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

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 Montana, Medicare pays $232.46 for 27093 in the office and $57.77 when it’s performed in a hospital or facility.

$232.46Office (non-facility)
$57.77Hospital or facility
−0.0%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 Montana
  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 Montana 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. Montana pays $232.46. The RVUs are the same everywhere; the geographic indexes change the dollars.

27093 in Montana vs other payment areas
  1. Montana · this page$232.46
  2. Los Angeles, CA · California$266.39+$33.93
  3. Washington, DC area · District of Columbia$268.26+$35.80
  4. Miami, FL · Florida$247.72+$15.26
  5. Chicago, IL · Illinois$240.18+$7.72
  6. Manhattan, NY · New York$268.10+$35.64
  7. Alaska · Alaska$263.46+$31.00

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

Every other payment area

27093 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$207.17$54.31
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

27093 rates by state

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

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 Montana 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

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Office calculation for 27093 in Montana
ComponentRVULocality factorAdjusted
Physician work1.27× 1.0001.2700
Practice expense5.54× 1.0005.5400
Malpractice0.15× 0.9980.1497
Total RVUs6.9597
Conversion factor× 33.4009

Office rate, Montana$232.46

Office: (1.27 × 1 + 5.54 × 1 + 0.15 × 0.998) × $33.4009 = $232.46

Facility: (1.27 × 1 + 0.31 × 1 + 0.15 × 0.998) × $33.4009 = $57.77

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

How 27093 has changed in Montana

27093 · Office / nonfacility

$232.46

Effective 2026-10-01

The base rate is $15.85 higher than on 2025-10-01, moving from $216.61 to $232.46 (7.3%).

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

    $216.61changed to$232.46

    • 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
    • Malpractice GPCI 0.978 changed to 0.998

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $229.57changed to$216.61

    • 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

    $225.83changed to$229.57

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $239.46changed to$225.83

    • 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
  5. January 1, 2023

    RVU23A

    $250.11changed to$239.46

    • 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
    • Malpractice GPCI 0.977 changed to 0.978

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $245.54changed to$250.11

    • 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

    $225.90changed to$245.54

    • 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 1.304 changed to 0.977

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $209.33changed to$225.90

    • 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
    • Malpractice GPCI 1.631 changed to 1.304

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $195.06changed to$209.33

    • 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

    $193.08changed to$195.06

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.88 changed to 3.89
    • Malpractice GPCI 1.429 changed to 1.631

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $192.33changed to$193.08

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.90 changed to 3.88
    • Malpractice GPCI 1.226 changed to 1.429

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $192.74changed to$192.33

    • 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

    $191.78changed to$192.74

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $189.20changed to$191.78

    • 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
    • Malpractice GPCI 1.165 changed to 1.226

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $196.12changed to$189.20

    • 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
    • Malpractice GPCI 1.103 changed to 1.165

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $196.12

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$232.46$57.77RVU26D
2026-07-01$232.46$57.77RVU26C
2026-04-01$232.46$57.77RVU26B
2026-01-01$232.46$57.77RVU26A
2025-10-01$216.61$65.55RVU25D
2025-07-01$216.61$65.55RVU25C
2025-04-01$216.61$65.55RVU25B
2025-01-01$216.61$65.55RVU25A
2024-10-01$229.57$66.80RVU24D
2024-07-01$229.57$66.80RVU24C
2024-04-01$229.57$66.80RVU24B
2024-03-09$229.57$66.80RVU24AR
2024-01-01$225.83$65.71RVU24A
2023-10-01$239.46$68.66RVU23D
2023-07-01$239.46$68.66RVU23C
2023-04-01$239.46$68.66RVU23B
2023-01-01$239.46$68.66RVU23A
2022-10-01$250.11$68.42RVU22D
2022-07-01$250.11$68.42RVU22C
2022-04-01$250.11$68.42RVU22B
2022-01-01$250.11$68.42RVU22A
2021-10-01$245.54$70.02RVU21D
2021-07-01$245.54$70.02RVU21C
2021-04-01$245.54$70.02RVU21B
2021-01-01$245.54$70.02RVU21A
2020-10-01$225.90$73.61RVU20D
2020-07-01$225.90$73.61RVU20C
2020-04-01$225.90$73.61RVU20B
2020-01-01$225.90$73.61RVU20A
2019-10-01$209.33$75.62RVU19D
2019-07-01$209.33$75.62RVU19C
2019-04-01$209.33$75.62RVU19B
2019-01-01$209.33$75.62RVU19A
2018-10-01$195.06$75.90RVU18D
2018-07-01$195.06$75.90RVU18C
2018-04-01$195.06$75.90RVU18B
2018-01-01$195.06$75.90RVU18AR1
2017-10-01$193.08$74.65RVU17D
2017-07-01$193.08$74.65RVU17C
2017-04-01$193.08$74.65RVU17B
2017-01-01$193.08$74.65RVU17A
2016-10-01$192.33$73.46RVU16D
2016-07-01$192.33$73.46RVU16C
2016-04-01$192.33$73.46RVU16B
2016-01-01$192.33$73.46RVU16A
2015-10-01$192.74$74.16RVU15D
2015-07-01$192.74$74.16RVU15C
2015-04-01$191.78$73.79RVU15B
2015-01-01$191.78$73.79RVU15A
2014-10-01$189.20$73.13RVU14D
2014-07-01$189.20$73.13RVU14C
2014-04-01$189.20$73.13RVU14B
2014-01-01$189.20$73.13RVU14A
2013-10-01$196.12$70.58RVU13D
2013-07-01$196.12$70.58RVU13C
2013-04-01$196.12$70.58RVU13B
2013-01-01$196.12$70.58RVU13AR

Price 27093 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

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 MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 27093 pays in Montana?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 27093 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist