# CPT 77003: Fluoroscopic guidance for spinal or paraspinal injection

Medicare CPT 77003 pays $104.54 in a non-facility setting and $104.54 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $92.01 in Arkansas to $120.60 in District of Columbia, a 31% spread.

Web page: https://www.med-reveal.com/rates/77003-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $104.54 |
| National facility | $104.54 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $120.60 | $120.60 |
| California | $119.73 | $119.73 |
| Alaska | $119.05 | $119.05 |
| Washington | $116.46 | $116.46 |
| New Jersey | $116.18 | $116.18 |
| New York | $115.69 | $115.69 |
| Hawaii | $115.24 | $115.24 |
| Massachusetts | $115.12 | $115.12 |
| Connecticut | $111.69 | $111.69 |
| Colorado | $109.74 | $109.74 |
| Oregon | $108.69 | $108.69 |
| Maryland | $108.47 | $108.47 |
| New Hampshire | $107.75 | $107.75 |
| Rhode Island | $107.48 | $107.48 |
| Florida | $106.41 | $106.41 |
| Minnesota | $105.78 | $105.78 |
| Puerto Rico | $105.43 | $105.43 |
| Virgin Islands | $105.43 | $105.43 |
| Montana | $104.54 | $104.54 |
| Nevada | $104.35 | $104.35 |
| Wyoming | $104.11 | $104.11 |
| North Dakota | $103.55 | $103.55 |
| Delaware | $103.48 | $103.48 |
| South Dakota | $103.44 | $103.44 |
| Illinois | $103.33 | $103.33 |
| Texas | $103.25 | $103.25 |
| Pennsylvania | $103.13 | $103.13 |
| Vermont | $102.89 | $102.89 |
| Virginia | $102.64 | $102.64 |
| Arizona | $101.73 | $101.73 |
| Georgia | $101.07 | $101.07 |
| Maine | $100.22 | $100.22 |
| Michigan | $100.15 | $100.15 |
| Wisconsin | $99.90 | $99.90 |
| Utah | $99.38 | $99.38 |
| North Carolina | $98.37 | $98.37 |
| New Mexico | $97.98 | $97.98 |
| South Carolina | $97.97 | $97.97 |
| Missouri | $97.67 | $97.67 |
| Indiana | $97.62 | $97.62 |
| Louisiana | $97.39 | $97.39 |
| Ohio | $97.32 | $97.32 |
| Nebraska | $97.10 | $97.10 |
| Idaho | $97.01 | $97.01 |
| Iowa | $96.47 | $96.47 |
| Tennessee | $96.20 | $96.20 |
| Kansas | $95.73 | $95.73 |
| Oklahoma | $95.27 | $95.27 |
| Kentucky | $95.17 | $95.17 |
| West Virginia | $94.37 | $94.37 |
| Alabama | $93.42 | $93.42 |
| Mississippi | $92.55 | $92.55 |
| Arkansas | $92.01 | $92.01 |

## 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 77003 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