CPT 20962

Bone Grf W/Mvasc Anast Oth/Thn Iliac Crest/Metar

CPT 20962 pays $2,428.25 in a non-facility setting and $2,428.25 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $2,172.27 in Arkansas to $3,001.62 in Alaska, a 38% spread.

National non-facility rate

$2,428.25

Office and other outpatient settings

Facility rate
$2,428.25

Hospital and ASC settings

Highest state
$3,001.62

Alaska

Lowest state
$2,172.27

Arkansas · 38% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $2,428.25
CPT 20962 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $2,428.25, national facility $2,428.25.
StateRate compared visuallyNon-facilityFacility
Alaska
$3,001.62$3,001.62
Florida
$2,688.87$2,688.87
New York
$2,688.29$2,688.29
District of Columbia
$2,684.44$2,684.44
Illinois
$2,651.03$2,651.03
New Jersey
$2,627.23$2,627.23
Connecticut
$2,578.64$2,578.64
Washington
$2,534.11$2,534.11
Massachusetts
$2,530.61$2,530.61
California
$2,510.53$2,510.53
Maryland
$2,503.30$2,503.30
Michigan
$2,485.55$2,485.55
Rhode Island
$2,452.12$2,452.12
Georgia
$2,443.21$2,443.21
Pennsylvania
$2,440.50$2,440.50
Colorado
$2,440.22$2,440.22
Hawaii
$2,434.08$2,434.08
Puerto Rico
$2,433.83$2,433.83
Virgin Islands
$2,433.83$2,433.83
West Virginia
$2,430.41$2,430.41
New Hampshire
$2,430.26$2,430.26
Montana
$2,427.70$2,427.70
Oregon
$2,410.23$2,410.23
New Mexico
$2,409.99$2,409.99
Texas
$2,402.28$2,402.28
Delaware
$2,396.59$2,396.59
Nevada
$2,383.66$2,383.66
Louisiana
$2,364.56$2,364.56
Arizona
$2,361.79$2,361.79
Wyoming
$2,357.47$2,357.47
Ohio
$2,353.94$2,353.94
Missouri
$2,351.60$2,351.60
Utah
$2,347.73$2,347.73
Virginia
$2,333.27$2,333.27
South Carolina
$2,320.60$2,320.60
Kentucky
$2,307.53$2,307.53
Maine
$2,287.45$2,287.45
Vermont
$2,284.98$2,284.98
Oklahoma
$2,273.48$2,273.48
North Carolina
$2,271.07$2,271.07
North Dakota
$2,266.55$2,266.55
Minnesota
$2,262.10$2,262.10
South Dakota
$2,247.49$2,247.49
Mississippi
$2,235.00$2,235.00
Indiana
$2,224.15$2,224.15
Tennessee
$2,222.21$2,222.21
Idaho
$2,214.46$2,214.46
Kansas
$2,208.83$2,208.83
Wisconsin
$2,202.95$2,202.95
Alabama
$2,200.21$2,200.21
Nebraska
$2,191.23$2,191.23
Iowa
$2,189.37$2,189.37
Arkansas
$2,172.27$2,172.27

Billed by 1 specialties

Commercial rates for 20962

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates