# CPT 20500: Injection of sinus tract

Medicare CPT 20500 pays $128.59 in a non-facility setting and $83.50 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $114.63 in Arkansas to $152.54 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/20500-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $128.59 |
| National facility | $83.50 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $152.54 | $104.52 |
| District of Columbia | $145.98 | $92.86 |
| California | $142.79 | $89.44 |
| New York | $141.83 | $91.53 |
| New Jersey | $141.47 | $90.70 |
| Washington | $140.31 | $88.90 |
| Massachusetts | $139.11 | $88.45 |
| Hawaii | $137.70 | $86.43 |
| Connecticut | $136.78 | $88.22 |
| Florida | $133.61 | $88.37 |
| Colorado | $133.23 | $85.26 |
| Maryland | $133.00 | $86.00 |
| Oregon | $131.92 | $84.42 |
| Rhode Island | $131.55 | $84.97 |
| New Hampshire | $131.32 | $84.38 |
| Illinois | $130.54 | $86.97 |
| Puerto Rico | $129.42 | $83.83 |
| Virgin Islands | $129.42 | $83.83 |
| Montana | $128.58 | $83.49 |
| Nevada | $127.84 | $82.70 |
| Pennsylvania | $127.64 | $83.47 |
| Minnesota | $127.44 | $81.04 |
| Delaware | $127.31 | $82.76 |
| Wyoming | $127.29 | $82.20 |
| Texas | $127.20 | $82.81 |
| Georgia | $125.88 | $82.86 |
| Virginia | $125.73 | $81.40 |
| Michigan | $125.65 | $83.30 |
| North Dakota | $125.62 | $80.53 |
| Arizona | $125.34 | $81.64 |
| Vermont | $125.30 | $80.66 |
| South Dakota | $125.27 | $80.18 |
| Utah | $123.17 | $80.79 |
| Maine | $123.08 | $80.00 |
| New Mexico | $122.81 | $81.46 |
| Missouri | $121.78 | $80.40 |
| Louisiana | $121.71 | $80.54 |
| Wisconsin | $121.69 | $78.49 |
| South Carolina | $121.62 | $79.96 |
| Ohio | $121.51 | $80.35 |
| North Carolina | $121.30 | $79.23 |
| Indiana | $120.04 | $78.24 |
| West Virginia | $120.03 | $80.85 |
| Idaho | $119.41 | $77.92 |
| Nebraska | $119.18 | $77.56 |
| Kentucky | $119.08 | $79.00 |
| Tennessee | $118.83 | $77.84 |
| Oklahoma | $118.72 | $78.45 |
| Iowa | $118.62 | $77.36 |
| Kansas | $118.25 | $77.49 |
| Alabama | $116.19 | $76.74 |
| Mississippi | $115.91 | $77.09 |
| Arkansas | $114.63 | $75.89 |

## 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
- 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
- 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 20500 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