United States · Medicare · 2020 to 2026, 2027 pending
Medicare Part B premium by year and income.
See the Part B premium, deductible and income tier for 2023 to 2026, and where 2027 stands.
The 2026 standard Part B premium is $202.90 a month, and it reaches $689.90 for the top income tier. CMS had not published a 2027 premium by October 20, 2026; SSA says the amounts reach my Social Security accounts in late November.
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Medicare Part B premium for 2027: what is known
CMS had not published the 2027 Part B premium or deductible when this page was checked on October 20, 2026. For 2026 CMS released the amounts on November 14, 2025, and the Social Security Administration said on October 14, 2026 that 2027 Medicare premium amounts will appear in the my Social Security message center starting in late November. Until then any 2027 figure you see is an estimate, so this page does not print one.
What you can rely on today is the 2026 premium and every earlier year. The standard premium is $202.90 a month in 2026, up $17.90 from $185.00 in 2025, with a Part B deductible of $283. People whose income is above the thresholds below pay an income-related monthly adjustment amount (IRMAA) on top. The 2027 premium you pay will be tested against income from your 2025 tax return, because Social Security uses income from the tax year two years before the premium year (20 CFR 418.1135).
2026 Part B premium by income
These are CMS's 2026 amounts for full Part B coverage. They are based on modified adjusted gross income (MAGI) from your 2024 return. A married person who lived with a spouse at any time during the year but files separately has only three bands: the standard premium up to $109,000, $649.20 from $109,001 to $390,999 and $689.90 at $391,000 or more.
| Income tier | Single filers (MAGI) | Joint filers (MAGI) | Monthly adjustment | Total per month | Total per year |
|---|---|---|---|---|---|
| Tier 0 (standard) | up to $109,000 | up to $218,000 | $0.00 | $202.90 | $2,434.80 |
| Tier 1 | $109,001 to $137,000 | $218,001 to $274,000 | $81.20 | $284.10 | $3,409.20 |
| Tier 2 | $137,001 to $171,000 | $274,001 to $342,000 | $202.90 | $405.80 | $4,869.60 |
| Tier 3 | $171,001 to $205,000 | $342,001 to $410,000 | $324.60 | $527.50 | $6,330.00 |
| Tier 4 | $205,001 to $499,999 | $410,001 to $749,999 | $446.30 | $649.20 | $7,790.40 |
| Tier 5 (top) | $500,000 or more | $750,000 or more | $487.00 | $689.90 | $8,278.80 |
Standard premium and deductible by year
The standard Part B premium rose every year from 2021 on except 2023, when it fell $5.20 from $170.10. The deductible also dipped that year, from $233 to $226.
| Year | Standard monthly premium | Annual deductible | Change in premium from the prior year |
|---|---|---|---|
| 2026 | $202.90 | $283 | +$17.90 |
| 2025 | $185.00 | $257 | +$10.30 |
| 2024 | $174.70 | $240 | +$9.80 |
| 2023 | $164.90 | $226 | -$5.20 |
| 2022 | $170.10 | $233 | +$21.60 |
| 2021 | $148.50 | $203 | +$3.90 |
| 2020 | $144.60 | $198 | n/a |
How the income thresholds have moved
The first threshold is the highest income that still pays only the standard premium. It has risen each year, and the top tier starts at the same $500,000 (single) and $750,000 (joint) in every year shown.
| Premium year | Standard premium up to (single) | Standard premium up to (joint) | Top tier starts at (single) | Top tier starts at (joint) | Total premium, top tier |
|---|---|---|---|---|---|
| 2026 | $109,000 | $218,000 | $500,000 | $750,000 | $689.90 |
| 2025 | $106,000 | $212,000 | $500,000 | $750,000 | $628.90 |
| 2024 | $103,000 | $206,000 | $500,000 | $750,000 | $594.00 |
| 2023 | $97,000 | $194,000 | $500,000 | $750,000 | $560.50 |
Worked example with real numbers
This is a hypothetical single filer whose 2024 MAGI was $120,000. For 2026 that is above $109,000 and under $137,000, so the filer is in tier 1: the $202.90 standard premium plus $81.20 of IRMAA, $284.10 a month. Over a year that is $3,409.20, of which $974.40 is the income-related extra.
A married couple filing jointly with a 2024 MAGI of $300,000 sits between $274,000 and $342,000, which is tier 2. Each spouse pays $405.80 a month, so the household pays $811.60 a month for Part B alone if both spouses are enrolled.
Common mistakes and edge cases
- Using this year's income. The test uses the tax year two years back, so a 2026 premium reflects 2024 income. If a major life-changing event or a significant drop in income has changed your situation, SSA can use a more recent tax year (20 CFR Part 418, subpart B).
- Thinking a dollar over the line costs a dollar. Moving over a threshold by $1 moves the whole premium to the next tier, which in 2026 adds $974.40 a year at tier 1.
- Adding Part D by mistake. Part D has its own income-related amount, which these Part B figures do not include.
- Using the single column for a married couple filing separately who lived together. Those filers get the three-band table, not the single table.
- Mixing up premium and deductible. The annual deductible ($283 in 2026) is separate from the monthly premium.
Who this is for and what it does not cover
This page is for people planning retirement income, helping a parent with Medicare costs, or checking a notice from SSA. It covers the Part B standard premium, deductible and income tiers for 2020 to 2026. It does not cover Part A premiums, Part D income-related amounts, Medicare Advantage premiums or Medigap, and it does not project 2027. For a quick 2026 answer with the Part D surcharge included, use the Medicare IRMAA calculator.
Common mix-ups
-
Often assumedEveryone on Medicare pays the same Part B premium.
What the source saysCMS sets a standard 2026 premium of $202.90 a month, but higher-income beneficiaries pay more, up to $689.90 a month for full Part B coverage at the top income tier. [1]
-
Often assumedThe Part B deductible is part of the monthly premium.
What the source saysThe 2026 Part B annual deductible is $283, up from $257 in 2025. It is a separate amount from the $202.90 standard monthly premium. [1]
Checked against these sources on .
Frequently asked questions
What is the Medicare Part B premium for 2027?
CMS had not announced it as of October 20, 2026. SSA said 2027 premium amounts will be available in the my Social Security message center starting in late November. The 2026 standard premium is $202.90.
What is the Part B premium in 2026?
The standard monthly premium is $202.90 in 2026, up $17.90 from $185.00 in 2025. The annual deductible is $283.
What income makes me pay more than the standard Part B premium in 2026?
Modified adjusted gross income above $109,000 for single filers or above $218,000 for married couples filing jointly, using your 2024 tax return.
How much is the highest Part B premium in 2026?
It is $689.90 a month for people with MAGI of $500,000 or more filing singly or $750,000 or more filing jointly: the $202.90 standard premium plus $487.00.
Which tax year does Medicare use to set my premium?
The tax year two years before the premium year. If IRS information for that year is not available, SSA uses the year before that. For 2027 premiums the first choice is your 2025 return.
What are the Part B income brackets for married people filing separately?
If you lived with your spouse during the year and file separately, the 2026 bands are up to $109,000 (standard premium), above $109,000 and below $391,000 ($649.20) and $391,000 or more ($689.90).
Why did the Part B premium go down in 2023?
The 2023 standard premium was $164.90, a decrease of $5.20 from $170.10 in 2022. CMS said the 2022 premium had included a contingency margin for the drug Aduhelm, and lower-than-projected spending on Aduhelm and other Part B items left much larger reserves in the Part B account.
Does the Part B premium include Part D?
No. Part B and Part D each have their own income-related adjustment, and the Part B figures on this page leave Part D out.
Sources
Retrieved October 20, 2026. Figures come from these primary sources, and anything calculated or estimated is labeled as such. ssa.gov blocks automated page checks, so the press release was read through a public web archive copy dated October 15, 2026; open it in a browser for the live page.
- CMS fact sheet, 2026 Medicare Parts A & B Premiums and Deductibles (November 14, 2025)
- CMS fact sheet, 2025 Medicare Parts A & B Premiums and Deductibles
- CMS fact sheet, 2024 Medicare Parts A & B Premiums and Deductibles
- CMS fact sheet, 2023 Medicare Parts A & B Premiums and Deductibles
- CMS fact sheet, 2021 Medicare Parts A & B Premiums and Deductibles
- CMS fact sheet, 2020 Medicare Parts A & B Premiums and Deductibles
- 20 CFR 418.1135, modified adjusted gross income information used for IRMAA
- SSA press release of October 14, 2026 (2027 Medicare premium availability)
Reference, not a Medicare determination
Figures are copied from CMS fact sheets and applied in your browser, with nothing sent anywhere. Social Security decides your actual income-related amount from IRS data. Contact SSA or Medicare for decisions about your own premium.