# CPT 20100: Exploration of penetrating wound, neck

Medicare CPT 20100 pays $545.77 in a non-facility setting and $545.77 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $488.85 in Wisconsin to $690.17 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/20100-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $545.77 |
| National facility | $545.77 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $690.17 | $690.17 |
| Florida | $616.41 | $616.41 |
| Illinois | $610.00 | $610.00 |
| New York | $603.90 | $603.90 |
| District of Columbia | $596.18 | $596.18 |
| New Jersey | $586.13 | $586.13 |
| Connecticut | $578.39 | $578.39 |
| Michigan | $567.84 | $567.84 |
| Maryland | $561.59 | $561.59 |
| Massachusetts | $560.30 | $560.30 |
| West Virginia | $560.23 | $560.23 |
| Washington | $559.47 | $559.47 |
| Georgia | $554.71 | $554.71 |
| Pennsylvania | $551.19 | $551.19 |
| New Mexico | $549.59 | $549.59 |
| Rhode Island | $548.59 | $548.59 |
| California | $548.43 | $548.43 |
| Puerto Rico | $546.13 | $546.13 |
| Virgin Islands | $546.13 | $546.13 |
| Montana | $545.62 | $545.62 |
| Colorado | $542.14 | $542.14 |
| New Hampshire | $541.98 | $541.98 |
| Texas | $540.29 | $540.29 |
| Delaware | $538.37 | $538.37 |
| Louisiana | $537.63 | $537.63 |
| Oregon | $535.12 | $535.12 |
| Ohio | $534.74 | $534.74 |
| Missouri | $533.61 | $533.61 |
| Nevada | $533.52 | $533.52 |
| Hawaii | $532.86 | $532.86 |
| Arizona | $530.95 | $530.95 |
| Utah | $530.19 | $530.19 |
| Wyoming | $526.49 | $526.49 |
| Kentucky | $524.64 | $524.64 |
| South Carolina | $524.49 | $524.49 |
| Virginia | $521.70 | $521.70 |
| Oklahoma | $514.94 | $514.94 |
| Maine | $512.13 | $512.13 |
| North Carolina | $510.05 | $510.05 |
| Mississippi | $507.85 | $507.85 |
| Vermont | $507.80 | $507.80 |
| North Dakota | $501.73 | $501.73 |
| Tennessee | $499.28 | $499.28 |
| Indiana | $497.90 | $497.90 |
| Minnesota | $497.44 | $497.44 |
| Alabama | $496.89 | $496.89 |
| South Dakota | $496.54 | $496.54 |
| Kansas | $496.17 | $496.17 |
| Idaho | $496.01 | $496.01 |
| Arkansas | $490.97 | $490.97 |
| Iowa | $489.70 | $489.70 |
| Nebraska | $489.36 | $489.36 |
| Wisconsin | $488.85 | $488.85 |

## Related codes

- 20103: Exploration of penetrating wound, extremity — https://www.med-reveal.com/rates/20103-cpt-fee-schedule
- 20200: Biopsy, muscle, superficial — https://www.med-reveal.com/rates/20200-cpt-fee-schedule
- 20220: Biopsy, bone, trocar or needle, superficial — https://www.med-reveal.com/rates/20220-cpt-fee-schedule
- 20245: Biopsy, bone, open, deep — https://www.med-reveal.com/rates/20245-cpt-fee-schedule
- 20500: Injection of sinus tract — https://www.med-reveal.com/rates/20500-cpt-fee-schedule
- 20526: Injection, carpal tunnel — https://www.med-reveal.com/rates/20526-cpt-fee-schedule
- 20550: Injection, single tendon sheath or ligament — https://www.med-reveal.com/rates/20550-cpt-fee-schedule
- 20551: Injection, single tendon origin/insertion — https://www.med-reveal.com/rates/20551-cpt-fee-schedule

Commercial negotiated rates for 20100 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules