How much does Medicare pay for CPT 20902?

Medicare allowed an average of $280.05 per service and paid $223.22 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2213.80, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 20902?

Harvest of graft from large bone. It was billed 2,244 times to 2,195 Medicare beneficiaries by 126 providers in 2024.

Does 20902 pay differently in an office than a hospital?

Yes. The allowed amount averaged $140.14 in an office setting and $281.89 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 20902 most?

Orthopedic Surgery, with 1,245 services from 69 clinicians. Next are Podiatry, Physician Assistant, Ambulatory Surgical Center.

CPT 20902

Harvest of graft from large bone

$280.05Medicare-allowed amount per service, averaged across 2,244 services

Providers submitted

$2213.80

Asking price, not received

Medicare allowed

$280.05

The fee schedule figure

Medicare paid

$223.22

Balance is patient coinsurance

Providers submitted an average of $2213.80 for this code and Medicare allowed $280.05 — 7.9× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $223.22 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $140.14
Hospital / facility: $281.89

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 29 services were billed in an office setting and 2,215 in a facility.

Services: 2,244
Beneficiaries: 2,195
Providers billing it: 126
Total allowed: $628,432

What Medicare pays for CPT 20902

Across 2,244 services billed by 126 providers to 2,195 beneficiaries, Medicare allowed an average of $280.05 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 20902

Specialty	Services	Beneficiaries	Avg allowed	Providers
Orthopedic Surgery	1,245	1,216	$134.46	69
Podiatry	388	377	$103.43	18
Physician Assistant	281	281	$20.23	20
Ambulatory Surgical Center	250	248	$1626.40	14
Otolaryngology	32	30	$136.51	2
Nurse Practitioner	20	18	$18.73	1
Oral Surgery (Dentist only)	16	13	$138.14	1
Sports Medicine	12	12	$139.11	1

20902 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	299	$207.25	$156.36	13
Virginia	148	$85.88	$62.85	7
Arizona	139	$396.19	$326.89	10
Florida	139	$125.43	$94.80	9
Nevada	136	$600.47	$475.80	7
Massachusetts	131	$98.76	$75.78	5
New Jersey	121	$101.22	$74.79	6
Ohio	94	$513.24	$418.78	6
Illinois	93	$64.02	$46.67	4
North Carolina	93	$691.24	$583.23	6
Pennsylvania	72	$132.97	$106.08	4
Washington	62	$607.79	$444.11	4
North Dakota	57	$713.38	$643.70	2
Georgia	56	$918.53	$834.52	3
Utah	55	$74.59	$61.48	4
Maryland	53	$753.88	$591.86	2
South Carolina	48	$96.74	$78.37	3
Kentucky	47	$75.65	$62.98	2
Indiana	44	$100.22	$83.72	3
Texas	44	$105.86	$82.22	3
Tennessee	41	$119.29	$108.69	3
Montana	34	$89.51	$78.53	3
Nebraska	25	$788.73	$645.02	2
New York	25	$128.83	$106.84	2
Rhode Island	24	$135.35	$106.60	2
Oklahoma	19	$126.39	$106.71	1
Idaho	18	$122.92	$107.26	1
Michigan	17	$135.31	$108.40	1
Alabama	16	$131.82	$115.42	1
Puerto Rico	16	$134.55	$107.14	1
Arkansas	15	$126.35	$106.91	1
Louisiana	14	$92.62	$114.67	1
Delaware	14	$131.36	$107.14	1
Missouri	12	$132.04	$106.83	1
District of Columbia	12	$159.66	$107.11	1
Oregon	11	$128.82	$107.10	1

Related codes

20985Computer-assisted surgery for muscle and bone procedure$132.15
20939Aspiration of bone marrow for spine bone graft$60.92
20937Harvest of bone fragment for spine bone graft$122.40
20931Graft of donor bone to spine$106.13
20900Harvest of graft from small bone$707.38

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.