Cost analysis for CPT G0279 — Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)
Average Medicare Payment
$25.95
2023 data
Total Payments (2023)
$26.2M
Services (2023)
976.6K
Price Change (2015–2023)
-11.9%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2015 | $29.45 | $6.6M | 220.3K | — |
| 2016 | $28.24 | $10.0M | 344.6K | -4.1% |
| 2017 | $27.51 | $13.6M | 481.9K | -2.6% |
| 2018 | $27.35 | $17.8M | 634.7K | -0.6% |
| 2019 | $27.72 | $22.4M | 792.1K | +1.4% |
| 2020 | $27.69 | $22.6M | 795.1K | -0.1% |
| 2021 | $27.46 | $25.8M | 910.4K | -0.8% |
| 2022 | $26.32 | $26.0M | 956.9K | -4.2% |
| 2023 | $25.95 | $26.2M | 976.6K | -1.4% |
The most expensive state pays 1.9x more than the cheapest for this procedure. MD averages $36.48 vs WV at $19.34.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| MD | $36.48 | $1.1M | 29.3K | 168 |
| GU | $34.87 | $4.8K | 137 | 2 |
| NJ | $34.82 | $1.1M | 32.8K | 314 |
| PR | $33.91 | $5.7K | 169 | 8 |
| NV | $33.69 | $186.8K | 5.5K | 79 |
| AP | $32.99 | $5.3K | 161 | 2 |
| NY | $32.07 | $2.0M | 61.3K | 597 |
| AZ | $31.58 | $659.9K | 20.9K | 139 |
| FL | $31.55 | $2.8M | 87.2K | 616 |
| DC | $31.47 | $283.5K | 9.0K | 47 |
| NM | $30.80 | $189.0K | 6.1K | 56 |
| CA | $30.54 | $2.6M | 84.3K | 729 |
| WY | $29.90 | $40.7K | 1.4K | 25 |
| RI | $29.05 | $168.5K | 5.8K | 38 |
| CO | $28.89 | $387.9K | 13.4K | 137 |
| CT | $28.27 | $303.6K | 10.7K | 150 |
| AK | $28.23 | $67.5K | 2.4K | 15 |
| HI | $28.02 | $77.2K | 2.8K | 35 |
| WA | $27.82 | $617.0K | 22.2K | 184 |
| DE | $27.11 | $119.3K | 4.4K | 33 |
| MN | $27.10 | $381.6K | 14.1K | 207 |
| NC | $26.87 | $1.1M | 39.5K | 387 |
| TX | $25.53 | $1.4M | 55.5K | 562 |
| VA | $25.24 | $848.3K | 33.6K | 255 |
| NH | $24.63 | $108.6K | 4.4K | 63 |
| AR | $24.36 | $317.4K | 13.0K | 88 |
| TN | $24.32 | $597.8K | 24.6K | 270 |
| GA | $24.10 | $651.1K | 27.0K | 299 |
| IL | $24.09 | $1.1M | 46.8K | 412 |
| KS | $24.00 | $231.4K | 9.6K | 122 |
| MA | $23.83 | $765.1K | 32.1K | 308 |
| AL | $23.68 | $225.2K | 9.5K | 144 |
| IA | $23.61 | $240.3K | 10.2K | 130 |
| NE | $23.12 | $127.8K | 5.5K | 84 |
| WI | $23.08 | $347.2K | 15.0K | 252 |
| PA | $22.87 | $1.2M | 50.9K | 435 |
| MT | $22.60 | $60.6K | 2.7K | 40 |
| MI | $22.39 | $473.2K | 21.1K | 260 |
| SC | $22.38 | $352.1K | 15.7K | 133 |
| MO | $22.31 | $497.1K | 22.3K | 227 |
| ND | $21.86 | $55.7K | 2.5K | 36 |
| OR | $21.73 | $217.0K | 10.0K | 116 |
| OK | $21.62 | $242.9K | 11.2K | 97 |
| LA | $21.57 | $238.0K | 11.0K | 156 |
| OH | $21.53 | $649.2K | 30.2K | 331 |
| IN | $21.41 | $454.3K | 21.2K | 185 |
| KY | $21.35 | $240.1K | 11.2K | 112 |
| SD | $21.31 | $63.7K | 3.0K | 41 |
| MS | $21.25 | $167.6K | 7.9K | 96 |
| ME | $20.69 | $69.4K | 3.4K | 61 |
| UT | $20.65 | $73.7K | 3.6K | 59 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| John Kehoe | Surgical Oncology | NY | $74.4K | 1.6K | $46.59 |
| Sergio Dromi | Diagnostic Radiology | FL | $53.9K | 1.3K | $41.87 |
| Steven Nokes | Diagnostic Radiology | TN | $49.8K | 1.4K | $36.44 |
| Patricia Turner | Diagnostic Radiology | TN | $42.9K | 1.1K | $37.71 |
| Shenin Sachedina | General Surgery | FL | $39.8K | 1.0K | $38.60 |
| Kimberly Kubek | Diagnostic Radiology | PA | $38.2K | 980 | $38.94 |
| Stanford Schwimer | Diagnostic Radiology | CA | $33.7K | 778 | $43.29 |
| Krystal Smith | Diagnostic Radiology | FL | $30.3K | 735 | $41.29 |
| Daniel Aronson | Diagnostic Radiology | MD | $29.4K | 662 | $44.47 |
| Joan Berkowitz | Diagnostic Radiology | MD | $28.9K | 652 | $44.26 |
| Ross Goldberg | Diagnostic Radiology | CA | $28.0K | 630 | $44.40 |
| Jennifer Amerson | General Surgery | GA | $27.4K | 641 | $42.76 |
| Patricia Kelly | Diagnostic Radiology | NY | $27.2K | 561 | $48.48 |
| Arpita Swami | Diagnostic Radiology | WA | $27.1K | 781 | $34.73 |
| Daniel Maki | Diagnostic Radiology | AZ | $26.1K | 682 | $38.33 |
| Jessie Jacob | Diagnostic Radiology | CA | $26.0K | 482 | $53.98 |
| Coastal Care Corporation | Independent Diagnostic Testing Facility (IDTF) | FL | $25.6K | 684 | $37.47 |
| Paul Ratcliff | Diagnostic Radiology | FL | $25.4K | 651 | $39.05 |
| Naomi Kraut | Diagnostic Radiology | MD | $25.4K | 586 | $43.37 |
| Jaehoon Bang | Diagnostic Radiology | FL | $25.1K | 658 | $38.20 |
Based on the data, CPT G0279 shows a 1.9x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 11.9% since 2015. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
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.