How much does Medicare pay for HCPCS G6001?

Medicare allowed an average of $174.98 per service and paid $139.78 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $345.12, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code G6001?

Ultrasonic guidance for placement of radiation therapy fields. It was billed 360,448 times to 24,834 Medicare beneficiaries by 377 providers in 2024.

Does G6001 pay differently in an office than a hospital?

Yes. The allowed amount averaged $175.92 in an office setting and $31.85 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 G6001 most?

Dermatology, with 316,282 services from 318 clinicians. Next are Radiation Oncology, Otolaryngology, Micrographic Dermatologic Surgery.

HCPCS G6001

Ultrasonic guidance for placement of radiation therapy fields

$174.98Medicare-allowed amount per service, averaged across 360,448 services

Providers submitted

$345.12

Asking price, not received

Medicare allowed

$174.98

The fee schedule figure

Medicare paid

$139.78

Balance is patient coinsurance

Providers submitted an average of $345.12 for this code and Medicare allowed $174.98 — 2.0× 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 $139.78 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $175.92
Hospital / facility: $31.85

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. 358,090 services were billed in an office setting and 2,358 in a facility.

Services: 360,448
Beneficiaries: 24,834
Providers billing it: 377
Total allowed: $63,071,191

What Medicare pays for HCPCS G6001

Across 360,448 services billed by 377 providers to 24,834 beneficiaries, Medicare allowed an average of $174.98 per service. That is 14.5 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 G6001

Specialty	Services	Beneficiaries	Avg allowed	Providers
Dermatology	316,282	20,643	$176.56	318
Radiation Oncology	10,850	1,992	$155.65	21
Otolaryngology	8,867	465	$162.81	4
Micrographic Dermatologic Surgery	8,667	585	$169.54	9
Pathology	5,014	335	$163.00	3
Interventional Pain Management	3,618	185	$162.49	1
Family Practice	2,729	190	$163.03	6
General Practice	1,203	45	$197.80	1
Internal Medicine	980	71	$166.85	3
Plastic and Reconstructive Surgery	958	70	$169.73	4
Physician Assistant	544	121	$152.32	2
Nurse Practitioner	407	90	$159.47	3
Podiatry	227	14	$207.80	1
Cardiac Surgery	102	28	$158.64	1

G6001 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	40,797	$199.17	$139.31	29
Florida	38,493	$173.07	$140.51	37
Texas	29,592	$171.56	$140.34	29
Illinois	21,104	$168.72	$136.56	32
New Jersey	18,777	$205.71	$140.03	7
Indiana	16,908	$166.21	$140.19	21
South Carolina	15,957	$164.74	$140.05	13
North Carolina	15,837	$169.86	$140.34	16
Tennessee	12,887	$157.77	$140.39	15
Arizona	11,951	$178.65	$139.93	12
Georgia	11,040	$167.83	$140.49	15
Alabama	9,453	$156.67	$140.03	12
Michigan	9,453	$151.26	$123.79	21
Iowa	8,721	$162.28	$140.01	2
Pennsylvania	8,393	$174.81	$140.09	8
Ohio	8,116	$181.22	$140.66	10
Mississippi	7,063	$154.79	$140.33	5
Delaware	6,982	$181.27	$140.55	2
Minnesota	6,390	$177.39	$140.30	8
Oklahoma	5,354	$162.92	$140.57	5
Missouri	5,132	$156.45	$140.33	8
Virginia	5,119	$178.93	$140.58	7
Montana	4,812	$177.67	$140.30	5
Kentucky	4,462	$160.00	$140.59	8
Louisiana	4,369	$165.28	$140.31	8
New York	4,134	$202.26	$140.19	2
Oregon	4,037	$178.45	$140.46	4
Wisconsin	3,472	$167.70	$140.44	3
South Dakota	3,242	$173.06	$137.07	3
Connecticut	2,965	$189.76	$140.00	3
West Virginia	2,150	$183.33	$140.93	1
Arkansas	2,027	$151.92	$140.26	2
Washington	2,011	$179.33	$138.72	5
Alaska	1,773	$192.20	$138.10	5
Utah	1,679	$170.91	$139.95	4
Colorado	1,292	$191.97	$140.06	3
Idaho	1,235	$150.38	$139.74	2
New Mexico	1,200	$165.72	$139.54	2
North Dakota	1,131	$187.58	$140.14	1
Massachusetts	846	$214.51	$140.93	1
Rhode Island	92	$164.13	$140.93	1

Related codes

G6015Intensity modulated treatment delivery$350.25
G6002Stereoscopic x-ray guidance for localization of target volume for the$35.24
G6012Radiation treatment delivery$227.55
G6017Intra-fraction localization and tracking of target or patient motion d$83.68
G6013Radiation treatment delivery$222.63
G6014Radiation treatment delivery$226.32

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.