# CPT 20550: Injection, single tendon sheath or ligament

Medicare CPT 20550 pays $60.46 in a non-facility setting and $33.40 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $54.34 in Arkansas to $73.45 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/20550-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Emergency Medicine, Family Medicine, Internal Medicine, Pain Medicine, Rheumatology, Sports Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $60.46 |
| National facility | $33.40 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $73.45 | $44.63 |
| District of Columbia | $68.00 | $36.13 |
| New York | $66.51 | $36.33 |
| New Jersey | $66.13 | $35.66 |
| California | $66.01 | $34.00 |
| Washington | $65.22 | $34.38 |
| Massachusetts | $64.77 | $34.37 |
| Connecticut | $64.12 | $34.98 |
| Hawaii | $63.72 | $32.96 |
| Florida | $63.41 | $36.27 |
| Maryland | $62.41 | $34.21 |
| Colorado | $62.21 | $33.42 |
| Illinois | $62.16 | $36.02 |
| Rhode Island | $61.69 | $33.74 |
| Oregon | $61.59 | $33.08 |
| New Hampshire | $61.44 | $33.27 |
| Puerto Rico | $60.77 | $33.42 |
| Virgin Islands | $60.77 | $33.42 |
| Montana | $60.45 | $33.39 |
| Pennsylvania | $60.21 | $33.71 |
| Nevada | $59.99 | $32.90 |
| Delaware | $59.88 | $33.15 |
| Texas | $59.86 | $33.23 |
| Michigan | $59.67 | $34.26 |
| Wyoming | $59.67 | $32.62 |
| Georgia | $59.56 | $33.75 |
| Minnesota | $59.30 | $31.46 |
| Virginia | $59.01 | $32.41 |
| Arizona | $59.00 | $32.78 |
| North Dakota | $58.67 | $31.62 |
| Vermont | $58.64 | $31.86 |
| South Dakota | $58.46 | $31.40 |
| New Mexico | $58.32 | $33.51 |
| Utah | $58.16 | $32.73 |
| Maine | $57.86 | $32.01 |
| Louisiana | $57.72 | $33.02 |
| Missouri | $57.68 | $32.86 |
| Ohio | $57.60 | $32.90 |
| South Carolina | $57.49 | $32.49 |
| West Virginia | $57.42 | $33.91 |
| North Carolina | $57.15 | $31.91 |
| Wisconsin | $56.99 | $31.07 |
| Kentucky | $56.53 | $32.48 |
| Indiana | $56.50 | $31.42 |
| Oklahoma | $56.25 | $32.09 |
| Idaho | $56.23 | $31.34 |
| Tennessee | $56.05 | $31.46 |
| Nebraska | $56.04 | $31.07 |
| Iowa | $55.83 | $31.08 |
| Kansas | $55.79 | $31.33 |
| Mississippi | $55.07 | $31.78 |
| Alabama | $55.02 | $31.34 |
| Arkansas | $54.34 | $31.10 |

## 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
- 20526: Injection, carpal tunnel — https://www.med-reveal.com/rates/20526-cpt-fee-schedule
- 20551: Injection, single tendon origin/insertion — https://www.med-reveal.com/rates/20551-cpt-fee-schedule

Commercial negotiated rates for 20550 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