# CPT 20551: Injection, single tendon origin/insertion

Medicare CPT 20551 pays $60.46 in a non-facility setting and $33.07 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $54.45 in Arkansas to $73.62 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/20551-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Family Medicine, Internal Medicine, Rheumatology, Sports Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $60.46 |
| National facility | $33.07 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $73.62 | $44.45 |
| District of Columbia | $68.02 | $35.76 |
| New York | $66.43 | $35.88 |
| California | $66.23 | $33.82 |
| New Jersey | $66.14 | $35.30 |
| Washington | $65.33 | $34.11 |
| Massachusetts | $64.86 | $34.08 |
| Connecticut | $64.08 | $34.58 |
| Hawaii | $63.91 | $32.77 |
| Florida | $63.10 | $35.62 |
| Maryland | $62.40 | $33.85 |
| Colorado | $62.30 | $33.16 |
| Illinois | $61.85 | $35.38 |
| Rhode Island | $61.73 | $33.44 |
| Oregon | $61.70 | $32.85 |
| New Hampshire | $61.49 | $32.98 |
| Puerto Rico | $60.78 | $33.09 |
| Virgin Islands | $60.78 | $33.09 |
| Montana | $60.45 | $33.06 |
| Pennsylvania | $60.18 | $33.35 |
| Nevada | $60.04 | $32.63 |
| Delaware | $59.91 | $32.85 |
| Texas | $59.88 | $32.92 |
| Wyoming | $59.76 | $32.37 |
| Minnesota | $59.54 | $31.36 |
| Michigan | $59.51 | $33.79 |
| Georgia | $59.48 | $33.35 |
| Virginia | $59.10 | $32.18 |
| Arizona | $59.04 | $32.50 |
| North Dakota | $58.87 | $31.48 |
| Vermont | $58.80 | $31.69 |
| South Dakota | $58.68 | $31.29 |
| New Mexico | $58.22 | $33.10 |
| Utah | $58.18 | $32.43 |
| Maine | $57.97 | $31.81 |
| Louisiana | $57.68 | $32.67 |
| Missouri | $57.67 | $32.53 |
| Ohio | $57.57 | $32.57 |
| South Carolina | $57.52 | $32.21 |
| North Carolina | $57.25 | $31.70 |
| West Virginia | $57.23 | $33.43 |
| Wisconsin | $57.20 | $30.97 |
| Indiana | $56.64 | $31.25 |
| Kentucky | $56.52 | $32.17 |
| Idaho | $56.38 | $31.18 |
| Oklahoma | $56.29 | $31.83 |
| Nebraska | $56.22 | $30.94 |
| Tennessee | $56.18 | $31.28 |
| Iowa | $56.01 | $30.94 |
| Kansas | $55.92 | $31.16 |
| Alabama | $55.12 | $31.16 |
| Mississippi | $55.12 | $31.53 |
| Arkansas | $54.45 | $30.92 |

## 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
- 20550: Injection, single tendon sheath or ligament — https://www.med-reveal.com/rates/20550-cpt-fee-schedule

Commercial negotiated rates for 20551 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