CPT 27130

Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft

CPT 27130 pays $1,162.02 in a non-facility setting and $1,162.02 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,041.64 in Arkansas to $1,445.67 in Alaska, a 39% spread.

National non-facility rate

$1,162.02

Office and other outpatient settings

Facility rate
$1,162.02

Hospital and ASC settings

Highest state
$1,445.67

Alaska

Lowest state
$1,041.64

Arkansas · 39% 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 $1,162.02
CPT 27130 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $1,162.02, national facility $1,162.02.
StateRate compared visuallyNon-facilityFacility
Alaska
$1,445.67$1,445.67
Florida
$1,291.37$1,291.37
New York
$1,285.82$1,285.82
District of Columbia
$1,280.92$1,280.92
Illinois
$1,274.38$1,274.38
New Jersey
$1,254.99$1,254.99
Connecticut
$1,233.10$1,233.10
Washington
$1,207.96$1,207.96
Massachusetts
$1,207.01$1,207.01
Maryland
$1,197.31$1,197.31
California
$1,194.17$1,194.17
Michigan
$1,193.45$1,193.45
Rhode Island
$1,172.35$1,172.35
Georgia
$1,171.69$1,171.69
West Virginia
$1,169.43$1,169.43
Pennsylvania
$1,169.13$1,169.13
Colorado
$1,164.91$1,164.91
Puerto Rico
$1,164.26$1,164.26
Virgin Islands
$1,164.26$1,164.26
Montana
$1,161.75$1,161.75
New Hampshire
$1,161.03$1,161.03
Hawaii
$1,158.29$1,158.29
New Mexico
$1,156.97$1,156.97
Oregon
$1,150.50$1,150.50
Texas
$1,149.89$1,149.89
Delaware
$1,146.88$1,146.88
Nevada
$1,139.82$1,139.82
Louisiana
$1,134.58$1,134.58
Arizona
$1,130.50$1,130.50
Ohio
$1,129.30$1,129.30
Missouri
$1,127.92$1,127.92
Wyoming
$1,126.85$1,126.85
Utah
$1,124.91$1,124.91
Virginia
$1,115.64$1,115.64
South Carolina
$1,112.20$1,112.20
Kentucky
$1,107.40$1,107.40
Maine
$1,094.21$1,094.21
Vermont
$1,091.31$1,091.31
Oklahoma
$1,090.29$1,090.29
North Carolina
$1,087.16$1,087.16
North Dakota
$1,081.66$1,081.66
Minnesota
$1,078.05$1,078.05
Mississippi
$1,072.72$1,072.72
South Dakota
$1,072.20$1,072.20
Indiana
$1,064.13$1,064.13
Tennessee
$1,064.04$1,064.04
Idaho
$1,059.65$1,059.65
Kansas
$1,057.63$1,057.63
Alabama
$1,054.75$1,054.75
Wisconsin
$1,052.09$1,052.09
Nebraska
$1,047.97$1,047.97
Iowa
$1,047.43$1,047.43
Arkansas
$1,041.64$1,041.64

Billed by 1 specialties

Commercial rates for 27130

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

See negotiated rates