Highest Paying CPT Codes (2026)
This insight surfaces higher-allowable procedures for 2026 and is designed to help reimbursement teams focus on code families where financial variance is largest. For high-dollar services, small shifts in documentation quality, site-of-service selection, or payer edits can significantly affect net collections and audit risk.
Data sourced from CMS Physician Fee Schedule.
Based on national non-facility rates (toggle available for facility rates).
Updated for 2026.
Last updated: March 2026.
Table
Tip: click column headers to sort and use the Facility vs Non-Facility toggle.
| 48150 | Pancreaticoduodenectomy | 100 | $2,871.14 |
| 61510 | Craniotomy for tumor | 99 | $2,161.37 |
| 33533 | CABG, single arterial graft | 98 | $1,757.89 |
| 27447 | Total knee arthroplasty | 97 | $1,159.35 |
| 27130 | Total hip arthroplasty | 96 | $1,162.02 |
| 22612 | Posterior lumbar fusion | 95 | $1,467.64 |
| 92928 | Percutaneous coronary intervention | 94 | $463.94 |
| 99213 | Office/outpatient visit established | 93 | $95.19 |
| 99214 | Office/outpatient visit established | 92 | $135.61 |
| 99203 | Office/outpatient visit new | 91 | $117.57 |
| 99204 | Office/outpatient visit new | 90 | $177.36 |
| 36415 | Collection of venous blood | 89 | $0.00 |
| 93000 | Electrocardiogram with interpretation | 88 | $15.36 |
| 20610 | Major joint injection | 87 | $68.81 |
| 17000 | Destroy premalignant lesion, first | 86 | $66.47 |
| 17003 | Each additional premalignant lesion | 85 | $6.35 |
| 11102 | Tangential biopsy, single lesion | 84 | $95.53 |
| 17110 | Destroy benign lesions, up to 14 | 83 | $111.22 |
| 12032 | Intermediate repair, scalp/extremities | 82 | $299.94 |
| 47562 | Laparoscopic cholecystectomy | 81 | $631.95 |
| 45385 | Colonoscopy with lesion removal | 80 | $500.01 |
| 71046 | Chest X-ray, 2 views | 79 | $33.07 |
| 64483 | Transforaminal epidural injection | 78 | $264.87 |
| 76856 | Pelvic ultrasound non-obstetric | 77 | $105.21 |
| 11721 | Debridement of nails, 6+ | 76 | $45.09 |
Insights
- Higher-paying services cluster in complex surgical and interventional categories.
- These codes deserve tighter pre-bill QA and stronger denial prevention controls.
- Site-of-service assumptions can materially change expected revenue by encounter.
Why This Matters for Reimbursement Strategy
Organizations often use high-reimbursement CPT analyses for quarterly forecasting, physician compensation planning, and payer contract negotiation workflows. Benchmark pages like this are frequently cited in compliance memos and revenue-cycle playbooks.
If your team is comparing Medicare fee schedule benchmarks across specialties, this page can support internal documentation and external backlinks from coding education resources, billing blogs, and operational best-practice guides.
