2014 Stats for MATCHED applicants indicate...
- Mean USMLE - 241/249 for US MD and 235/240 for DO/FMG/IMG
- 216 US MD and 46 DO/FMG/IMG had > 250 on Step 1 = 262 total scores > 250
- 58 US MD and 8 DO/FMG/IMG had > 260 on Step 1
- Top 25 doximity programs (not the best ranking but I'll use it) = ~291 spots/year
Seems definitely possible that the top 5-10 programs are getting all 255+ applicants and the top 25 are getting 245+ but there certainly will be 240s people in top 25 programs since some top scores will decide to go to "lesser" programs due to family/geography and the DO/FMG/IMG scores are probably not going to be included in the top 25ish programs since those programs don't really accept those applicants.
On another note, it's really amazing that rads can maintain a > 240 USMLE average with over 1000 residency spots. All other fields with > 240 averages have 300 or less spots (except ortho with around 700).
It's not hard to match to any rads program but still is hard to match at a quality one.