How much does Medicare pay for CPT 27093?

Medicare allowed an average of $216.38 per service and paid $165.88 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $963.05, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 27093?

Injection of contrast for imaging of hip joint. It was billed 6,290 times to 5,284 Medicare beneficiaries by 201 providers in 2024.

Does 27093 pay differently in an office than a hospital?

Yes. The allowed amount averaged $234.00 in an office setting and $67.09 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 27093 most?

Orthopedic Surgery, with 2,054 services from 60 clinicians. Next are Physical Medicine and Rehabilitation, Pain Management, Diagnostic Radiology.

CPT 27093

Injection of contrast for imaging of hip joint

$216.38Medicare-allowed amount per service, averaged across 6,290 services

Providers submitted

$963.05

Asking price, not received

Medicare allowed

$216.38

The fee schedule figure

Medicare paid

$165.88

Balance is patient coinsurance

Providers submitted an average of $963.05 for this code and Medicare allowed $216.38 — 4.5× 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 $165.88 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $234.00
Hospital / facility: $67.09

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 5,626 services were billed in an office setting and 664 in a facility.

Services: 6,290
Beneficiaries: 5,284
Providers billing it: 201
Total allowed: $1,361,030

What Medicare pays for CPT 27093

Across 6,290 services billed by 201 providers to 5,284 beneficiaries, Medicare allowed an average of $216.38 per service. That is 1.2 services per beneficiary, so this is a code patients typically receive more than once. 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 27093

Specialty	Services	Beneficiaries	Avg allowed	Providers
Orthopedic Surgery	2,054	1,670	$226.37	60
Physical Medicine and Rehabilitation	1,171	1,029	$224.22	40
Pain Management	889	697	$237.20	23
Diagnostic Radiology	739	706	$135.97	31
Interventional Pain Management	515	402	$234.43	17
Anesthesiology	327	241	$244.51	8
Physician Assistant	205	182	$178.31	11
Family Practice	145	133	$244.61	4
Sports Medicine	133	120	$216.52	2
Interventional Radiology	39	34	$145.89	2
Independent Diagnostic Testing Facility (IDTF)	31	29	$232.57	1
Undefined Physician type	26	25	$266.39	1
Nurse Practitioner	16	16	$52.28	1

27093 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
Florida	845	$212.49	$163.53	30
Connecticut	680	$247.32	$173.37	16
California	644	$242.98	$161.65	24
New York	593	$233.54	$157.66	18
Maryland	460	$220.04	$152.14	9
New Jersey	382	$255.83	$182.93	12
Texas	365	$224.02	$174.00	11
Massachusetts	355	$173.77	$121.51	7
North Carolina	286	$211.95	$170.89	9
Pennsylvania	211	$190.67	$148.52	7
Illinois	188	$233.91	$172.28	5
Washington	186	$197.35	$143.67	10
Kentucky	161	$208.93	$180.41	2
Oklahoma	116	$104.84	$89.98	6
Virginia	115	$221.83	$162.78	5
Wyoming	65	$150.34	$119.27	1
Louisiana	64	$168.94	$144.89	4
Georgia	61	$144.12	$122.95	2
Indiana	58	$172.78	$145.99	2
Missouri	57	$227.26	$177.51	2
Arizona	56	$226.87	$177.93	2
Iowa	43	$211.64	$177.57	2
Tennessee	35	$192.83	$181.39	1
South Carolina	35	$207.41	$170.29	2
Arkansas	29	$61.63	$53.08	1
Nevada	29	$190.94	$151.80	1
Oregon	28	$229.11	$177.96	2
Ohio	28	$64.65	$41.81	1
Kansas	23	$63.00	$47.64	1
New Mexico	22	$210.24	$165.90	1
Alabama	17	$194.21	$182.20	1
Wisconsin	14	$54.37	$41.65	1
Delaware	13	$224.32	$171.61	1
New Hampshire	13	$229.44	$180.08	1
Alaska	13	$258.78	$179.39	1

Related codes

27096Injection of anesthetic or steroid into joint between lower spine and$149.42
27095Injection of contrast for imaging of hip under anesthesia$162.03

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.