2027 Medicare fee schedule lookup
Enter one CPT or HCPCS code and a ZIP code to get its 2027 Medicare-allowed amount — facility and non-facility — with the full calculation shown: RVUs, GPCIs, and the conversion factor. No sign-up, no per-code clicking through the CMS tool.
Choose your payment locality
Pick your state and payment locality
This ZIP code can't be mapped to a state automatically — military (APO/FPO), some territory, and a few other ZIPs don't correspond to a single payment locality. Choose the state where the service is furnished, then its locality by county.
How the 2027 rate is calculated
Medicare prices every code the same way: each relative value unit (RVU) is adjusted by the geographic index (GPCI) for your payment locality, the adjusted RVUs are added together, and the total is multiplied by the conversion factor.
- Facility vs. non-facility: the practice expense (PE) RVU differs by setting. Non-facility is the office rate; facility is the rate when the service is furnished in a hospital, ASC, or similar setting.
- No work GPCI floor in 2027: these rates use work GPCIs without the 1.0 floor, per current law — the statutory floor expires December 31, 2026. If Congress extends it, rates in low-work-GPCI localities would rise.
- ZIP to locality is approximate: a ZIP code identifies the state. In states with more than one payment locality, you pick the locality — use the county list shown with each locality to find yours. Medicare's own assignment is by the locality where the service is furnished.
What the free tool covers
This lookup includes 375 commonly billed codes — 309 with full 2027 RVUs, plus 66 codes CMS carries with a status but no Physician Fee Schedule rate (for example, codes Medicare doesn't recognize, doesn't cover, bundles, or pays under a different fee schedule). For those, the tool explains the status instead of showing a number. If your code isn't in the free tool, it isn't priced here — no estimate is substituted.
Rates are computed from the CMS RVU27A January 2027 release: the published RVU file, the 2027 GPCI file, and the locality/county file.
Need the rates for every code you bill?
Looking codes up one at a time is the slow way. The full service at medicareratetables.com builds one complete table from your own code list — every code, the localities you bill in, facility and non-facility, delivered as a finished spreadsheet. Leave your email and we'll send the free 10-code sample so you can check the format against your own billing.
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We'll email the sample table — 10 codes priced in a locality — plus the full breakdown for any code you look up above.
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Questions
Why does the same code pay differently in different ZIP codes?
Because of the GPCIs. Medicare adjusts the work, practice expense, and malpractice RVUs by geographic indices for each of the 109 payment localities. Practice expense GPCIs vary the most, so the same code can pay 10–15% more in a high-cost locality than in a low-cost one.
What is the difference between the non-QP and QP conversion factors?
For 2027 there are two conversion factors. Most clinicians are paid with the non-QP factor of $32.6286. Clinicians who are qualifying participants (QP) in an Advanced APM are paid with the higher factor of $32.9548. Use the toggle above to see either rate.
Why does the tool show no rate for some codes?
Not every code is paid under the Physician Fee Schedule. CMS assigns each code a status: some codes Medicare doesn't recognize or doesn't cover, some are bundled into other payments, and some — like clinical laboratory codes — are paid under a different fee schedule entirely. The tool shows the status explanation rather than a misleading number.
My ZIP has more than one locality. Which one do I pick?
Pick the locality that contains the county where the service is furnished — each locality in the picker lists its counties. A ZIP code alone only identifies the state, which is why multi-locality states ask you to confirm.
Is this the amount Medicare will actually pay?
It's the 2027 Medicare-allowed amount for the code in that locality, before deductible and coinsurance. Actual payment can differ — sequestration, deductible/coinsurance, modifiers, multiple-procedure reductions, and claim-level adjustments all apply downstream. Treat the lookup as the fee-schedule rate, not a payment guarantee.