Cost analysis for CPT 77280 — Obtaining data needed to develop the optimal radiation treatment, 1 treatment area
Average Medicare Payment
$93.79
2023 data
Total Payments (2023)
$75.4M
Services (2023)
431.6K
Price Change (2014–2023)
+4.4%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $89.82 | $36.1M | 318.9K | — |
| 2015 | $90.53 | $34.1M | 310.6K | +0.8% |
| 2016 | $88.69 | $35.3M | 318.5K | -2.0% |
| 2017 | $88.84 | $38.6M | 304.1K | +0.2% |
| 2018 | $92.85 | $46.9M | 326.4K | +4.5% |
| 2019 | $92.42 | $55.2M | 357.1K | -0.5% |
| 2020 | $93.69 | $54.7M | 336.9K | +1.4% |
| 2021 | $96.45 | $60.7M | 354.2K | +2.9% |
| 2022 | $92.66 | $65.2M | 385.5K | -3.9% |
| 2023 | $93.79 | $75.4M | 431.6K | +1.2% |
The most expensive state pays 7.4x more than the cheapest for this procedure. CA averages $217.75 vs VT at $29.27.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| CA | $217.75 | $11.0M | 50.4K | 304 |
| MN | $202.72 | $1.4M | 6.7K | 51 |
| AZ | $198.32 | $3.5M | 17.8K | 94 |
| AK | $197.02 | $174.2K | 884 | 9 |
| TX | $196.44 | $7.7M | 39.3K | 186 |
| FL | $190.80 | $8.5M | 44.5K | 310 |
| NM | $187.22 | $412.1K | 2.2K | 9 |
| MT | $184.15 | $491.3K | 2.7K | 17 |
| ND | $183.64 | $259.3K | 1.4K | 10 |
| AL | $181.48 | $2.8M | 15.3K | 45 |
| IL | $180.60 | $3.8M | 21.3K | 144 |
| SC | $179.59 | $2.6M | 14.3K | 54 |
| OR | $179.09 | $859.3K | 4.8K | 48 |
| SD | $178.59 | $523.6K | 2.9K | 15 |
| IN | $177.68 | $3.5M | 19.8K | 85 |
| NC | $176.59 | $3.3M | 18.9K | 117 |
| LA | $173.91 | $920.0K | 5.3K | 41 |
| GA | $172.26 | $2.6M | 15.1K | 106 |
| IA | $165.33 | $1.8M | 11.2K | 37 |
| AR | $165.12 | $339.0K | 2.1K | 18 |
| ID | $164.50 | $327.4K | 2.0K | 15 |
| OK | $162.96 | $1.2M | 7.2K | 41 |
| NY | $162.43 | $1.5M | 9.1K | 165 |
| TN | $162.15 | $2.0M | 12.4K | 79 |
| KY | $161.83 | $1.2M | 7.1K | 47 |
| DE | $160.50 | $314.9K | 2.0K | 13 |
| CT | $158.64 | $732.0K | 4.6K | 50 |
| UT | $157.11 | $374.9K | 2.4K | 33 |
| MS | $152.45 | $887.9K | 5.8K | 27 |
| NV | $148.78 | $250.3K | 1.7K | 24 |
| NJ | $148.56 | $1.3M | 8.9K | 74 |
| WA | $143.77 | $775.2K | 5.4K | 95 |
| MO | $141.99 | $1.4M | 9.5K | 69 |
| VA | $138.49 | $1.0M | 7.5K | 75 |
| CO | $135.60 | $360.3K | 2.7K | 55 |
| PA | $135.43 | $2.0M | 15.1K | 189 |
| MI | $132.57 | $1.2M | 9.0K | 94 |
| WI | $127.55 | $416.6K | 3.3K | 63 |
| OH | $113.10 | $649.2K | 5.7K | 124 |
| RI | $112.10 | $38.8K | 346 | 12 |
| HI | $103.26 | $51.1K | 495 | 13 |
| MD | $103.03 | $385.6K | 3.7K | 72 |
| WV | $92.42 | $68.8K | 744 | 15 |
| NH | $91.01 | $92.8K | 1.0K | 25 |
| NE | $90.22 | $80.5K | 892 | 23 |
| WY | $75.79 | $13.8K | 182 | 3 |
| KS | $65.26 | $76.0K | 1.2K | 26 |
| ME | $48.90 | $14.5K | 296 | 12 |
| MA | $47.32 | $196.1K | 4.1K | 99 |
| DC | $33.47 | $10.1K | 301 | 8 |
| VT | $29.27 | $7.6K | 261 | 7 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Kenny Rodriguez | Otolaryngology | IA | $1.5M | 7.5K | $195.27 |
| Liqiao Ma | Dermatology | TX | $1.4M | 6.6K | $204.24 |
| Brandon Coakley | Dermatology | SC | $1.2M | 6.2K | $195.13 |
| Dennis Polley | Dermatology | NC | $1.1M | 5.2K | $204.27 |
| Daniel Taheri | Dermatology | CA | $810.8K | 3.4K | $236.94 |
| Jesse Mitchell | Dermatology | CA | $796.7K | 3.5K | $227.56 |
| Alpesh Desai | Dermatology | TX | $753.2K | 3.6K | $211.70 |
| Randall Oliver | Interventional Pain Management | IN | $750.1K | 3.8K | $196.88 |
| Donna Serure | Dermatology | NY | $718.6K | 2.8K | $258.02 |
| Angelo Mancuso | Dermatology | AL | $693.5K | 3.7K | $188.90 |
| Anand Haryani | Micrographic Dermatologic Surgery | FL | $687.1K | 3.2K | $212.40 |
| David Greene | Radiation Oncology | CA | $685.5K | 2.9K | $239.02 |
| Craig Kraffert | Dermatology | CA | $661.1K | 2.9K | $228.43 |
| Coyle Connolly | Dermatology | NJ | $659.9K | 2.7K | $240.14 |
| David Hsu | Radiation Oncology | CA | $595.9K | 2.3K | $254.01 |
| Vikram Khanna | Dermatology | IL | $592.5K | 2.6K | $231.16 |
| Sadra Jazayeri | Dermatology | AZ | $546.8K | 2.6K | $211.19 |
| Zainab Rashid | Micrographic Dermatologic Surgery | AZ | $538.4K | 2.6K | $210.49 |
| Johnny Gurgen | Dermatology | FL | $513.4K | 2.5K | $201.64 |
| Mohiba Tareen | Dermatology | MN | $505.6K | 2.3K | $220.01 |
The data suggests significant pricing inconsistencies for CPT 77280. With a 7.4x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.