

$39.56

The fee schedule figure

Medicare paid

$27.36

Balance is patient coinsurance

Providers submitted an average of $193.22 for this code and Medicare allowed $39.56 — 4.9× 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 $27.36 (69%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $39.60
Hospital / facility: $37.98

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. 64,453 services were billed in an office setting and 1,534 in a facility.

Services: 65,987
Beneficiaries: 65,671
Providers billing it: 469
Total allowed: $2,610,446

What Medicare pays for CPT 77089

Across 65,987 services billed by 469 providers to 65,671 beneficiaries, Medicare allowed an average of $39.56 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 77089

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	27,237	27,229	$40.05	138
Endocrinology	13,677	13,650	$40.63	64
Rheumatology	9,886	9,857	$38.97	107
Internal Medicine	6,808	6,793	$39.49	68
Family Practice	2,517	2,516	$39.79	25
Physician Assistant	1,856	1,626	$31.47	12
Nurse Practitioner	1,038	1,033	$31.41	17
Orthopedic Surgery	851	851	$37.31	9
Obstetrics & Gynecology	414	414	$42.56	8
General Practice	344	343	$42.26	3
Radiation Oncology	322	322	$38.12	1
Nuclear Medicine	275	275	$48.10	2
Pediatric Medicine	177	177	$39.30	2
Interventional Radiology	175	175	$36.98	3
Geriatric Medicine	144	144	$37.68	3

77089 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
Texas	7,631	$37.79	$26.86	83
New York	7,246	$45.23	$27.20	27
Florida	6,060	$38.47	$28.57	36
California	5,295	$44.29	$27.97	27
Missouri	4,038	$37.24	$27.13	17
South Carolina	3,881	$36.58	$27.22	8
North Carolina	3,698	$37.45	$26.86	41
New Mexico	3,154	$36.80	$27.76	12
Massachusetts	2,930	$46.17	$28.42	8
Illinois	2,928	$38.82	$27.70	22
Iowa	2,625	$36.25	$26.97	23
Arkansas	2,575	$36.81	$25.85	2
Wisconsin	1,779	$37.97	$25.52	23
Kansas	1,557	$36.08	$24.97	8
Maryland	1,315	$40.80	$28.45	3
New Jersey	1,022	$45.63	$29.28	10
Pennsylvania	819	$37.64	$27.59	14
Alabama	800	$34.04	$28.16	12
Arizona	676	$40.68	$28.24	5
Washington	580	$40.58	$26.10	11
Colorado	574	$38.71	$26.63	5
South Dakota	544	$36.22	$26.88	6
District of Columbia	502	$48.51	$27.52	2
Minnesota	484	$39.78	$25.49	8
Nebraska	465	$31.79	$24.99	8
Oklahoma	446	$35.73	$27.52	6
Michigan	420	$37.89	$25.59	5
Connecticut	385	$43.15	$27.80	6
Nevada	312	$36.78	$29.95	1
Ohio	217	$41.90	$28.76	3
Georgia	181	$35.47	$26.41	3
Kentucky	173	$36.70	$30.50	2
Maine	170	$39.90	$28.16	7
Montana	115	$40.10	$25.45	5
Mississippi	92	$34.75	$30.93	2
Utah	78	$36.82	$29.11	1
North Dakota	62	$39.42	$27.55	1
Indiana	57	$36.70	$26.62	2
Tennessee	51	$35.00	$30.62	2
Puerto Rico	39	$39.83	$23.33	1
Louisiana	11	$35.70	$26.93	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.