Your 2027 Medicare Rates — Every Code You Bill, in Your Locality
Send us your CPT list. We return a clean table of 2027 Medicare-allowed amounts for every payment locality you bill in — facility and non-facility — from $99 for one locality. One locality is $99, but if you bill in several, we do all of them at once; the CMS lookup tool makes you start over for each one. Free 10-code sample, no card required.
- Bulk, not lookup. 20 codes or 1,000 — priced from the same CMS source files, never typed in by hand.
- Locality-accurate. GPCI-adjusted for each of your payment localities — a national-average table would misprice most practices.
- Ready for 2027. Built on the RVU27A file with the finalized 2027 conversion factors, ahead of the January 1 rate change.
No account, no sales call required. Configure your table below and get an instant price.
How it works
You bring the codes. We bring the fee schedule math — including the parts a flat lookup table gets wrong.
Send your code list
Paste your CPT / HCPCS codes below, or work from a billing export. Tell us how many payment localities you bill in and whether you need facility, non-facility, or both rates.
We compute every rate
Each code is priced from the CMS RVU file with your localities' GPCI values — with modifier 26/TC splits and multiple-procedure reductions applied where they change the payable amount.
You get one clean table
A spreadsheet with each CPT/HCPCS code, its work / PE / MP RVUs, your locality's GPCI values, and the locality-adjusted Medicare rate — facility and non-facility — ready to load into your billing workflow.
Build your rate table
Enter the codes you bill and how many localities you bill in. Your price updates as you go — no surprises, no quote-request form that disappears into a sales queue.
What the deliverable looks like
One row per code per locality, with the work, malpractice, and both practice-expense RVUs shown — so either rate on the row can be traced back to the CMS source file.
| CPT | Work RVU | PE RVU — non-fac. | PE RVU — facility | MP RVU | Non-facility rate | Facility rate |
|---|---|---|---|---|---|---|
| 99212 | 0.70 | 0.79 | 0.41 | 0.05 | $57.40 | $42.15 |
| 99213 | 1.30 | 1.36 | 0.72 | 0.10 | $102.85 | $76.90 |
| 99214 | 1.92 | 1.87 | 1.03 | 0.14 | $146.30 | $110.60 |
| 99215 | 2.80 | 2.51 | 1.44 | 0.20 | $205.45 | $158.20 |
| 99203 | 1.60 | 1.55 | 0.86 | 0.12 | $121.75 | $91.35 |
Rates are computed from CMS's published RVU and GPCI files. This service is independent and is not affiliated with or endorsed by CMS.
Tables show CPT/HCPCS codes, RVUs, GPCI values, and rates only — no code descriptions.
Pricing
Priced by the size of your code list — the first locality is always included, each additional locality is $79, and your total never exceeds $799, the flat price for all 109 localities. A single-locality table saves a few hours of staff time; multi-locality is where the service earns its keep, because doing it yourself means re-running every code for every locality. The builder above quotes the exact same numbers.
Focused
Your top codes, one locality
- Up to 50 CPT / HCPCS codes
- 1 payment locality included
- Facility or non-facility rates
- Full RVU breakdown per code
Full code list
Most practices start here
- Up to 150 codes — a full specialty list
- 1 locality included, add more for $79 each
- Facility and non-facility columns
- Modifier 26 / TC splits where they apply
Extensive
Multi-specialty groups & billing companies
- Up to 300 codes
- 1 locality included, add more for $79 each
- Both rate settings, all localities
- Priority turnaround
More localities? Each locality beyond the first adds $79 — but your total never exceeds $799, the flat price for all 109 localities, no matter how many codes or localities you add. Bigger than 300 codes? Contact us for a custom quote. Keep it current: add the annual refresh — $49/year for a single-locality table, $149/year for multi-locality or all-localities tables — and your table is re-issued each fall when CMS publishes the new Physician Fee Schedule files, ahead of the January repricing. Not sure yet? Start with the free 10-code sample — 10 codes, 1 locality, no card required.
Built to be right, not just fast
A rate table that ignores payment rules is worse than no table — it gives you wrong numbers with confidence. Here is what the computation handles.
Payment rules baked in
- Modifier 26 / TC splits on codes with professional and technical components
- Multiple-procedure payment reductions on eligible surgical codes
- Separate facility and non-facility practice-expense RVUs — never one blended rate
- Both 2027 conversion factors: $32.63 standard, $32.95 for qualifying APM participants
- GPCI values per locality, including the work-GPCI floor where it applies
Where the data comes from
Every figure is computed from CMS’s own published files — the Physician Fee Schedule relative value file (RVU27A for 2027) and the GPCI file for your localities. CMS data is public and free to use; what you’re paying for is the bulk computation, the locality matching, and a table your team can actually work from. Every row carries its RVU components so any rate can be traced back to the source.
Who this is for
Independent practices of roughly 1–10 providers that bill Medicare and have no full-time RCM analyst — and small billing companies that need current-year tables for every client at once. If you’ve ever spent an afternoon clicking through the CMS lookup tool code by code, this replaces that afternoon.
What it isn’t
It isn’t a subscription lookup tool, and it isn’t billing advice. It’s a done-for-you deliverable: your codes, your localities, your rates — computed once, correctly, in a spreadsheet your existing workflow can absorb. The annual refresh ($49/year for a single-locality table, $149/year for multi-locality) covers the next year's repricing when CMS publishes new files each fall.
Questions
What is the 2027 Medicare conversion factor?
$32.63 for most clinicians and $32.95 for qualifying APM participants, finalized Nov 4, 2026 (CMS-1848-F) and effective Jan 1, 2027 — down 2.31% from 2026's $33.40 because the one-year 2.5% increase expired. Every code's rate is its total RVUs times this factor, after geographic adjustment.
How is my Medicare rate calculated?
Payment = [(Work RVU × Work GPCI) + (PE RVU × PE GPCI) + (MP RVU × MP GPCI)] × Conversion Factor. The RVUs are national; the GPCIs adjust them for your payment locality's costs; the conversion factor turns RVUs into dollars. Your table shows each component so you can check the math.
What is a Medicare payment locality, and why does it change my rate?
CMS divides the country into 109 payment localities. The same CPT code pays differently in each. Your locality is set by where the service is furnished, not your billing address. We price your table to your locality's GPCIs.
How is this different from the free CMS Physician Fee Schedule Look-Up Tool?
The CMS tool prices one code at a time — fine for a single check, tedious for a whole fee schedule. We take your full code list (50, 150, 300+ codes) and return all of it at once as a clean spreadsheet: code, facility and non-facility rates, RVUs, and your locality's GPCIs, ready to load into your billing system or use in contract talks.
What exactly do I get in the table?
One spreadsheet per locality: every CPT/HCPCS code you sent, with 2027 facility and non-facility Medicare-allowed amounts, work/PE/MP RVUs, GPCI values, payment status, and global period. Delivered as Excel + CSV, typically within 2 business days. Annual refresh available for $49/year for a single-locality table, $149/year for multi-locality tables, when CMS publishes the new files each fall.
What do you need from me to start?
Your CPT/HCPCS code list (paste it in the order form, or upload your charge master / billing export) and your practice ZIP code or locality. No patient data, no login, no payer contracts. The free 10-code sample needs only 10 codes and a ZIP.