2026 Medicare Physician Fee Schedule
Look up what a procedure costs.
Search 7,500+ CPT codes. Add a ZIP for the locality rate. Featured pages cover the procedures people actually look up.
7,500+ codes · 43,000 ZIP codes · 59 featured pages
How the lookup works
The same formula CMS uses to pay physicians, applied to your ZIP.
01
Enter a ZIP, or skip it
A ZIP maps to one of 112 Medicare pricing localities. Skip it to see the national unadjusted rate; add it to apply GPCI geographic adjustments.
02
Search a name or CPT
Type echocardiogram, 93306, or knee replacement. Featured pages below are a curated subset, not the whole schedule.
03
Read the physician rate
You get the Medicare allowed amount for the professional fee, office vs hospital, and labeled insurance/cash ranges. Facility fees and anesthesia are separate.
Featured categories
Jump to the curated list, or search above for any other CPT.
Featured procedure pages
National average Medicare physician rates. Open a page and enter a ZIP for the locality rate.
Incision & Drainage of Abscess
10060$129
$101
Skin Biopsy (Tangential)
11102$96
$30
Skin Biopsy (Punch)
11104$121
$38
Destruction of Skin Lesion
17000$66
$48
Partial Mastectomy
19301$633
Total Hip Replacement
27130$1,162
Total Knee Replacement
27447$1,159
Knee Arthroscopy
29881$516
Upper Endoscopy (EGD)
43235$323
$111
Upper Endoscopy (EGD) With Biopsy
43239$419
$124
Colonoscopy (Diagnostic)
45378$378
$165
Colonoscopy With Biopsy
45380$480
$178
Billing guides
How US medical bills actually work — written to explain the numbers.
How Medical Billing Actually Works
A plain-English walkthrough of CPT codes, charges vs. allowed amounts, how a claim moves through the system, and why your first bill is often wrong.
6 min readHow to Negotiate a Medical Bill
Step-by-step tactics for lowering a medical bill: itemized bill audits, common errors, cash discounts, charity care, payment plans, and appeals.
7 min readFacility Fees: Why the Same Procedure Costs More at a Hospital
Why identical care can cost far more in a hospital outpatient department: provider-based billing, facility fees, and how to ask where you will be treated.
6 min readThe No Surprises Act: What It Protects You From (and What It Does Not)
How the No Surprises Act blocks balance billing for emergency and out-of-network care, what good faith estimates cover, and the gaps that remain.
7 min readPaying for Care Without Insurance
Practical options for uninsured patients: cash prices, community health centers, hospital financial assistance, marketplace subsidies, and drug discounts.
7 min readHow to Read an EOB (Explanation of Benefits)
What every field on an explanation of benefits means, how EOBs differ from bills, and how to match the two documents to catch costly errors.
6 min readBefore you search
The 2026 Medicare Physician Fee Schedule published by CMS, plus the CMS hospital outpatient (OPPS) and ambulatory surgery centre addenda for facility fees. We do not invent or crowdsource prices.
Yes, in the search box — by code or name. About 19,000 CPT and HCPCS codes are searchable, and roughly 7,500 physician codes carry full ZIP-level pricing. Dedicated pages exist for 59 commonly searched procedures, plus state pages for those same procedures.
No. These are Medicare allowed amounts. Private plans often allow more, hospitals add facility fees, and your deductible and coinsurance still apply. Use the number as a public benchmark, then confirm with the provider and insurer.
Medicare pays a different practice-expense RVU when the service is in a facility. The hospital then bills its own facility fee on a separate claim. The physician line is often lower in a hospital while the total bill is higher, which is why every procedure page also shows the full episode cost.
Independent cost tool. CMS data.
Not a hospital, insurer, or medical practice. Corrections: contact@medcostcheck.com
How the numbers are calculated