CPT 22511

Perq Vertebroplasty Uni/Bi Injection Lumbosacral

CPT 22511 pays $1,773.92 in a non-facility setting and $361.40 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,545.18 in Arkansas to $2,057.74 in District of Columbia, a 33% spread.

National non-facility rate

$1,773.92

Office and other outpatient settings

Facility rate
$361.40

Hospital and ASC settings

Highest state
$2,057.74

District of Columbia

Lowest state
$1,545.18

Arkansas · 33% 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 $1,773.92
CPT 22511 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $1,773.92, national facility $361.40.
StateRate compared visuallyNon-facilityFacility
District of Columbia
$2,057.74$393.79
California
$2,040.92$369.51
Washington
$1,983.81$373.54
New Jersey
$1,978.09$387.59
Alaska
$1,974.74$470.40
New York
$1,971.42$395.61
Hawaii
$1,964.29$358.25
Massachusetts
$1,960.31$373.34
Connecticut
$1,901.65$380.37
Colorado
$1,864.92$361.99
Oregon
$1,846.17$358.07
Maryland
$1,843.52$370.96
New Hampshire
$1,830.93$360.49
Rhode Island
$1,824.08$364.94
Florida
$1,812.75$395.52
Minnesota
$1,792.24$338.76
Puerto Rico
$1,789.88$361.82
Virgin Islands
$1,789.88$361.82
Montana
$1,773.85$361.33
Nevada
$1,769.45$355.52
Wyoming
$1,764.63$352.11
Illinois
$1,756.71$391.86
Delaware
$1,753.51$357.94
North Dakota
$1,752.69$340.17
South Dakota
$1,750.19$337.67
Texas
$1,749.45$358.82
Pennsylvania
$1,747.80$364.23
Vermont
$1,741.27$342.87
Virginia
$1,737.93$349.41
Arizona
$1,722.30$353.56
Georgia
$1,712.33$364.78
Michigan
$1,697.02$370.66
Maine
$1,693.85$344.18
Wisconsin
$1,686.22$333.02
Utah
$1,680.31$352.54
North Carolina
$1,660.56$342.68
New Mexico
$1,656.66$361.37
South Carolina
$1,654.61$349.44
Missouri
$1,649.91$353.69
Indiana
$1,646.10$336.69
Louisiana
$1,645.16$355.52
Ohio
$1,643.76$354.13
Nebraska
$1,636.24$332.48
Idaho
$1,635.14$335.62
Iowa
$1,624.93$332.47
Tennessee
$1,620.93$336.95
Kansas
$1,612.26$335.33
Oklahoma
$1,605.52$344.14
Kentucky
$1,604.45$348.72
West Virginia
$1,592.91$365.42
Alabama
$1,570.99$335.03
Mississippi
$1,556.18$340.00
Arkansas
$1,545.18$331.82

Billed by 1 specialties

Commercial rates for 22511

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

See negotiated rates