# CPT 20526: Injection, carpal tunnel

Medicare CPT 20526 pays $88.18 in a non-facility setting and $49.43 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $78.12 in Arkansas to $104.36 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/20526-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Pain Medicine, Rheumatology, Sports Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $88.18 |
| National facility | $49.43 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $104.36 | $63.09 |
| District of Columbia | $99.69 | $54.05 |
| New York | $97.66 | $54.44 |
| New Jersey | $96.75 | $53.13 |
| California | $96.17 | $50.32 |
| Washington | $95.20 | $51.03 |
| Massachusetts | $94.56 | $51.03 |
| Connecticut | $93.97 | $52.24 |
| Florida | $93.73 | $54.85 |
| Hawaii | $92.88 | $48.83 |
| Illinois | $91.71 | $54.28 |
| Maryland | $91.22 | $50.83 |
| Colorado | $90.62 | $49.39 |
| Rhode Island | $89.86 | $49.83 |
| Oregon | $89.62 | $48.81 |
| New Hampshire | $89.59 | $49.26 |
| Puerto Rico | $88.66 | $49.49 |
| Virgin Islands | $88.66 | $49.49 |
| Montana | $88.17 | $49.42 |
| Pennsylvania | $87.79 | $49.83 |
| Michigan | $87.34 | $50.95 |
| Nevada | $87.28 | $48.50 |
| Delaware | $87.14 | $48.86 |
| Texas | $87.14 | $49.00 |
| Georgia | $86.96 | $50.00 |
| Wyoming | $86.70 | $47.96 |
| Arizona | $85.76 | $48.21 |
| Minnesota | $85.68 | $45.81 |
| Virginia | $85.63 | $47.54 |
| New Mexico | $85.02 | $49.49 |
| Vermont | $84.86 | $46.50 |
| North Dakota | $84.81 | $46.06 |
| Utah | $84.49 | $48.07 |
| South Dakota | $84.41 | $45.66 |
| Louisiana | $83.95 | $48.57 |
| West Virginia | $83.84 | $50.17 |
| Missouri | $83.83 | $48.27 |
| Maine | $83.76 | $46.73 |
| Ohio | $83.72 | $48.35 |
| South Carolina | $83.39 | $47.59 |
| North Carolina | $82.66 | $46.51 |
| Wisconsin | $82.07 | $44.96 |
| Kentucky | $81.95 | $47.50 |
| Indiana | $81.48 | $45.56 |
| Oklahoma | $81.37 | $46.77 |
| Idaho | $81.04 | $45.40 |
| Tennessee | $80.84 | $45.62 |
| Nebraska | $80.66 | $44.90 |
| Kansas | $80.39 | $45.37 |
| Iowa | $80.35 | $44.90 |
| Mississippi | $79.50 | $46.14 |
| Alabama | $79.24 | $45.34 |
| Arkansas | $78.12 | $44.84 |

## 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
- 20500: Injection of sinus tract — https://www.med-reveal.com/rates/20500-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 20526 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