Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 27096 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Injection Procedure For Sacroi, Injection Procedure For Sacroiliac Joint Anestheticsteroid With Image Guidance (Fluoroscopy Or Ct) Including Arthrography When Performed
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None 50 - Bilateral Procedure RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27096 |
| Medicaid Fee Schedule | View Medicaid rates for 27096 |
National average reimbursement for CPT 27096 by major payers:
$203.02
$236.65
$255.38
$277.46
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27096.
CPT 27096
5 of 25 sample ratesHigher to lower in this preview
North Garland Surgery Center LLP, Baylor Scott & White Surgicare - North Garland
North Garland Surgery Center LLP
$3,099.00Published rateSummit Ambulatory Surgical Center, LLC
$574.00Published rateJohn Holeman
Deaconess Hospital Inc
$283.07Published rateCabrillo Surgery Center
$124.00Published ratePresence Lakeshore Gastroenterology, LLC
Presence Lakeshore Gastroenterology LLC Dba Des Plaines Endoscopy Cent
$50.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 27096 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27096 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 27096 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 27093-CPT | Moderate | Contrast Injection Into Joint, Injection Of Contrast Material For A Joint Study (Arthrography). The Contrast Highlights Areas Of Interest On Images Taken By X-Ray Ct Or Mri. |
| 27095-CPT | Moderate | Contrast Injection Into Joint, Injection Of Contrast Material For A Joint Study (Arthrography). The Contrast Highlights Areas Of Interest On Images Taken By X-Ray Ct Or Mri. |
| 27096-CPT | Moderate | Injection Procedure For Sacroi, Injection Procedure For Sacroiliac Joint Anestheticsteroid With Image Guidance (Fluoroscopy Or Ct) Including Arthrography When Performed |
| 27105-CPT | High | Trnsfer Paraspinal Muscl To Hip (Inclu Fascial Or Tndon Extensio, Transfer Paraspinal Muscle To Hip (Includes Fascial Or Tendon Extensio |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27096. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27096 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 27096) and we'll show you how you compare in 15 minutes or less.