CPT code 27095: Hip arthrogram injection, with anesthesia2026 Medicare rate & RVUs in California
Reports hip-joint contrast injection for arthrography when the injection is performed with anesthesia, typically with fluoroscopic needle placement.
Medicare pays $348.95–$446.75 for 27095 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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.
Where 27095 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 payment localities
$348.95 to $446.75
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $349.59 | $69.18 |
| Chico, CA | $348.95 | $68.54 |
| El Centro, CA | $348.99 | $68.58 |
| Fresno, CA | $348.95 | $68.54 |
| Hanford, CA | $348.95 | $68.54 |
| Los Angeles, CA | $374.52 | $71.84 |
| Madera, CA | $348.95 | $68.54 |
| Marin County, CA | $436.83 | $76.08 |
| Merced, CA | $348.95 | $68.54 |
| Modesto, CA | $348.95 | $68.54 |
| Napa, CA | $410.83 | $73.62 |
| Oxnard, CA | $373.31 | $70.90 |
| Redding, CA | $348.95 | $68.54 |
| Rest of California | $348.95 | $68.54 |
| Riverside, CA | $351.33 | $70.92 |
| Sacramento, CA | $367.94 | $70.39 |
| Salinas, CA | $366.62 | $70.09 |
| San Benito County, CA | $446.75 | $77.82 |
| San Diego, CA | $376.59 | $70.59 |
| San Francisco, CA | $436.58 | $75.83 |
| San Luis Obispo, CA | $360.55 | $69.13 |
| Santa Clara County, CA | $445.73 | $76.79 |
| Santa Cruz, CA | $381.23 | $70.37 |
| Santa Maria, CA | $368.36 | $70.04 |
| Santa Rosa, CA | $385.17 | $70.98 |
| Stockton, CA | $348.95 | $68.54 |
| Vallejo, CA | $410.47 | $73.26 |
| Visalia, CA | $348.95 | $68.54 |
| Yuba City, CA | $348.95 | $68.54 |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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).
27095 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27093Hip arthrogram injectionWithout anesthesia
- Use 27095 when the hip arthrogram injection is performed with anesthesia; use 27093 when it is performed without anesthesia.
- 73525Hip arthrographyContrast imaging
- 73525 represents the radiologic examination and interpretation of the hip arthrogram; 27095 represents the contrast injection into the joint.
- 20610Joint injectionMajor joint or bursa, no ultrasound
- 20610 is used for aspiration or therapeutic injection of a major joint, such as the hip. It does not represent contrast injection for an arthrogram.
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
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