CPT code 27095: Hip arthrogram injection, with anesthesia2026 Medicare rate & RVUs in Alabama

Reports hip-joint contrast injection for arthrography when the injection is performed with anesthesia, typically with fluoroscopic needle placement.

CMS RVU26DEffective Oct 1, 2026One payment locality2.1K Medicare services in 2024

In Alabama, Medicare pays $288.78 for 27095 in the office and $64.91 when it’s performed in a hospital or facility.

$288.78Office (non-facility)
$64.91Hospital or facility
−11.3%vs the national office rate ($325.66)

Check a contract rate as a % of Medicare · 27095 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 27095 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alabama
  2. What 27095 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 27095 covers

This code represents placing a needle into the hip joint and injecting contrast for an arthrogram when the procedure is performed with anesthesia. A radiologist, orthopedic surgeon, or other qualified physician may perform the injection, commonly in a hospital or imaging facility. Fluoroscopic guidance is used to direct needle placement; the resulting images are used to evaluate the joint, including its structures and contour.

Choose this code when the hip arthrogram injection is performed with anesthesia; use 27093 when it is performed without anesthesia. The record should identify the hip treated, the arthrographic purpose, the contrast injection, and the anesthetic circumstance. The same-day preoperative and postoperative care is included in this 0-day global service. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral reporting, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing 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 Alabama compares for 27095

Across 109 of 109 payment localities, the office rate for 27095 runs from $284.09 in Arkansas to $446.75 in San Benito County, CA. Alabama pays $288.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

27095 in Alabama vs other payment areas
  1. Alabama · this page$288.78
  2. Los Angeles, CA · California$374.52+$85.74
  3. Washington, DC area · District of Columbia$377.10+$88.32
  4. Miami, FL · Florida$347.95+$59.17
  5. Chicago, IL · Illinois$336.86+$48.08
  6. Manhattan, NY · New York$376.75+$87.97
  7. Alaska · Alaska$364.26+$75.48

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

Every other payment area

27095 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$284.09$64.31
ArizonaArizona$316.24$68.33
Bakersfield, CACalifornia$349.59$69.18
Chico, CACalifornia$348.95$68.54
El Centro, CACalifornia$348.99$68.58
Fresno, CACalifornia$348.95$68.54
Hanford, CACalifornia$348.95$68.54
Madera, CACalifornia$348.95$68.54

27095 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.

$284.09

$397.85

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

View every state and territory as a table
27095 office rate range by state
State / territoryOffice rate rangeLocalities
AK$364.261
AL$288.781
AR$284.091
AZ$316.241
CA$348.95–$446.7529
CO$341.891
CT$348.931
DC$377.101
DE$321.931
FL$317.49–$347.953
GA$297.96–$331.592
GU$359.491
HI$359.491
IA$298.321
ID$300.221
IL$306.35–$338.954
IN$302.201
KS$296.141
KY$295.111
LA$294.35–$310.752
MA$339.23–$379.142
MD$328.78–$377.103
ME$301.32–$320.522
MI$303.16–$321.272
MN$328.301
MO$288.27–$312.743
MS$286.271
MT$325.641
NC$304.951
ND$321.291
NE$300.331
NH$335.791
NJ$353.12–$372.362
NM$304.761
NV$324.701
NY$310.00–$386.025
OH$302.271
OK$295.181
OR$322.40–$354.482
PA$303.15–$339.012
PR$328.511
RI$334.691
SC$304.071
SD$320.781
TN$297.731
TX$300.88–$340.558
UT$308.741
VA$318.92–$377.102
VI$328.511
VT$319.331
WA$338.82–$387.942
WI$309.251
WV$293.521
WY$323.751

See 27095 in every payment locality

How the 27095 rate is calculated

Each of 27095’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 · 27095

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.46

1.46 RVUs× 1.000 GPCI

Practice expense8.07

8.07 RVUs× 1.000 GPCI

Malpractice0.22

0.22 RVUs× 1.000 GPCI

Adjusted RVUs

9.7500

Conversion factor

$33.4009

Medicare rate

$325.66

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

The exact Alabama inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,749

Code
27095
Physician work
1.46
Practice expense
8.07
Malpractice
0.22

GPCI2026.csv

4

Locality
Alabama
Physician work
1.000
Practice expense
0.875
Malpractice
0.566
Office calculation for 27095 in Alabama
ComponentRVULocality factorAdjusted
Physician work1.46× 1.0001.4600
Practice expense8.07× 0.8757.0613
Malpractice0.22× 0.5660.1245
Total RVUs8.6458
Conversion factor× 33.4009

Office rate, Alabama$288.78

Office: (1.46 × 1 + 8.07 × 0.875 + 0.22 × 0.566) × $33.4009 = $288.78

Facility: (1.46 × 1 + 0.41 × 0.875 + 0.22 × 0.566) × $33.4009 = $64.91

Open 27095 in the RVU calculator

Payment rules and modifiers for 27095

The CMS indicators that decide how 27095 is paid alongside other services.

CMS payment indicators · 27095

Hip arthrogram injection, with 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

27095 without 50 · national office

$325.66

Hip arthrogram injection, with anesthesia

27095-50 · Bilateral: 150%

$488.49

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 27095 has changed in Alabama

27095 · Office / nonfacility

$288.78

Effective 2026-10-01

The base rate is $31.82 higher than on 2025-10-01, moving from $256.96 to $288.78 (12.4%).

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

    $256.96changed to$288.78

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.50 changed to 1.46
    • Practice expense RVU 7.27 changed to 8.07
    • Practice expense GPCI 0.869 changed to 0.875
    • Malpractice GPCI 0.575 changed to 0.566

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $269.36changed to$256.96

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 7.44 changed to 7.27

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $264.96changed to$269.36

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $286.10changed to$264.96

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 7.72 changed to 7.44
    • Practice expense GPCI 0.878 changed to 0.869
    • Malpractice GPCI 0.748 changed to 0.575
  5. January 1, 2023

    RVU23A

    $305.71changed to$286.10

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.01 changed to 7.72
    • Malpractice RVU 0.24 changed to 0.22
    • Practice expense GPCI 0.888 changed to 0.878
    • Malpractice GPCI 0.921 changed to 0.748

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $301.40changed to$305.71

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.81 changed to 8.01
    • Malpractice RVU 0.22 changed to 0.24

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $272.72changed to$301.40

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.63 changed to 7.81
    • Malpractice RVU 0.23 changed to 0.22
    • Practice expense GPCI 0.889 changed to 0.888
    • Malpractice GPCI 0.707 changed to 0.921

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $247.34changed to$272.72

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.91 changed to 6.63
    • Malpractice RVU 0.21 changed to 0.23
    • Practice expense GPCI 0.890 changed to 0.889
    • Malpractice GPCI 0.492 changed to 0.707

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $227.35changed to$247.34

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.30 changed to 5.91
    • Malpractice RVU 0.20 changed to 0.21

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$227.35

    Held through RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$288.78$64.91RVU26D
2026-07-01$288.78$64.91RVU26C
2026-04-01$288.78$64.91RVU26B
2026-01-01$288.78$64.91RVU26A
2025-10-01$256.96$72.85RVU25D
2025-07-01$256.96$72.85RVU25C
2025-04-01$256.96$72.85RVU25B
2025-01-01$256.96$72.85RVU25A
2024-10-01$269.36$74.68RVU24D
2024-07-01$269.36$74.68RVU24C
2024-04-01$269.36$74.68RVU24B
2024-03-09$269.36$74.68RVU24AR
2024-01-01$264.96$73.46RVU24A
2023-10-01$286.10$77.53RVU23D
2023-07-01$286.10$77.53RVU23C
2023-04-01$286.10$77.53RVU23B
2023-01-01$286.10$77.53RVU23A
2022-10-01$305.71$81.07RVU22D
2022-07-01$305.71$81.07RVU22C
2022-04-01$305.71$81.07RVU22B
2022-01-01$305.71$81.07RVU22A
2021-10-01$301.40$81.41RVU21D
2021-07-01$301.40$81.41RVU21C
2021-04-01$301.40$81.41RVU21B
2021-01-01$301.40$81.41RVU21A
2020-10-01$272.72$82.46RVU20D
2020-07-01$272.72$82.46RVU20C
2020-04-01$272.72$82.46RVU20B
2020-01-01$272.72$82.46RVU20A
2019-10-01$247.34$80.23RVU19D
2019-07-01$247.34$80.23RVU19C
2019-04-01$247.34$80.23RVU19B
2019-01-01$247.34$80.23RVU19A
2018-10-01$227.35$79.97RVU18D
2018-07-01$227.35$79.97RVU18C
2018-04-01$227.35$79.97RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 27095 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

  • Abanda
  • Abbeville
  • Adamsville
  • Addison
  • Akron
  • Alabaster
  • Albertville
  • Alexander City

Browse all communities in Alabama

27095 billing questions

How does 27095 differ from 27093?

Both report hip arthrogram injection; 27095 is for the procedure performed with anesthesia, while 27093 is for the procedure without anesthesia.

Can the arthrogram imaging be reported separately?

The radiologic examination and interpretation may be reported with 73525 when performed and documented. This injection code represents the joint access and contrast injection.

Can modifier 50 be used for both hips?

Yes. CMS identifies this as a bilateral procedure; bilateral reporting with modifier 50 is paid at 150%.

What documentation supports choosing 27095?

Document the hip joint injected, the arthrographic purpose, contrast administration, fluoroscopic needle placement, and that the procedure was performed with anesthesia.

Can an assistant or co-surgeon be reported?

CMS restricts assistant-at-surgery payment for this code. Co-surgeons and team surgery are not 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 27095PPRRVU2026_Oct_nonQPP.csv, line 2,749 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)

Open CMS sourceHow we calculate rates

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