# CPT 77002: Fluoroscopic guidance for needle placement, non-vascular

Medicare CPT 77002 pays $121.25 in a non-facility setting and $121.25 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $106.19 in Arkansas to $140.54 in District of Columbia, a 32% spread.

Web page: https://www.med-reveal.com/rates/77002-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: General Surgery, Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $121.25 |
| National facility | $121.25 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $140.54 | $140.54 |
| California | $140.00 | $140.00 |
| Alaska | $136.14 | $136.14 |
| Washington | $135.83 | $135.83 |
| New Jersey | $135.15 | $135.15 |
| Hawaii | $134.69 | $134.69 |
| New York | $134.38 | $134.38 |
| Massachusetts | $134.16 | $134.16 |
| Connecticut | $129.75 | $129.75 |
| Colorado | $127.71 | $127.71 |
| Oregon | $126.49 | $126.49 |
| Maryland | $125.93 | $125.93 |
| New Hampshire | $125.27 | $125.27 |
| Rhode Island | $124.81 | $124.81 |
| Minnesota | $123.27 | $123.27 |
| Florida | $122.85 | $122.85 |
| Puerto Rico | $122.35 | $122.35 |
| Virgin Islands | $122.35 | $122.35 |
| Montana | $121.24 | $121.24 |
| Nevada | $121.12 | $121.12 |
| Wyoming | $120.90 | $120.90 |
| North Dakota | $120.45 | $120.45 |
| South Dakota | $120.36 | $120.36 |
| Delaware | $119.97 | $119.97 |
| Texas | $119.66 | $119.66 |
| Vermont | $119.56 | $119.56 |
| Pennsylvania | $119.40 | $119.40 |
| Virginia | $119.11 | $119.11 |
| Illinois | $119.08 | $119.08 |
| Arizona | $117.88 | $117.88 |
| Georgia | $116.83 | $116.83 |
| Maine | $116.20 | $116.20 |
| Wisconsin | $116.03 | $116.03 |
| Michigan | $115.56 | $115.56 |
| Utah | $114.98 | $114.98 |
| North Carolina | $113.92 | $113.92 |
| South Carolina | $113.28 | $113.28 |
| Indiana | $113.10 | $113.10 |
| New Mexico | $113.03 | $113.03 |
| Missouri | $112.81 | $112.81 |
| Nebraska | $112.54 | $112.54 |
| Louisiana | $112.42 | $112.42 |
| Idaho | $112.36 | $112.36 |
| Ohio | $112.36 | $112.36 |
| Iowa | $111.75 | $111.75 |
| Tennessee | $111.33 | $111.33 |
| Kansas | $110.77 | $110.77 |
| Oklahoma | $110.01 | $110.01 |
| Kentucky | $109.79 | $109.79 |
| West Virginia | $108.43 | $108.43 |
| Alabama | $107.89 | $107.89 |
| Mississippi | $106.69 | $106.69 |
| Arkansas | $106.19 | $106.19 |

## Related codes

- 76932: Ultrasound guidance for endomyocardial biopsy — https://www.med-reveal.com/rates/76932-cpt-fee-schedule
- 76936: Ultrasound guidance for vascular access compression repair — https://www.med-reveal.com/rates/76936-cpt-fee-schedule
- 76940: Ultrasound guidance for tissue ablation — https://www.med-reveal.com/rates/76940-cpt-fee-schedule
- 76941: Ultrasound guidance for intrauterine fetal transfusion or procedure — https://www.med-reveal.com/rates/76941-cpt-fee-schedule
- 76942: Ultrasound guidance for needle placement — https://www.med-reveal.com/rates/76942-cpt-fee-schedule
- 76965: Ultrasound guidance for interstitial radioelement application — https://www.med-reveal.com/rates/76965-cpt-fee-schedule
- 76975: Ultrasound guidance for gastrointestinal endoscopic procedure — https://www.med-reveal.com/rates/76975-cpt-fee-schedule
- 77001: Fluoroscopic guidance for central venous access device placement — https://www.med-reveal.com/rates/77001-cpt-fee-schedule

Commercial negotiated rates for 77002 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