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

In South Dakota, Medicare pays $320.78 for 27095 in the office and $64.93 when it’s performed in a hospital or facility.

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.

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 South Dakota 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. South Dakota pays $320.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27095 rates by state

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

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.

Payment rules and modifiers for 27095

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

What modifiers do to the payment

When to use modifier 50

Codes related to 27095

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

How 27095 has changed in South Dakota

Price 27095 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates