Cost analysis for CPT 27096 — Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
Average Medicare Payment
$109.75
2023 data
Total Payments (2023)
$30.1M
Services (2023)
264.7K
Price Change (2014–2023)
+4.6%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $104.94 | $26.7M | 243.7K | — |
| 2015 | $104.11 | $28.1M | 260.9K | -0.8% |
| 2016 | $103.15 | $29.5M | 277.3K | -0.9% |
| 2017 | $101.88 | $30.1M | 287.8K | -1.2% |
| 2018 | $103.63 | $31.4M | 293.7K | +1.7% |
| 2019 | $105.58 | $32.8M | 299.0K | +1.9% |
| 2020 | $108.73 | $27.1M | 240.7K | +3.0% |
| 2021 | $112.69 | $31.1M | 267.5K | +3.6% |
| 2022 | $110.17 | $31.1M | 271.6K | -2.2% |
| 2023 | $109.75 | $30.1M | 264.7K | -0.4% |
The most expensive state pays 2.2x more than the cheapest for this procedure. AK averages $168.11 vs ND at $76.77.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $168.11 | $86.2K | 513 | 12 |
| VA | $143.38 | $1.3M | 8.9K | 129 |
| NJ | $136.14 | $718.0K | 5.3K | 133 |
| NY | $135.73 | $1.3M | 9.4K | 229 |
| DC | $133.97 | $35.9K | 268 | 10 |
| FL | $131.55 | $3.9M | 29.5K | 537 |
| NV | $128.28 | $207.8K | 1.6K | 40 |
| UT | $128.21 | $454.8K | 3.5K | 72 |
| MI | $127.74 | $1.1M | 8.3K | 176 |
| CT | $127.02 | $268.5K | 2.1K | 59 |
| SC | $126.17 | $937.6K | 7.4K | 116 |
| NE | $125.56 | $307.4K | 2.4K | 43 |
| NC | $125.33 | $1.5M | 11.7K | 202 |
| IL | $123.38 | $1.2M | 10.1K | 185 |
| HI | $123.31 | $15.4K | 125 | 4 |
| AZ | $123.14 | $1.2M | 9.5K | 171 |
| NM | $115.29 | $100.2K | 869 | 25 |
| CA | $114.80 | $2.1M | 18.5K | 371 |
| ME | $114.70 | $115.4K | 1.0K | 18 |
| WY | $114.69 | $37.0K | 323 | 8 |
| RI | $113.93 | $73.0K | 641 | 18 |
| DE | $112.81 | $117.9K | 1.0K | 26 |
| KY | $112.68 | $678.1K | 6.0K | 91 |
| TX | $110.22 | $1.9M | 17.0K | 407 |
| OK | $109.87 | $442.1K | 4.0K | 75 |
| MA | $109.25 | $665.5K | 6.1K | 145 |
| NH | $107.78 | $130.2K | 1.2K | 32 |
| WA | $107.60 | $423.6K | 3.9K | 97 |
| TN | $106.95 | $467.7K | 4.4K | 99 |
| OR | $106.64 | $272.9K | 2.6K | 64 |
| CO | $106.23 | $428.2K | 4.0K | 95 |
| IA | $104.69 | $296.1K | 2.8K | 51 |
| MD | $104.03 | $461.3K | 4.4K | 112 |
| PA | $101.35 | $1.1M | 10.7K | 246 |
| AR | $100.92 | $315.0K | 3.1K | 61 |
| AL | $100.89 | $483.6K | 4.8K | 81 |
| IN | $99.17 | $580.8K | 5.9K | 139 |
| OH | $94.87 | $976.6K | 10.3K | 211 |
| MN | $94.69 | $349.0K | 3.7K | 108 |
| MO | $93.37 | $614.2K | 6.6K | 121 |
| GA | $91.39 | $827.4K | 9.1K | 182 |
| WI | $91.26 | $411.0K | 4.5K | 122 |
| MT | $90.13 | $74.2K | 823 | 20 |
| VT | $90.08 | $37.3K | 414 | 10 |
| LA | $90.07 | $268.6K | 3.0K | 82 |
| WV | $83.29 | $116.9K | 1.4K | 25 |
| SD | $81.84 | $138.6K | 1.7K | 27 |
| KS | $81.67 | $237.8K | 2.9K | 55 |
| MS | $81.17 | $242.2K | 3.0K | 49 |
| ID | $79.43 | $138.5K | 1.7K | 30 |
| ND | $76.77 | $107.0K | 1.4K | 20 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Brian Weaver | Anesthesiology | VA | $105.8K | 582 | $181.70 |
| Tennyson Lee | Pain Management | IL | $91.0K | 527 | $172.67 |
| Lee James | Interventional Pain Management | FL | $81.5K | 549 | $148.48 |
| Dharam Mann | Interventional Pain Management | NJ | $72.1K | 465 | $155.07 |
| Charles Whitten | Pain Management | NE | $70.4K | 439 | $160.29 |
| Chin Kim | Internal Medicine | CA | $65.9K | 377 | $174.93 |
| Jacqueline Weisbein | Pain Management | CA | $65.6K | 315 | $208.13 |
| Erik Voogd | Pain Management | MI | $62.6K | 371 | $168.86 |
| David Greschler | Pain Management | FL | $60.3K | 390 | $154.73 |
| Albert Singh | Physical Medicine and Rehabilitation | IL | $58.6K | 378 | $154.93 |
| Daryoush Sabet-Payman | Anesthesiology | FL | $56.3K | 360 | $156.49 |
| Rasheed Siddiqui | Interventional Pain Management | VA | $56.1K | 372 | $150.82 |
| Clifford Baker | Interventional Pain Management | AZ | $54.5K | 354 | $154.04 |
| Russell Gilchrist | Physical Medicine and Rehabilitation | NC | $53.5K | 334 | $160.08 |
| Douglas Spurgeon | Anesthesiology | NE | $51.6K | 321 | $160.89 |
| Bryan Fox | Orthopedic Surgery | VA | $51.6K | 334 | $154.51 |
| Daniel Kendall | Interventional Pain Management | VA | $51.5K | 247 | $208.52 |
| Jason Rosenberg | Pain Management | SC | $49.5K | 376 | $131.66 |
| Daniel Schaffer | Pain Management | FL | $48.5K | 273 | $177.54 |
| Cesar Agtarap | Internal Medicine | KY | $45.6K | 307 | $148.55 |
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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.