Cost analysis for CPT J9035 — Injection, bevacizumab, 10 mg
Average Medicare Payment
$53.41
2023 data
Total Payments (2023)
$26.9M
Services (2023)
515.1K
Price Change (2014–2023)
+8.0%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $49.46 | $207.2M | 4.1M | — |
| 2015 | $51.72 | $208.3M | 3.9M | +4.6% |
| 2016 | $53.63 | $193.8M | 3.5M | +3.7% |
| 2017 | $55.69 | $174.6M | 3.1M | +3.8% |
| 2018 | $58.21 | $164.0M | 2.8M | +4.5% |
| 2019 | $60.75 | $159.5M | 2.6M | +4.4% |
| 2020 | $59.07 | $78.2M | 1.3M | -2.8% |
| 2021 | $55.14 | $45.2M | 833.2K | -6.7% |
| 2022 | $51.33 | $32.4M | 638.4K | -6.9% |
| 2023 | $53.41 | $26.9M | 515.1K | +4.1% |
The most expensive state pays 1.6x more than the cheapest for this procedure. HI averages $55.96 vs CA at $34.44.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| HI | $55.96 | $8.2K | 146 | 1 |
| WY | $55.61 | $56.8K | 1.0K | 2 |
| AK | $55.51 | $30.8K | 554 | 2 |
| IL | $55.08 | $3.2M | 58.6K | 131 |
| MO | $55.01 | $807.9K | 14.7K | 37 |
| VA | $54.97 | $1.1M | 20.3K | 56 |
| AZ | $54.95 | $428.0K | 7.8K | 19 |
| MD | $54.80 | $705.2K | 12.9K | 42 |
| AR | $54.79 | $243.2K | 4.4K | 11 |
| NJ | $54.78 | $782.5K | 14.3K | 55 |
| VT | $54.70 | $87.4K | 1.6K | 5 |
| FL | $54.66 | $187.6K | 3.4K | 18 |
| SC | $54.65 | $1.1M | 20.6K | 43 |
| NV | $54.56 | $343.5K | 6.3K | 22 |
| MT | $54.53 | $92.3K | 1.7K | 9 |
| UT | $54.50 | $227.3K | 4.2K | 13 |
| LA | $54.47 | $430.3K | 7.9K | 40 |
| WV | $54.43 | $65.2K | 1.2K | 7 |
| OK | $54.43 | $727.7K | 13.4K | 31 |
| TX | $54.42 | $1.3M | 23.6K | 131 |
| OH | $54.41 | $144.3K | 2.7K | 13 |
| RI | $54.35 | $142.0K | 2.6K | 15 |
| MA | $54.33 | $1.5M | 27.9K | 77 |
| MI | $54.25 | $324.4K | 6.0K | 34 |
| SD | $54.25 | $27.2K | 502 | 2 |
| OR | $54.22 | $149.1K | 2.8K | 10 |
| MS | $54.15 | $253.7K | 4.7K | 14 |
| MN | $53.97 | $745.6K | 13.8K | 44 |
| AE | $53.80 | $39.1K | 727 | 1 |
| AL | $53.71 | $1.0M | 18.7K | 41 |
| PA | $53.66 | $496.7K | 9.3K | 57 |
| NH | $53.57 | $106.2K | 2.0K | 10 |
| ME | $53.54 | $110.0K | 2.1K | 13 |
| IA | $53.54 | $99.3K | 1.9K | 7 |
| CT | $53.51 | $333.0K | 6.2K | 32 |
| NC | $53.49 | $1.1M | 21.5K | 86 |
| DE | $53.46 | $90.3K | 1.7K | 6 |
| GA | $53.44 | $711.7K | 13.3K | 69 |
| WI | $53.35 | $1.0M | 19.1K | 70 |
| IN | $53.30 | $634.9K | 11.9K | 33 |
| KS | $53.08 | $125.3K | 2.4K | 11 |
| NY | $52.83 | $1.9M | 35.5K | 187 |
| CO | $52.83 | $131.8K | 2.5K | 22 |
| NM | $52.82 | $26.6K | 504 | 8 |
| TN | $52.63 | $1.1M | 21.7K | 67 |
| ID | $52.19 | $70.5K | 1.4K | 11 |
| ND | $51.66 | $27.9K | 541 | 5 |
| WA | $51.34 | $390.6K | 7.6K | 36 |
| DC | $48.23 | $21.4K | 444 | 6 |
| NE | $46.36 | $329.7K | 7.1K | 7 |
| CA | $34.44 | $1.6M | 47.8K | 180 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Sudarshan Sharma | Gynecological Oncology | IL | $876.9K | 15.5K | $56.64 |
| Manuel Rosado | Hematology-Oncology | IL | $351.5K | 6.2K | $56.51 |
| Luke Nordquist | Medical Oncology | NE | $303.3K | 6.6K | $45.88 |
| Ronald Sachs | Ophthalmology | NJ | $176.2K | 3.2K | $54.22 |
| Rizwan Bhatti | Ophthalmology | CA | $168.9K | 3.0K | $56.75 |
| Alan Wagner | Ophthalmology | VA | $153.8K | 2.7K | $56.67 |
| Kapil Kapoor | Ophthalmology | VA | $139.8K | 2.5K | $56.29 |
| David Westrich | Ophthalmology | MO | $129.9K | 2.3K | $56.71 |
| Babak Jian Seyedahmadi | Ophthalmology | MA | $125.4K | 2.3K | $54.04 |
| William Priester | Ophthalmology | TN | $119.8K | 2.2K | $53.78 |
| Perrie Ryan | Hematology-Oncology | SC | $118.9K | 2.1K | $56.17 |
| Mohamad Kassar | Hematology-Oncology | IN | $117.3K | 2.2K | $52.82 |
| Nikki Neubauer | Gynecological Oncology | IL | $117.2K | 2.1K | $56.41 |
| Ron Lord | Ophthalmology | UT | $116.7K | 2.1K | $54.82 |
| Andrew Lam | Ophthalmology | MA | $116.6K | 2.1K | $55.73 |
| Mandi Conway | Ophthalmology | AZ | $113.6K | 2.1K | $55.30 |
| Tawan Khamapirad | Ophthalmology | TN | $106.1K | 2.0K | $53.49 |
| Robert Lee | Ophthalmology | IN | $101.3K | 1.9K | $53.13 |
| Sai Chavala | Ophthalmology | TX | $101.2K | 1.8K | $56.30 |
| Gohar Salam | Ophthalmology | IN | $99.6K | 1.8K | $54.24 |
Based on the data, CPT J9035 shows a 1.6x variation in pricing across states — moderate variation by Medicare standards.
Costs have increased 8.0% since 2014. 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.