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CPT code 27095: Hip arthrogram injection, with anesthesia2026 Medicare rate & RVUs in King County, WA

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 King County, WA, Medicare pays $387.94 for 27095 in the office and $74.01 when it’s performed in a hospital or facility.

$387.94Office (non-facility)
$74.01Hospital or facility
+19.1%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 King County, WA
  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 King County, WA 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. King County, WA pays $387.94. The RVUs are the same everywhere; the geographic indexes change the dollars.

27095 in King County, WA vs other payment areas
  1. King County, WA · this page$387.94
  2. Rest of Washington · Washington$338.82−$49.12
  3. Los Angeles, CA · California$374.52−$13.42
  4. Washington, DC area · District of Columbia$377.10−$10.84
  5. Miami, FL · Florida$347.95−$39.99
  6. Chicago, IL · Illinois$336.86−$51.08
  7. Manhattan, NY · New York$376.75−$11.19

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

Every other payment area

27095 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$364.26$91.78
AlabamaAlabama$288.78$64.91
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

27095 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.

$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 King County, WA 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

108

Locality
King County, WA
Physician work
1.050
Practice expense
1.227
Malpractice
0.817
Office calculation for 27095 in King County, WA
ComponentRVULocality factorAdjusted
Physician work1.46× 1.0501.5330
Practice expense8.07× 1.2279.9019
Malpractice0.22× 0.8170.1797
Total RVUs11.6146
Conversion factor× 33.4009

Office rate, King County, WA$387.94

Office: (1.46 × 1.05 + 8.07 × 1.227 + 0.22 × 0.817) × $33.4009 = $387.94

Facility: (1.46 × 1.05 + 0.41 × 1.227 + 0.22 × 0.817) × $33.4009 = $74.01

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

Codes related to 27095

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

Codes related to 27095
CodeHow it relatesOffice range, King County, WA
Used instead
27093Hip arthrogram injection, without anesthesiaHip arthrogram injection performed without anesthesia.$275.68
20610Joint injection, major joint or bursa, no ultrasoundFor a therapeutic major-joint injection, rather than contrast injection for hip arthrography.$78.09
Often billed with
73525Hip arthrography, contrast imagingRadiologic examination and interpretation for hip arthrography when performed.$159.70

How 27095 has changed in King County, WA

27095 · Office / nonfacility

$387.94

Effective 2026-10-01

The base rate is $44.37 higher than on 2025-10-01, moving from $343.57 to $387.94 (12.9%).

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

    $343.57changed to$387.94

    • 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
    • Work GPCI 1.043 changed to 1.050
    • Practice expense GPCI 1.220 changed to 1.227
    • Malpractice GPCI 0.853 changed to 0.817

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $360.47changed to$343.57

    • 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

    $354.59changed to$360.47

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $374.65changed to$354.59

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 7.72 changed to 7.44
    • Work GPCI 1.039 changed to 1.043
    • Practice expense GPCI 1.207 changed to 1.220
    • Malpractice GPCI 0.815 changed to 0.853

  5. January 1, 2023

    RVU23A

    $391.19changed to$374.65

    • 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
    • Work GPCI 1.036 changed to 1.039
    • Practice expense GPCI 1.194 changed to 1.207
    • Malpractice GPCI 0.776 changed to 0.815

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $385.56changed to$391.19

    • 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

    $342.85changed to$385.56

    • 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
    • Work GPCI 1.031 changed to 1.036
    • Practice expense GPCI 1.170 changed to 1.194
    • Malpractice GPCI 0.854 changed to 0.776

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $306.65changed to$342.85

    • 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
    • Work GPCI 1.027 changed to 1.031
    • Practice expense GPCI 1.146 changed to 1.170
    • Malpractice GPCI 0.931 changed to 0.854

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $280.81changed to$306.65

    • 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. January 1, 2018

    RVU18AR1

    $275.56changed to$280.81

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.21 changed to 5.30
    • Work GPCI 1.026 changed to 1.027
    • Practice expense GPCI 1.151 changed to 1.146
    • Malpractice GPCI 0.713 changed to 0.931

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $272.63changed to$275.56

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.18 changed to 5.21
    • Malpractice RVU 0.19 changed to 0.20
    • Work GPCI 1.025 changed to 1.026
    • Practice expense GPCI 1.155 changed to 1.151
    • Malpractice GPCI 0.495 changed to 0.713

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $273.61changed to$272.63

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $272.25changed to$273.61

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $267.31changed to$272.25

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.05 changed to 5.18
    • Malpractice RVU 0.17 changed to 0.19
    • Practice expense GPCI 1.150 changed to 1.155
    • Malpractice GPCI 0.688 changed to 0.495

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $272.95changed to$267.31

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.53 changed to 5.05
    • Malpractice RVU 0.18 changed to 0.17
    • Practice expense GPCI 1.144 changed to 1.150
    • Malpractice GPCI 0.881 changed to 0.688

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $272.95

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$387.94$74.01RVU26D
2026-07-01$387.94$74.01RVU26C
2026-04-01$387.94$74.01RVU26B
2026-01-01$387.94$74.01RVU26A
2025-10-01$343.57$85.09RVU25D
2025-07-01$343.57$85.09RVU25C
2025-04-01$343.57$85.09RVU25B
2025-01-01$343.57$85.09RVU25A
2024-10-01$360.47$87.16RVU24D
2024-07-01$360.47$87.16RVU24C
2024-04-01$360.47$87.16RVU24B
2024-03-09$360.47$87.16RVU24AR
2024-01-01$354.59$85.74RVU24A
2023-10-01$374.65$87.93RVU23D
2023-07-01$374.65$87.93RVU23C
2023-04-01$374.65$87.93RVU23B
2023-01-01$374.65$87.93RVU23A
2022-10-01$391.19$89.15RVU22D
2022-07-01$391.19$89.15RVU22C
2022-04-01$391.19$89.15RVU22B
2022-01-01$391.19$89.15RVU22A
2021-10-01$385.56$89.76RVU21D
2021-07-01$385.56$89.76RVU21C
2021-04-01$385.56$89.76RVU21B
2021-01-01$385.56$89.76RVU21A
2020-10-01$342.85$92.46RVU20D
2020-07-01$342.85$92.46RVU20C
2020-04-01$342.85$92.46RVU20B
2020-01-01$342.85$92.46RVU20A
2019-10-01$306.65$91.47RVU19D
2019-07-01$306.65$91.47RVU19C
2019-04-01$306.65$91.47RVU19B
2019-01-01$306.65$91.47RVU19A
2018-10-01$280.81$91.04RVU18D
2018-07-01$280.81$91.04RVU18C
2018-04-01$280.81$91.04RVU18B
2018-01-01$280.81$91.04RVU18AR1
2017-10-01$275.56$89.27RVU17D
2017-07-01$275.56$89.27RVU17C
2017-04-01$275.56$89.27RVU17B
2017-01-01$275.56$89.27RVU17A
2016-10-01$272.63$86.95RVU16D
2016-07-01$272.63$86.95RVU16C
2016-04-01$272.63$86.95RVU16B
2016-01-01$272.63$86.95RVU16A
2015-10-01$273.61$87.68RVU15D
2015-07-01$273.61$87.68RVU15C
2015-04-01$272.25$87.24RVU15B
2015-01-01$272.25$87.24RVU15A
2014-10-01$267.31$87.69RVU14D
2014-07-01$267.31$87.69RVU14C
2014-04-01$267.31$87.69RVU14B
2014-01-01$267.31$87.69RVU14A
2013-10-01$272.95$86.12RVU13D
2013-07-01$272.95$86.12RVU13C
2013-04-01$272.95$86.12RVU13B
2013-01-01$272.95$86.12RVU13AR

Price 27095 for an earlier date of service

Where the King County, WA rate applies

King County, WA is a Medicare payment area, not a city. Our Census mapping connects it to 63 cities and communities in Washington. Some span more than one payment area; confirm with the service ZIP.

  • Seattle
  • Algona
  • Ames Lake
  • 27095 in Auburn · multiple payment areas
  • Baring
  • Beaux Arts Village
  • Bellevue
  • Black Diamond

Browse all communities in Washington

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 King County, WAGPCI2026.csv, line 108 (RVU26D)

Open CMS sourceHow we calculate rates

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