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CPT code 27093: Hip arthrogram injection, without anesthesia2026 Medicare rate & RVUs in Alaska

Injection of contrast into the hip joint without anesthesia to prepare for arthrographic imaging, such as fluoroscopic evaluation or an MRI arthrogram.

CMS RVU26DEffective Oct 1, 2026One payment locality12.9K Medicare services in 2024

In Alaska, Medicare pays $263.46 for 27093 in the office and $77.42 when it’s performed in a hospital or facility.

$263.46Office (non-facility)
$77.42Hospital or facility
+13.3%vs the national office rate ($232.47)

Check a contract rate as a % of Medicare · 27093 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 27093 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alaska
  2. What 27093 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 27093 covers

This service places contrast within the hip joint to outline joint structures for an arthrogram. A radiologist or other qualified physician typically performs the injection, often using imaging to guide needle placement. The injection may precede fluoroscopic arthrography or an MRI arthrogram; the imaging acquisition and interpretation are represented by their own codes when performed. This code describes the injection without anesthesia; use its sibling code 27095 when the injection procedure is performed with anesthesia.

Select the code based on the service performed, not simply the type of scan ordered. Document the hip and side, indication, contrast injection, and whether anesthesia was used. The code has a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Alaska compares for 27093

Across 109 of 109 payment localities, the office rate for 27093 runs from $203.95 in Arkansas to $316.60 in San Benito County, CA. Alaska pays $263.46. The RVUs are the same everywhere; the geographic indexes change the dollars.

27093 in Alaska vs other payment areas
  1. Alaska · this page$263.46
  2. Los Angeles, CA · California$266.39+$2.93
  3. Washington, DC area · District of Columbia$268.26+$4.80
  4. Miami, FL · Florida$247.72−$15.74
  5. Chicago, IL · Illinois$240.18−$23.28
  6. Manhattan, NY · New York$268.10+$4.64
  7. Alabama · Alabama$207.17−$56.29

Other areas in Alaska first, then benchmark localities. Bars start at $0.

Every other payment area

27093 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$203.95$53.89
ArizonaArizona$226.01$56.74
Bakersfield, CACalifornia$249.08$57.62
Chico, CACalifornia$248.63$57.17
El Centro, CACalifornia$248.66$57.20
Fresno, CACalifornia$248.63$57.17
Hanford, CACalifornia$248.63$57.17
Madera, CACalifornia$248.63$57.17

27093 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$203.95

$282.62

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
27093 office rate range by state
State / territoryOffice rate rangeLocalities
AK$263.461
AL$207.171
AR$203.951
AZ$226.011
CA$248.63–$316.6029
CO$243.721
CT$248.621
DC$268.261
DE$229.961
FL$226.85–$247.723
GA$213.45–$236.572
GU$255.711
HI$255.711
IA$213.721
ID$215.031
IL$219.19–$241.634
IN$216.391
KS$212.221
KY$211.501
LA$210.98–$222.232
MA$241.94–$269.562
MD$234.70–$268.263
ME$215.77–$228.962
MI$217.02–$229.432
MN$234.311
MO$206.80–$223.603
MS$205.441
MT$232.461
NC$218.261
ND$229.491
NE$215.111
NH$239.431
NJ$251.68–$265.092
NM$218.121
NV$231.821
NY$221.73–$274.455
OH$216.411
OK$211.551
OR$230.24–$252.412
PA$217.02–$241.792
PR$234.431
RI$238.841
SC$217.661
SD$229.141
TN$213.311
TX$215.46–$242.728
UT$220.861
VA$227.85–$268.262
VI$234.431
VT$228.141
WA$241.63–$275.682
WI$221.231
WV$210.391
WY$231.171

See 27093 in every payment locality

How the 27093 rate is calculated

Each of 27093’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 27093

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.27

1.27 RVUs× 1.000 GPCI

Practice expense5.54

5.54 RVUs× 1.000 GPCI

Malpractice0.15

0.15 RVUs× 1.000 GPCI

Adjusted RVUs

6.9600

Conversion factor

$33.4009

Medicare rate

$232.47

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Alaska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,748

Code
27093
Physician work
1.27
Practice expense
5.54
Malpractice
0.15

GPCI2026.csv

5

Locality
Alaska
Physician work
1.500
Practice expense
1.065
Malpractice
0.551
Office calculation for 27093 in Alaska
ComponentRVULocality factorAdjusted
Physician work1.27× 1.5001.9050
Practice expense5.54× 1.0655.9001
Malpractice0.15× 0.5510.0827
Total RVUs7.8878
Conversion factor× 33.4009

Office rate, Alaska$263.46

Office: (1.27 × 1.5 + 5.54 × 1.065 + 0.15 × 0.551) × $33.4009 = $263.46

Facility: (1.27 × 1.5 + 0.31 × 1.065 + 0.15 × 0.551) × $33.4009 = $77.42

Open 27093 in the RVU calculator

Payment rules and modifiers for 27093

The CMS indicators that decide how 27093 is paid alongside other services.

CMS payment indicators · 27093

Hip arthrogram injection, without anesthesia

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27093 without 50 · national office

$232.47

Hip arthrogram injection, without anesthesia

27093-50 · Bilateral: 150%

$348.71

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 27093

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 27093
CodeHow it relatesOffice range, Alaska
Same family
27095Hip arthrogram injection, with anesthesiaHip arthrogram injection sibling for the procedure performed with anesthesia.$364.26
Often billed with
73525Hip arthrography, contrast imagingReports radiological supervision and interpretation for fluoroscopic hip arthrography.$148.77
73722Joint MRI, with contrastReports MRI of a lower-extremity joint without and then with contrast after injection.$356.51

How 27093 has changed in Alaska

27093 · Office / nonfacility

$263.46

Effective 2026-10-01

The base rate is $14.10 higher than on 2025-10-01, moving from $249.36 to $263.46 (5.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $249.36changed to$263.46

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.30 changed to 1.27
    • Practice expense RVU 5.24 changed to 5.54
    • Malpractice RVU 0.16 changed to 0.15
    • Practice expense GPCI 1.081 changed to 1.065
    • Malpractice GPCI 0.592 changed to 0.551

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $263.98changed to$249.36

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.45 changed to 5.24
    • Malpractice RVU 0.15 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $259.67changed to$263.98

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $278.30changed to$259.67

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.60 changed to 5.45
    • Malpractice RVU 0.17 changed to 0.15
    • Practice expense GPCI 1.100 changed to 1.081
    • Malpractice GPCI 0.603 changed to 0.592

  5. January 1, 2023

    RVU23A

    $294.82changed to$278.30

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.81 changed to 5.60
    • Malpractice RVU 0.12 changed to 0.17
    • Practice expense GPCI 1.118 changed to 1.100
    • Malpractice GPCI 0.614 changed to 0.603

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $289.50changed to$294.82

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.60 changed to 5.81
    • Malpractice RVU 0.14 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $266.74changed to$289.50

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.79 changed to 5.60
    • Malpractice RVU 0.13 changed to 0.14
    • Malpractice GPCI 0.661 changed to 0.614

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $246.14changed to$266.74

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.28 changed to 4.79
    • Malpractice RVU 0.14 changed to 0.13
    • Practice expense GPCI 1.117 changed to 1.118
    • Malpractice GPCI 0.708 changed to 0.661

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $230.19changed to$246.14

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.89 changed to 4.28

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $228.39changed to$230.19

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.88 changed to 3.89
    • Practice expense GPCI 1.112 changed to 1.117
    • Malpractice GPCI 0.710 changed to 0.708

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $227.97changed to$228.39

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.90 changed to 3.88
    • Practice expense GPCI 1.107 changed to 1.112
    • Malpractice GPCI 0.712 changed to 0.710

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $228.25changed to$227.97

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.88 changed to 3.90
    • Malpractice RVU 0.15 changed to 0.14

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $227.11changed to$228.25

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $222.19changed to$227.11

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.83 changed to 3.88
    • Malpractice RVU 0.13 changed to 0.15
    • Practice expense GPCI 1.087 changed to 1.107
    • Malpractice GPCI 0.687 changed to 0.712

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $225.96changed to$222.19

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.31 changed to 3.83
    • Malpractice RVU 0.14 changed to 0.13
    • Practice expense GPCI 1.067 changed to 1.087
    • Malpractice GPCI 0.661 changed to 0.687

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $225.96

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$263.46$77.42RVU26D
2026-07-01$263.46$77.42RVU26C
2026-04-01$263.46$77.42RVU26B
2026-01-01$263.46$77.42RVU26A
2025-10-01$249.36$86.07RVU25D
2025-07-01$249.36$86.07RVU25C
2025-04-01$249.36$86.07RVU25B
2025-01-01$249.36$86.07RVU25A
2024-10-01$263.98$88.02RVU24D
2024-07-01$263.98$88.02RVU24C
2024-04-01$263.98$88.02RVU24B
2024-03-09$263.98$88.02RVU24AR
2024-01-01$259.67$86.58RVU24A
2023-10-01$278.30$90.43RVU23D
2023-07-01$278.30$90.43RVU23C
2023-04-01$278.30$90.43RVU23B
2023-01-01$278.30$90.43RVU23A
2022-10-01$294.82$91.70RVU22D
2022-07-01$294.82$91.70RVU22C
2022-04-01$294.82$91.70RVU22B
2022-01-01$294.82$91.70RVU22A
2021-10-01$289.50$93.28RVU21D
2021-07-01$289.50$93.28RVU21C
2021-04-01$289.50$93.28RVU21B
2021-01-01$289.50$93.28RVU21A
2020-10-01$266.74$96.47RVU20D
2020-07-01$266.74$96.47RVU20C
2020-04-01$266.74$96.47RVU20B
2020-01-01$266.74$96.47RVU20A
2019-10-01$246.14$96.79RVU19D
2019-07-01$246.14$96.79RVU19C
2019-04-01$246.14$96.79RVU19B
2019-01-01$246.14$96.79RVU19A
2018-10-01$230.19$97.09RVU18D
2018-07-01$230.19$97.09RVU18C
2018-04-01$230.19$97.09RVU18B
2018-01-01$230.19$97.09RVU18AR1
2017-10-01$228.39$96.70RVU17D
2017-07-01$228.39$96.70RVU17C
2017-04-01$228.39$96.70RVU17B
2017-01-01$228.39$96.70RVU17A
2016-10-01$227.97$96.38RVU16D
2016-07-01$227.97$96.38RVU16C
2016-04-01$227.97$96.38RVU16B
2016-01-01$227.97$96.38RVU16A
2015-10-01$228.25$96.98RVU15D
2015-07-01$228.25$96.98RVU15C
2015-04-01$227.11$96.50RVU15B
2015-01-01$227.11$96.50RVU15A
2014-10-01$222.19$96.03RVU14D
2014-07-01$222.19$96.03RVU14C
2014-04-01$222.19$96.03RVU14B
2014-01-01$222.19$96.03RVU14A
2013-10-01$225.96$92.00RVU13D
2013-07-01$225.96$92.00RVU13C
2013-04-01$225.96$92.00RVU13B
2013-01-01$225.96$92.00RVU13AR

Price 27093 for an earlier date of service

Where the Alaska rate applies

Alaska is a Medicare payment area, not a city. Our Census mapping connects it to 355 cities and communities in Alaska. Some span more than one payment area; confirm with the service ZIP.

  • Adak
  • Akhiok
  • Akiachak
  • Akiak
  • Akutan
  • Alakanuk
  • Alatna
  • Alcan Border

Browse all communities in Alaska

27093 billing questions

When should 27093 be chosen instead of 27095?

Use 27093 for the hip arthrogram injection performed without anesthesia. Use 27095 when anesthesia is used for the injection procedure.

Does 27093 include the arthrogram imaging?

It represents the contrast injection into the hip joint. Report the separately performed imaging acquisition and interpretation with the applicable imaging code, such as 73525 for fluoroscopic hip arthrography.

Can 27093 be reported with an MRI arthrogram?

Yes. The injection prepares the joint for imaging, and the MRI service may be reported separately when performed; 73722 describes MRI of a lower-extremity joint without and then with contrast.

How is bilateral reporting handled?

CMS lists this as a bilateral procedure: modifier 50 is paid at 150%. Document that both hips were injected.

What same-session payment rules apply?

With multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. The code has a 0-day global period, and assistant-at-surgery, co-surgeon, and team-surgery services are not payable or permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 27093PPRRVU2026_Oct_nonQPP.csv, line 2,748 (RVU26D)
Geographic factors for AlaskaGPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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