How much does Medicare pay for HCPCS G6012?

Medicare allowed an average of $227.55 per service and paid $181.38 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $715.32, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

Which specialty bills G6012 most?

Radiation Oncology, with 222,789 services from 771 clinicians. Next are Radiation Therapy Center, Diagnostic Radiology, Hematology-Oncology.

HCPCS G6012

Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev

$227.55Medicare-allowed amount per service, averaged across 233,944 services

Providers submitted

$715.32

Asking price, not received

Medicare allowed

$227.55

The fee schedule figure

Medicare paid

$181.38

Balance is patient coinsurance

Providers submitted an average of $715.32 for this code and Medicare allowed $227.55 — 3.1× 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 $181.38 (80%); the rest is the patient’s coinsurance and deductible.

Services: 233,944
Beneficiaries: 31,289
Providers billing it: 844
Total allowed: $53,233,957

What Medicare pays for HCPCS G6012

Across 233,944 services billed by 844 providers to 31,289 beneficiaries, Medicare allowed an average of $227.55 per service. That is 7.5 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 G6012

Specialty	Services	Beneficiaries	Avg allowed	Providers
Radiation Oncology	222,789	29,252	$227.98	771
Radiation Therapy Center	6,546	580	$217.77	16
Diagnostic Radiology	1,512	250	$234.58	5
Hematology-Oncology	1,473	575	$214.57	25
Medical Oncology	1,335	525	$213.17	22
Internal Medicine	214	81	$210.13	3
Hematology	53	14	$213.26	1
Gynecological Oncology	22	12	$174.92	1

G6012 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
Florida	83,733	$222.24	$178.70	136
California	26,664	$268.06	$178.82	107
Texas	17,870	$215.90	$178.94	108
Arizona	12,147	$218.95	$178.90	48
New York	9,378	$255.97	$178.88	41
Maryland	6,061	$236.14	$178.69	25
New Jersey	5,334	$255.70	$179.27	14
Alabama	4,958	$205.23	$179.04	15
Washington	4,460	$232.51	$178.78	24
Georgia	4,025	$207.93	$179.06	19
North Carolina	3,778	$212.74	$178.79	25
Pennsylvania	3,760	$221.53	$179.22	17
Minnesota	3,748	$231.35	$178.97	28
Tennessee	3,588	$202.95	$179.38	17
Louisiana	3,557	$207.27	$178.62	19
South Carolina	3,512	$211.51	$179.39	13
Nevada	3,377	$229.29	$179.02	17
Arkansas	3,355	$193.08	$179.14	7
Virginia	2,978	$222.05	$179.20	14
Ohio	2,808	$209.22	$178.51	19
Kansas	2,390	$205.89	$178.97	8
Illinois	2,112	$228.74	$178.63	10
Indiana	2,105	$207.29	$179.07	10
Wisconsin	1,728	$221.11	$178.85	10
Oregon	1,667	$232.39	$179.39	11
Hawaii	1,356	$256.34	$179.61	7
Missouri	1,259	$204.53	$178.51	7
Oklahoma	1,061	$198.68	$178.07	4
Connecticut	991	$245.55	$178.74	2
Nebraska	906	$205.21	$179.03	4
West Virginia	867	$205.36	$179.68	3
Idaho	837	$207.91	$178.50	6
North Dakota	798	$239.49	$178.80	3
Michigan	796	$210.51	$179.60	7
Alaska	768	$242.16	$179.28	3
Massachusetts	742	$237.83	$177.47	3
Rhode Island	663	$231.46	$177.06	8
New Mexico	642	$204.89	$179.12	7
Mississippi	511	$199.30	$178.61	2
Kentucky	510	$214.25	$177.03	3
Delaware	495	$237.26	$178.85	2
New Hampshire	478	$232.99	$178.84	1
Colorado	451	$236.83	$179.30	5
Maine	267	$200.58	$178.82	1
District of Columbia	235	$224.85	$178.90	2
Wyoming	218	$235.13	$176.44	2

Related codes

G6015Intensity modulated treatment delivery$350.25
G6002Stereoscopic x-ray guidance for localization of target volume for the$35.24
G6001Ultrasonic guidance for placement of radiation therapy fields$174.98
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.