# CPT 77021: MR guidance for needle placement

Medicare CPT 77021 pays $426.86 in a non-facility setting and $426.86 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $372.63 in Arkansas to $496.62 in District of Columbia, a 33% spread.

Web page: https://www.med-reveal.com/rates/77021-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $426.86 |
| National facility | $426.86 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $496.62 | $496.62 |
| California | $496.19 | $496.19 |
| Washington | $480.40 | $480.40 |
| Hawaii | $477.17 | $477.17 |
| New Jersey | $476.90 | $476.90 |
| Alaska | $474.45 | $474.45 |
| Massachusetts | $474.20 | $474.20 |
| New York | $473.53 | $473.53 |
| Connecticut | $457.31 | $457.31 |
| Colorado | $450.89 | $450.89 |
| Oregon | $446.60 | $446.60 |
| Maryland | $443.66 | $443.66 |
| New Hampshire | $441.92 | $441.92 |
| Rhode Island | $439.89 | $439.89 |
| Minnesota | $435.87 | $435.87 |
| Puerto Rico | $430.95 | $430.95 |
| Virgin Islands | $430.95 | $430.95 |
| Florida | $430.64 | $430.64 |
| Montana | $426.86 | $426.86 |
| Nevada | $426.79 | $426.79 |
| Wyoming | $426.17 | $426.17 |
| North Dakota | $425.28 | $425.28 |
| South Dakota | $425.09 | $425.09 |
| Delaware | $422.33 | $422.33 |
| Vermont | $421.79 | $421.79 |
| Texas | $421.12 | $421.12 |
| Pennsylvania | $419.79 | $419.79 |
| Virginia | $419.70 | $419.70 |
| Illinois | $416.80 | $416.80 |
| Arizona | $414.84 | $414.84 |
| Georgia | $410.19 | $410.19 |
| Wisconsin | $409.25 | $409.25 |
| Maine | $409.16 | $409.16 |
| Michigan | $405.06 | $405.06 |
| Utah | $404.07 | $404.07 |
| North Carolina | $400.75 | $400.75 |
| Indiana | $398.08 | $398.08 |
| South Carolina | $397.93 | $397.93 |
| Nebraska | $396.29 | $396.29 |
| New Mexico | $396.24 | $396.24 |
| Missouri | $395.91 | $395.91 |
| Idaho | $395.42 | $395.42 |
| Louisiana | $394.33 | $394.33 |
| Ohio | $394.22 | $394.22 |
| Iowa | $393.34 | $393.34 |
| Tennessee | $391.46 | $391.46 |
| Kansas | $389.50 | $389.50 |
| Oklahoma | $386.10 | $386.10 |
| Kentucky | $384.96 | $384.96 |
| West Virginia | $378.83 | $378.83 |
| Alabama | $378.78 | $378.78 |
| Mississippi | $373.98 | $373.98 |
| Arkansas | $372.63 | $372.63 |

## 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 77021 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