CPT 62270

Diagnostic Lumbar Spinal Puncture

CPT 62270 pays $165.00 in a non-facility setting and $58.79 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $144.01 in Arkansas to $188.81 in District of Columbia, a 31% spread.

National non-facility rate

$165.00

Office and other outpatient settings

Facility rate
$58.79

Hospital and ASC settings

Highest state
$188.81

District of Columbia

Lowest state
$144.01

Arkansas · 31% 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 $165.00
CPT 62270 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $165.00, national facility $58.79.
StateRate compared visuallyNon-facilityFacility
District of Columbia
$188.81$63.69
Alaska
$188.04$74.92
New York
$183.73$65.23
California
$183.17$57.49
New Jersey
$182.41$62.81
Washington
$180.39$59.30
Massachusetts
$178.89$59.56
Hawaii
$176.76$55.99
Connecticut
$176.73$62.33
Florida
$174.56$67.99
Maryland
$171.18$60.45
Colorado
$170.75$57.74
Illinois
$170.06$67.43
Oregon
$168.82$56.93
New Hampshire
$168.53$57.96
Rhode Island
$168.52$58.80
Puerto Rico
$166.13$58.74
Virgin Islands
$166.13$58.74
Montana
$164.98$58.77
Pennsylvania
$163.66$59.62
Nevada
$163.50$57.18
Delaware
$162.83$57.89
Texas
$162.74$58.17
Wyoming
$162.48$56.27
Michigan
$161.90$62.16
Georgia
$161.65$60.32
Minnesota
$161.53$52.24
Virginia
$160.19$55.78
Arizona
$160.02$57.10
North Dakota
$159.25$53.03
Vermont
$159.06$53.91
South Dakota
$158.57$52.35
New Mexico
$157.36$59.96
Utah
$157.08$57.24
Maine
$156.24$54.75
Louisiana
$155.40$58.43
Missouri
$155.33$57.86
Ohio
$155.02$58.05
South Carolina
$154.76$56.62
West Virginia
$154.04$61.74
North Carolina
$153.76$54.66
Wisconsin
$153.44$51.69
Indiana
$151.59$53.12
Kentucky
$151.35$56.92
Idaho
$150.65$52.93
Oklahoma
$150.47$55.62
Nebraska
$150.08$52.04
Tennessee
$150.00$53.45
Iowa
$149.34$52.15
Kansas
$149.10$53.08
Mississippi
$146.41$54.96
Alabama
$146.35$53.41
Arkansas
$144.01$52.77

Billed by 2 specialties

Commercial rates for 62270

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

See negotiated rates