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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. G0279
  4. Cost Analysis

How Much Does Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) Cost on Medicare?

Cost analysis for CPT G0279 — Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)

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Average Medicare Payment

$25.95

2023 data

Total Payments (2023)

$26.2M

Services (2023)

976.6K

Price Change (2015–2023)

-11.9%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2015$29.45$6.6M220.3K—
2016$28.24$10.0M344.6K-4.1%
2017$27.51$13.6M481.9K-2.6%
2018$27.35$17.8M634.7K-0.6%
2019$27.72$22.4M792.1K+1.4%
2020$27.69$22.6M795.1K-0.1%
2021$27.46$25.8M910.4K-0.8%
2022$26.32$26.0M956.9K-4.2%
2023$25.95$26.2M976.6K-1.4%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.9x more than the cheapest for this procedure. MD averages $36.48 vs WV at $19.34.

StateAvg PaymentTotal PaymentsServicesProviders
MD$36.48$1.1M29.3K168
GU$34.87$4.8K1372
NJ$34.82$1.1M32.8K314
PR$33.91$5.7K1698
NV$33.69$186.8K5.5K79
AP$32.99$5.3K1612
NY$32.07$2.0M61.3K597
AZ$31.58$659.9K20.9K139
FL$31.55$2.8M87.2K616
DC$31.47$283.5K9.0K47
NM$30.80$189.0K6.1K56
CA$30.54$2.6M84.3K729
WY$29.90$40.7K1.4K25
RI$29.05$168.5K5.8K38
CO$28.89$387.9K13.4K137
CT$28.27$303.6K10.7K150
AK$28.23$67.5K2.4K15
HI$28.02$77.2K2.8K35
WA$27.82$617.0K22.2K184
DE$27.11$119.3K4.4K33
MN$27.10$381.6K14.1K207
NC$26.87$1.1M39.5K387
TX$25.53$1.4M55.5K562
VA$25.24$848.3K33.6K255
NH$24.63$108.6K4.4K63
AR$24.36$317.4K13.0K88
TN$24.32$597.8K24.6K270
GA$24.10$651.1K27.0K299
IL$24.09$1.1M46.8K412
KS$24.00$231.4K9.6K122
MA$23.83$765.1K32.1K308
AL$23.68$225.2K9.5K144
IA$23.61$240.3K10.2K130
NE$23.12$127.8K5.5K84
WI$23.08$347.2K15.0K252
PA$22.87$1.2M50.9K435
MT$22.60$60.6K2.7K40
MI$22.39$473.2K21.1K260
SC$22.38$352.1K15.7K133
MO$22.31$497.1K22.3K227
ND$21.86$55.7K2.5K36
OR$21.73$217.0K10.0K116
OK$21.62$242.9K11.2K97
LA$21.57$238.0K11.0K156
OH$21.53$649.2K30.2K331
IN$21.41$454.3K21.2K185
KY$21.35$240.1K11.2K112
SD$21.31$63.7K3.0K41
MS$21.25$167.6K7.9K96
ME$20.69$69.4K3.4K61
UT$20.65$73.7K3.6K59

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
John KehoeSurgical OncologyNY$74.4K1.6K$46.59
Sergio DromiDiagnostic RadiologyFL$53.9K1.3K$41.87
Steven NokesDiagnostic RadiologyTN$49.8K1.4K$36.44
Patricia TurnerDiagnostic RadiologyTN$42.9K1.1K$37.71
Shenin SachedinaGeneral SurgeryFL$39.8K1.0K$38.60
Kimberly KubekDiagnostic RadiologyPA$38.2K980$38.94
Stanford SchwimerDiagnostic RadiologyCA$33.7K778$43.29
Krystal SmithDiagnostic RadiologyFL$30.3K735$41.29
Daniel AronsonDiagnostic RadiologyMD$29.4K662$44.47
Joan BerkowitzDiagnostic RadiologyMD$28.9K652$44.26
Ross GoldbergDiagnostic RadiologyCA$28.0K630$44.40
Jennifer AmersonGeneral SurgeryGA$27.4K641$42.76
Patricia KellyDiagnostic RadiologyNY$27.2K561$48.48
Arpita SwamiDiagnostic RadiologyWA$27.1K781$34.73
Daniel MakiDiagnostic RadiologyAZ$26.1K682$38.33
Jessie JacobDiagnostic RadiologyCA$26.0K482$53.98
Coastal Care CorporationIndependent Diagnostic Testing Facility (IDTF)FL$25.6K684$37.47
Paul RatcliffDiagnostic RadiologyFL$25.4K651$39.05
Naomi KrautDiagnostic RadiologyMD$25.4K586$43.37
Jaehoon BangDiagnostic RadiologyFL$25.1K658$38.20

🤔 Is Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) Overpriced?

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.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.