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

What the market charges

Across 2,863 negotiated rates, the middle 80% fall between $15 and $109, with a median of $44.

What Medicare pays

Medicare allowed an average of $33 for this code, across 978,420 services billed by 9,177 providers. At the median, the market charges 1.3 times what Medicare pays for this code.

Where this is billed, and what it costs there

The states billing G0279 most, by Medicare service volume, each compared against the national average of $33. Each links to the providers Mishe lists there.

  • California — 747 providers billed it, Medicare allowed $38 — 15% above the national average
  • Florida — 580 providers billed it, Medicare allowed $37 — 12% above the national average
  • New York — 576 providers billed it, Medicare allowed $37 — 12% above the national average
  • Texas — 528 providers billed it, Medicare allowed $32 — 3% below the national average
  • Pennsylvania — 431 providers billed it, Medicare allowed $29 — 12% below the national average
  • Illinois — 426 providers billed it, Medicare allowed $30 — 9% below the national average
  • North Carolina — 353 providers billed it, Medicare allowed $33 — level with the national average
  • Virginia — 246 providers billed it, Medicare allowed $32 — 3% below the national average

Deploy this for your team

Every figure on this page came from published payer and Medicare data, assembled by Mishe. The same pricing, claim-editing and care-pathway intelligence runs underneath the plans Mishe operates.

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