# CPT 20220: Biopsy, bone, trocar or needle, superficial

Medicare CPT 20220 pays $223.12 in a non-facility setting and $76.49 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $197.29 in Arkansas to $258.09 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/20220-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Emergency Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $223.12 |
| National facility | $76.49 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $258.09 | $101.93 |
| District of Columbia | $255.80 | $83.07 |
| California | $252.44 | $78.94 |
| New Jersey | $246.98 | $81.88 |
| New York | $246.63 | $83.05 |
| Washington | $246.53 | $79.37 |
| Massachusetts | $243.98 | $79.24 |
| Hawaii | $243.15 | $76.43 |
| Connecticut | $237.99 | $80.07 |
| Colorado | $232.99 | $76.98 |
| Maryland | $231.21 | $78.35 |
| Oregon | $230.74 | $76.26 |
| New Hampshire | $229.12 | $76.48 |
| Florida | $229.04 | $81.92 |
| Rhode Island | $228.93 | $77.46 |
| Puerto Rico | $224.83 | $76.59 |
| Virgin Islands | $224.83 | $76.59 |
| Minnesota | $223.87 | $72.98 |
| Montana | $223.11 | $76.48 |
| Illinois | $222.96 | $81.27 |
| Nevada | $222.33 | $75.56 |
| Wyoming | $221.64 | $75.01 |
| Delaware | $220.85 | $75.98 |
| Pennsylvania | $220.64 | $77.02 |
| Texas | $220.48 | $76.12 |
| North Dakota | $219.75 | $73.12 |
| South Dakota | $219.35 | $72.72 |
| Vermont | $218.68 | $73.51 |
| Virginia | $218.67 | $74.53 |
| Arizona | $217.23 | $75.14 |
| Georgia | $216.79 | $76.90 |
| Michigan | $215.45 | $77.77 |
| Maine | $213.72 | $73.61 |
| Utah | $212.72 | $74.89 |
| Wisconsin | $212.31 | $71.84 |
| New Mexico | $210.68 | $76.22 |
| North Carolina | $210.10 | $73.30 |
| South Carolina | $209.83 | $74.34 |
| Missouri | $209.55 | $75.00 |
| Louisiana | $209.15 | $75.28 |
| Ohio | $208.92 | $75.05 |
| Indiana | $208.25 | $72.33 |
| Idaho | $207.03 | $72.13 |
| Nebraska | $206.98 | $71.64 |
| Iowa | $205.78 | $71.62 |
| Tennessee | $205.60 | $72.31 |
| Kansas | $204.59 | $72.04 |
| Kentucky | $204.47 | $74.11 |
| Oklahoma | $204.34 | $73.40 |
| West Virginia | $204.13 | $76.70 |
| Alabama | $200.20 | $71.89 |
| Mississippi | $198.89 | $72.64 |
| Arkansas | $197.29 | $71.33 |

## 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
- 20200: Biopsy, muscle, superficial — https://www.med-reveal.com/rates/20200-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 20220 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