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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 27096
  4. Cost Analysis

How Much Does Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance Cost on Medicare?

Cost analysis for CPT 27096 — Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance

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Average Medicare Payment

$109.75

2023 data

Total Payments (2023)

$30.1M

Services (2023)

264.7K

Price Change (2014–2023)

+4.6%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$104.94$26.7M243.7K—
2015$104.11$28.1M260.9K-0.8%
2016$103.15$29.5M277.3K-0.9%
2017$101.88$30.1M287.8K-1.2%
2018$103.63$31.4M293.7K+1.7%
2019$105.58$32.8M299.0K+1.9%
2020$108.73$27.1M240.7K+3.0%
2021$112.69$31.1M267.5K+3.6%
2022$110.17$31.1M271.6K-2.2%
2023$109.75$30.1M264.7K-0.4%

🗺️ State-by-State Cost Variation

The most expensive state pays 2.2x more than the cheapest for this procedure. AK averages $168.11 vs ND at $76.77.

StateAvg PaymentTotal PaymentsServicesProviders
AK$168.11$86.2K51312
VA$143.38$1.3M8.9K129
NJ$136.14$718.0K5.3K133
NY$135.73$1.3M9.4K229
DC$133.97$35.9K26810
FL$131.55$3.9M29.5K537
NV$128.28$207.8K1.6K40
UT$128.21$454.8K3.5K72
MI$127.74$1.1M8.3K176
CT$127.02$268.5K2.1K59
SC$126.17$937.6K7.4K116
NE$125.56$307.4K2.4K43
NC$125.33$1.5M11.7K202
IL$123.38$1.2M10.1K185
HI$123.31$15.4K1254
AZ$123.14$1.2M9.5K171
NM$115.29$100.2K86925
CA$114.80$2.1M18.5K371
ME$114.70$115.4K1.0K18
WY$114.69$37.0K3238
RI$113.93$73.0K64118
DE$112.81$117.9K1.0K26
KY$112.68$678.1K6.0K91
TX$110.22$1.9M17.0K407
OK$109.87$442.1K4.0K75
MA$109.25$665.5K6.1K145
NH$107.78$130.2K1.2K32
WA$107.60$423.6K3.9K97
TN$106.95$467.7K4.4K99
OR$106.64$272.9K2.6K64
CO$106.23$428.2K4.0K95
IA$104.69$296.1K2.8K51
MD$104.03$461.3K4.4K112
PA$101.35$1.1M10.7K246
AR$100.92$315.0K3.1K61
AL$100.89$483.6K4.8K81
IN$99.17$580.8K5.9K139
OH$94.87$976.6K10.3K211
MN$94.69$349.0K3.7K108
MO$93.37$614.2K6.6K121
GA$91.39$827.4K9.1K182
WI$91.26$411.0K4.5K122
MT$90.13$74.2K82320
VT$90.08$37.3K41410
LA$90.07$268.6K3.0K82
WV$83.29$116.9K1.4K25
SD$81.84$138.6K1.7K27
KS$81.67$237.8K2.9K55
MS$81.17$242.2K3.0K49
ID$79.43$138.5K1.7K30
ND$76.77$107.0K1.4K20

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Brian WeaverAnesthesiologyVA$105.8K582$181.70
Tennyson LeePain ManagementIL$91.0K527$172.67
Lee JamesInterventional Pain ManagementFL$81.5K549$148.48
Dharam MannInterventional Pain ManagementNJ$72.1K465$155.07
Charles WhittenPain ManagementNE$70.4K439$160.29
Chin KimInternal MedicineCA$65.9K377$174.93
Jacqueline WeisbeinPain ManagementCA$65.6K315$208.13
Erik VoogdPain ManagementMI$62.6K371$168.86
David GreschlerPain ManagementFL$60.3K390$154.73
Albert SinghPhysical Medicine and RehabilitationIL$58.6K378$154.93
Daryoush Sabet-PaymanAnesthesiologyFL$56.3K360$156.49
Rasheed SiddiquiInterventional Pain ManagementVA$56.1K372$150.82
Clifford BakerInterventional Pain ManagementAZ$54.5K354$154.04
Russell GilchristPhysical Medicine and RehabilitationNC$53.5K334$160.08
Douglas SpurgeonAnesthesiologyNE$51.6K321$160.89
Bryan FoxOrthopedic SurgeryVA$51.6K334$154.51
Daniel KendallInterventional Pain ManagementVA$51.5K247$208.52
Jason RosenbergPain ManagementSC$49.5K376$131.66
Daniel SchafferPain ManagementFL$48.5K273$177.54
Cesar AgtarapInternal MedicineKY$45.6K307$148.55

🤔 Is Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance Overpriced?

The data suggests significant pricing inconsistencies for CPT 27096. With a 2.2x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.

Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.