# CPT 20200: Biopsy, muscle, superficial

Medicare CPT 20200 pays $241.82 in a non-facility setting and $90.18 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $210.16 in Arkansas to $278.18 in District of Columbia, a 32% spread.

Web page: https://www.med-reveal.com/rates/20200-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $241.82 |
| National facility | $90.18 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $278.18 | $99.55 |
| Alaska | $271.82 | $110.32 |
| California | $271.23 | $91.80 |
| New York | $269.56 | $100.39 |
| New Jersey | $268.23 | $97.47 |
| Washington | $266.19 | $93.32 |
| Massachusetts | $263.72 | $93.35 |
| Hawaii | $261.56 | $89.14 |
| Connecticut | $259.38 | $96.07 |
| Florida | $254.13 | $101.98 |
| Colorado | $251.34 | $89.99 |
| Maryland | $251.14 | $93.05 |
| Oregon | $248.52 | $88.77 |
| New Hampshire | $247.74 | $89.88 |
| Rhode Island | $247.40 | $90.75 |
| Illinois | $247.10 | $100.58 |
| Puerto Rico | $243.64 | $90.33 |
| Virgin Islands | $243.64 | $90.33 |
| Montana | $241.80 | $90.16 |
| Nevada | $239.94 | $88.15 |
| Pennsylvania | $239.37 | $90.84 |
| Delaware | $238.63 | $88.81 |
| Wyoming | $238.61 | $86.97 |
| Minnesota | $238.40 | $82.36 |
| Texas | $238.38 | $89.09 |
| Georgia | $235.95 | $91.29 |
| Michigan | $235.76 | $93.37 |
| Virginia | $235.09 | $86.03 |
| North Dakota | $234.48 | $82.84 |
| Arizona | $234.40 | $87.46 |
| Vermont | $233.90 | $83.77 |
| South Dakota | $233.62 | $81.98 |
| Utah | $229.64 | $87.10 |
| New Mexico | $229.20 | $90.14 |
| Maine | $229.11 | $84.22 |
| Missouri | $226.64 | $87.49 |
| Louisiana | $226.57 | $88.12 |
| South Carolina | $226.13 | $86.02 |
| Ohio | $226.08 | $87.64 |
| Wisconsin | $225.63 | $80.35 |
| North Carolina | $225.16 | $83.68 |
| West Virginia | $223.30 | $91.53 |
| Indiana | $222.18 | $81.61 |
| Idaho | $220.75 | $81.24 |
| Kentucky | $220.57 | $85.76 |
| Nebraska | $220.12 | $80.16 |
| Oklahoma | $219.59 | $84.17 |
| Tennessee | $219.54 | $81.69 |
| Iowa | $218.90 | $80.15 |
| Kansas | $218.22 | $81.13 |
| Alabama | $213.70 | $81.02 |
| Mississippi | $213.29 | $82.73 |
| Arkansas | $210.16 | $79.90 |

## Related codes

- 20100: Exploration of penetrating wound, neck — https://www.med-reveal.com/rates/20100-cpt-fee-schedule
- 20103: Exploration of penetrating wound, extremity — https://www.med-reveal.com/rates/20103-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 20200 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