# CPT 20900: Bone graft, minor or small

Medicare CPT 20900 pays $398.14 in a non-facility setting and $160.66 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $350.28 in Arkansas to $458.35 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/20900-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $398.14 |
| National facility | $160.66 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $458.35 | $205.43 |
| District of Columbia | $455.83 | $176.08 |
| California | $446.40 | $165.40 |
| New York | $441.40 | $176.47 |
| New Jersey | $440.32 | $172.92 |
| Washington | $437.63 | $166.91 |
| Massachusetts | $433.52 | $166.71 |
| Hawaii | $430.33 | $160.31 |
| Connecticut | $425.35 | $169.58 |
| Florida | $414.27 | $175.99 |
| Colorado | $413.99 | $161.31 |
| Maryland | $412.73 | $165.16 |
| Oregon | $409.70 | $159.51 |
| New Hampshire | $407.79 | $160.57 |
| Rhode Island | $407.65 | $162.33 |
| Illinois | $403.50 | $174.03 |
| Puerto Rico | $401.02 | $160.93 |
| Virgin Islands | $401.02 | $160.93 |
| Montana | $398.11 | $160.63 |
| Nevada | $395.75 | $158.03 |
| Minnesota | $395.09 | $150.73 |
| Pennsylvania | $394.30 | $161.69 |
| Wyoming | $393.97 | $156.49 |
| Delaware | $393.60 | $158.97 |
| Texas | $393.13 | $159.33 |
| North Dakota | $388.62 | $151.14 |
| Virginia | $388.59 | $155.15 |
| Georgia | $388.36 | $161.81 |
| South Dakota | $387.49 | $150.01 |
| Vermont | $387.38 | $152.27 |
| Michigan | $387.34 | $164.34 |
| Arizona | $387.02 | $156.90 |
| Maine | $379.50 | $152.59 |
| Utah | $379.45 | $156.22 |
| New Mexico | $377.77 | $160.00 |
| Wisconsin | $375.11 | $147.60 |
| Missouri | $374.49 | $156.56 |
| Louisiana | $374.17 | $157.35 |
| South Carolina | $374.13 | $154.70 |
| Ohio | $373.54 | $156.72 |
| North Carolina | $373.31 | $151.74 |
| Indiana | $369.15 | $149.00 |
| West Virginia | $367.81 | $161.44 |
| Idaho | $366.95 | $148.47 |
| Nebraska | $366.28 | $147.09 |
| Kentucky | $365.23 | $154.11 |
| Tennessee | $364.85 | $148.98 |
| Iowa | $364.31 | $147.02 |
| Oklahoma | $364.15 | $152.08 |
| Kansas | $362.90 | $148.22 |
| Alabama | $355.65 | $147.86 |
| Mississippi | $354.44 | $149.97 |
| Arkansas | $350.28 | $146.29 |

## Related codes

- 20100: Exploration of penetrating wound, neck — https://www.med-reveal.com/rates/20100-cpt-fee-schedule
- 20103: Exploration of penetrating wound, extremity — https://www.med-reveal.com/rates/20103-cpt-fee-schedule
- 20200: Biopsy, muscle, superficial — https://www.med-reveal.com/rates/20200-cpt-fee-schedule
- 20220: Biopsy, bone, trocar or needle, superficial — https://www.med-reveal.com/rates/20220-cpt-fee-schedule
- 20245: Biopsy, bone, open, deep — https://www.med-reveal.com/rates/20245-cpt-fee-schedule
- 20500: Injection of sinus tract — https://www.med-reveal.com/rates/20500-cpt-fee-schedule
- 20526: Injection, carpal tunnel — https://www.med-reveal.com/rates/20526-cpt-fee-schedule
- 20550: Injection, single tendon sheath or ligament — https://www.med-reveal.com/rates/20550-cpt-fee-schedule

Commercial negotiated rates for 20900 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules