Medicare rates for Orthopedic surgery

196 codes in this family have a rate page here. Each figure below is Medicare’s national allowed amount for one unit, in an office and in a facility, from the CMS 2026 October release, effective Oct 1, 2026. They are national amounts before geographic adjustment, taken from CMS’s own relative value files, which the release catalog lists with their checksums.

Orthopedic surgery, by code

Each code links to its own page, which shows the arithmetic, the New Jersey localities, every state and the history by fee-schedule year. A figure marked * is the same in both columns: either the office and facility amounts are equal, or CMS prices the code in one setting only and the other column repeats it. The code’s page says which. The facility figure is the doctor’s fee in a facility, not the hospital’s own payment.

Code	Office	Facility
CPT 20100	$545.77 *	$545.77 *
CPT 20101	$626.27	$201.74
CPT 20102	$662.01	$245.16
CPT 20103	$592.20	$316.64
CPT 20150	$920.86 *	$920.86 *
CPT 20200	$241.82	$90.18
CPT 20205	$338.69	$146.96
CPT 20206	$209.76	$51.10
CPT 20220	$223.12	$76.49
CPT 20225	$364.74	$113.23
CPT 20240	$126.59 *	$126.59 *
CPT 20245	$303.28 *	$303.28 *
CPT 20250	$387.45 *	$387.45 *
CPT 20251	$421.19 *	$421.19 *
CPT 20500	$128.59	$83.50
CPT 20501	$135.61	$31.06
CPT 20520	$229.80	$141.95
CPT 20525	$497.01	$233.14
CPT 20555	$279.57 *	$279.57 *
CPT 20560	$24.72	$12.36
CPT 20561	$38.08	$19.71
CPT 20612	$67.80	$36.74
CPT 20615	$249.50	$144.29
CPT 20650	$249.50	$159.99
CPT 20660	$214.77 *	$214.77 *
CPT 20661	$553.45 *	$553.45 *
CPT 20662	$501.01 *	$501.01 *
CPT 20663	$464.94 *	$464.94 *
CPT 20664	$941.91 *	$941.91 *
CPT 20665	$117.91	$85.84
CPT 20670	$370.42	$139.95
CPT 20680	$631.95	$394.46
CPT 20690	$545.77 *	$545.77 *
CPT 20692	$1,047.12 *	$1,047.12 *
CPT 20693	$429.87 *	$429.87 *
CPT 20694	$461.93	$328.33
CPT 20696	$1,061.81 *	$1,061.81 *
CPT 20697	$1,910.53 *	$1,910.53 *
CPT 20700	$84.84	$70.81
CPT 20701	$65.80	$54.78
CPT 20702	$147.97	$122.92
CPT 20703	$108.55	$90.18
CPT 20704	$155.65	$128.59
CPT 20705	$128.26	$106.21
CPT 20802	$2,452.29 *	$2,452.29 *
CPT 20805	$2,899.20 *	$2,899.20 *
CPT 20808	$3,479.37 *	$3,479.37 *
CPT 20816	$1,835.71 *	$1,835.71 *
CPT 20822	$1,602.58 *	$1,602.58 *
CPT 20824	$1,841.06 *	$1,841.06 *
CPT 20827	$1,643.66 *	$1,643.66 *
CPT 20838	$2,494.05 *	$2,494.05 *
CPT 20900	$398.14	$160.66
CPT 20902	$241.82 *	$241.82 *
CPT 20910	$463.94 *	$463.94 *
CPT 20912	$435.21 *	$435.21 *
CPT 20920	$357.72 *	$357.72 *
CPT 20922	$657.33	$470.62
CPT 20924	$469.95 *	$469.95 *
CPT 20931	$98.20 *	$98.20 *
CPT 20932	$648.65 *	$648.65 *
CPT 20933	$595.54 *	$595.54 *
CPT 20934	$648.65 *	$648.65 *
CPT 20937	$147.30 *	$147.30 *
CPT 20938	$163.33 *	$163.33 *
CPT 20939	$61.46 *	$61.46 *
CPT 20950	$278.23	$83.50
CPT 20955	$2,267.92 *	$2,267.92 *
CPT 20956	$2,355.43 *	$2,355.43 *
CPT 20957	$2,456.30 *	$2,456.30 *
CPT 20962	$2,428.25 *	$2,428.25 *
CPT 20969	$2,322.36 *	$2,322.36 *
CPT 20970	$2,540.81 *	$2,540.81 *
CPT 20972	$2,531.79 *	$2,531.79 *
CPT 20973	$2,670.40 *	$2,670.40 *
CPT 20974	$95.19	$50.77
CPT 20975	$168.67 *	$168.67 *
CPT 20979	$54.78	$26.39
CPT 20982	$3,482.38	$321.65
CPT 20983	$4,905.92	$302.61
CPT 20985	$123.92 *	$123.92 *
CPT 21010	$672.69 *	$672.69 *
CPT 21011	$395.13	$250.17
CPT 21012	$323.99 *	$323.99 *
CPT 21013	$565.48	$371.75
CPT 21014	$480.30 *	$480.30 *
CPT 21015	$639.63 *	$639.63 *
CPT 21016	$901.49 *	$901.49 *
CPT 21025	$840.03	$613.57
CPT 21026	$576.17	$413.50
CPT 21029	$813.65	$571.16
CPT 21030	$475.96	$336.68
CPT 21031	$389.45	$253.18
CPT 21032	$383.78	$244.16
CPT 21034	$1,305.64	$988.00
CPT 21040	$479.97	$337.68
CPT 21044	$764.88 *	$764.88 *
CPT 21045	$1,061.15 *	$1,061.15 *
CPT 21046	$899.49 *	$899.49 *
CPT 21047	$1,076.51 *	$1,076.51 *
CPT 21048	$906.83 *	$906.83 *
CPT 21049	$1,021.07 *	$1,021.07 *
CPT 21050	$795.94 *	$795.94 *
CPT 21060	$717.45 *	$717.45 *
CPT 21070	$540.09 *	$540.09 *
CPT 21073	$429.87	$223.45
CPT 21076	$919.86	$628.27
CPT 21077	$2,193.77	$1,528.43
CPT 21079	$1,521.75	$1,036.10
CPT 21080	$1,729.83	$1,163.02
CPT 21081	$1,592.22	$1,065.82
CPT 21082	$1,498.36	$993.34
CPT 21083	$1,411.52	$915.85
CPT 21084	$1,610.59	$1,056.80
CPT 21085	$710.10	$429.87
CPT 21086	$1,627.29	$1,126.61
CPT 21087	$1,627.29	$1,126.61
CPT 21100	$630.94	$332.34
CPT 21110	$872.77	$674.70
CPT 21116	$222.45	$38.75
CPT 21120	$715.45	$488.66
CPT 21121	$649.98	$486.99
CPT 21122	$700.08 *	$700.08 *
CPT 21123	$777.91 *	$777.91 *
CPT 21125	$2,595.58	$605.56
CPT 21127	$3,968.03	$695.74
CPT 21137	$685.05 *	$685.05 *
CPT 21138	$826.67 *	$826.67 *
CPT 21139	$984.32 *	$984.32 *
CPT 21141	$1,208.44 *	$1,208.44 *
CPT 21142	$1,238.17 *	$1,238.17 *
CPT 21143	$1,273.58 *	$1,273.58 *
CPT 21145	$1,390.81 *	$1,390.81 *
CPT 21146	$1,452.94 *	$1,452.94 *
CPT 21147	$1,525.42 *	$1,525.42 *
CPT 21150	$1,415.20 *	$1,415.20 *
CPT 21151	$1,553.81 *	$1,553.81 *
CPT 21154	$1,673.72 *	$1,673.72 *
CPT 21155	$1,851.41 *	$1,851.41 *
CPT 21159	$2,210.14 *	$2,210.14 *
CPT 21160	$2,392.84 *	$2,392.84 *
CPT 21172	$2,089.23 *	$2,089.23 *
CPT 21175	$1,931.91 *	$1,931.91 *
CPT 21179	$1,343.05 *	$1,343.05 *
CPT 21180	$1,495.69 *	$1,495.69 *
CPT 21181	$672.69 *	$672.69 *
CPT 21182	$1,849.07 *	$1,849.07 *
CPT 21183	$2,006.73 *	$2,006.73 *
CPT 21184	$2,154.36 *	$2,154.36 *
CPT 21188	$1,428.89 *	$1,428.89 *
CPT 21193	$1,108.58 *	$1,108.58 *
CPT 21194	$1,279.59 *	$1,279.59 *
CPT 21195	$1,217.46 *	$1,217.46 *
CPT 21196	$1,296.62 *	$1,296.62 *
CPT 21198	$908.84 *	$908.84 *
CPT 21199	$906.17 *	$906.17 *
CPT 21206	$873.43 *	$873.43 *
CPT 21208	$1,657.02	$670.69
CPT 21209	$801.96	$553.45
CPT 21210	$1,793.63	$693.07
CPT 21215	$4,120.00	$720.46
CPT 21230	$659.67 *	$659.67 *
CPT 21235	$737.16	$506.02
CPT 21240	$943.58 *	$943.58 *
CPT 21242	$923.20 *	$923.20 *
CPT 21243	$1,456.28 *	$1,456.28 *
CPT 21244	$897.48 *	$897.48 *
CPT 21245	$1,286.27	$866.75
CPT 21246	$767.89 *	$767.89 *
CPT 21247	$1,419.20 *	$1,419.20 *
CPT 21248	$1,023.40	$725.47
CPT 21249	$1,404.51	$1,010.38
CPT 21255	$1,221.14 *	$1,221.14 *
CPT 21256	$1,114.92 *	$1,114.92 *
CPT 21260	$1,251.87 *	$1,251.87 *
CPT 21261	$2,175.73 *	$2,175.73 *
CPT 21263	$2,020.75 *	$2,020.75 *
CPT 21267	$1,466.63 *	$1,466.63 *
CPT 21268	$1,821.35 *	$1,821.35 *
CPT 21270	$1,104.23	$675.37
CPT 21275	$764.21 *	$764.21 *
CPT 21280	$524.39 *	$524.39 *
CPT 21282	$369.41 *	$369.41 *
CPT 21295	$185.04 *	$185.04 *
CPT 21296	$369.75 *	$369.75 *
CPT 21315	$159.99	$53.78
CPT 21320	$220.78	$81.83
CPT 21325	$413.50 *	$413.50 *
CPT 21330	$490.33 *	$490.33 *
CPT 21335	$648.98 *	$648.98 *
CPT 21336	$583.18 *	$583.18 *
CPT 21337	$426.53	$281.90
CPT 21338	$626.93 *	$626.93 *
CPT 21339	$700.08 *	$700.08 *
CPT 27130	$1,162.02 *	$1,162.02 *
CPT 29881	$515.71 *	$515.71 *

Current Procedural Terminology (CPT) is copyright 2019–2025 American Medical Association (AMA). All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use. CPT® is a trademark of the American Medical Association.

Other codes and other dates

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