# CPT 20957: Bone Graft Microvascular Anast Metatarsal

Medicare CPT 20957 pays $2,456.30 in a non-facility setting and $2,456.30 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $2,203.80 in Arkansas to $3,067.40 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/20957-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Plastic Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $2,456.30 |
| National facility | $2,456.30 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $3,067.40 | $3,067.40 |
| Florida | $2,739.03 | $2,739.03 |
| New York | $2,717.83 | $2,717.83 |
| Illinois | $2,704.67 | $2,704.67 |
| District of Columbia | $2,702.24 | $2,702.24 |
| New Jersey | $2,649.56 | $2,649.56 |
| Connecticut | $2,605.71 | $2,605.71 |
| Washington | $2,545.77 | $2,545.77 |
| Massachusetts | $2,544.98 | $2,544.98 |
| Maryland | $2,530.13 | $2,530.13 |
| Michigan | $2,529.75 | $2,529.75 |
| California | $2,512.23 | $2,512.23 |
| West Virginia | $2,482.60 | $2,482.60 |
| Georgia | $2,480.98 | $2,480.98 |
| Rhode Island | $2,476.21 | $2,476.21 |
| Pennsylvania | $2,473.36 | $2,473.36 |
| Puerto Rico | $2,460.37 | $2,460.37 |
| Virgin Islands | $2,460.37 | $2,460.37 |
| Colorado | $2,457.61 | $2,457.61 |
| Montana | $2,455.71 | $2,455.71 |
| New Mexico | $2,451.63 | $2,451.63 |
| New Hampshire | $2,451.00 | $2,451.00 |
| Hawaii | $2,437.60 | $2,437.60 |
| Texas | $2,430.90 | $2,430.90 |
| Oregon | $2,426.93 | $2,426.93 |
| Delaware | $2,424.08 | $2,424.08 |
| Nevada | $2,407.65 | $2,407.65 |
| Louisiana | $2,402.97 | $2,402.97 |
| Ohio | $2,391.43 | $2,391.43 |
| Arizona | $2,389.73 | $2,389.73 |
| Missouri | $2,388.03 | $2,388.03 |
| Utah | $2,379.74 | $2,379.74 |
| Wyoming | $2,379.36 | $2,379.36 |
| Virginia | $2,356.16 | $2,356.16 |
| South Carolina | $2,353.17 | $2,353.17 |
| Kentucky | $2,345.36 | $2,345.36 |
| Maine | $2,311.38 | $2,311.38 |
| Oklahoma | $2,307.61 | $2,307.61 |
| Vermont | $2,302.38 | $2,302.38 |
| North Carolina | $2,297.69 | $2,297.69 |
| North Dakota | $2,280.52 | $2,280.52 |
| Mississippi | $2,271.63 | $2,271.63 |
| Minnesota | $2,270.38 | $2,270.38 |
| South Dakota | $2,259.80 | $2,259.80 |
| Tennessee | $2,248.95 | $2,248.95 |
| Indiana | $2,247.77 | $2,247.77 |
| Idaho | $2,238.51 | $2,238.51 |
| Kansas | $2,235.32 | $2,235.32 |
| Alabama | $2,231.26 | $2,231.26 |
| Wisconsin | $2,219.06 | $2,219.06 |
| Nebraska | $2,212.72 | $2,212.72 |
| Iowa | $2,212.16 | $2,212.16 |
| Arkansas | $2,203.80 | $2,203.80 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 20957 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