# CPT 20552: Injection, single or multiple trigger point(s), 1-2 muscles

Medicare CPT 20552 pays $51.77 in a non-facility setting and $35.74 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $46.68 in Arkansas to $63.23 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/20552-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Family Medicine, Internal Medicine, Pain Medicine, Rheumatology, Sports Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $51.77 |
| National facility | $35.74 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $63.23 | $46.16 |
| District of Columbia | $58.18 | $39.30 |
| New York | $56.87 | $38.98 |
| California | $56.61 | $37.64 |
| New Jersey | $56.60 | $38.55 |
| Washington | $55.88 | $37.61 |
| Massachusetts | $55.48 | $37.47 |
| Connecticut | $54.85 | $37.58 |
| Hawaii | $54.63 | $36.40 |
| Florida | $54.08 | $37.99 |
| Maryland | $53.43 | $36.71 |
| Colorado | $53.31 | $36.25 |
| Illinois | $53.03 | $37.54 |
| Rhode Island | $52.85 | $36.29 |
| Oregon | $52.80 | $35.91 |
| New Hampshire | $52.63 | $35.94 |
| Puerto Rico | $52.04 | $35.84 |
| Virgin Islands | $52.04 | $35.84 |
| Montana | $51.77 | $35.73 |
| Pennsylvania | $51.55 | $35.85 |
| Nevada | $51.41 | $35.36 |
| Delaware | $51.31 | $35.47 |
| Texas | $51.29 | $35.50 |
| Wyoming | $51.16 | $35.13 |
| Michigan | $51.01 | $35.96 |
| Georgia | $50.97 | $35.68 |
| Minnesota | $50.94 | $34.44 |
| Virginia | $50.61 | $34.85 |
| Arizona | $50.56 | $35.03 |
| North Dakota | $50.38 | $34.35 |
| Vermont | $50.34 | $34.46 |
| South Dakota | $50.22 | $34.19 |
| New Mexico | $49.91 | $35.21 |
| Utah | $49.85 | $34.78 |
| Maine | $49.65 | $34.33 |
| Louisiana | $49.44 | $34.81 |
| Missouri | $49.43 | $34.71 |
| Ohio | $49.35 | $34.71 |
| South Carolina | $49.29 | $34.47 |
| West Virginia | $49.10 | $35.17 |
| North Carolina | $49.05 | $34.09 |
| Wisconsin | $48.98 | $33.62 |
| Indiana | $48.52 | $33.66 |
| Kentucky | $48.46 | $34.21 |
| Idaho | $48.29 | $33.54 |
| Oklahoma | $48.25 | $33.93 |
| Nebraska | $48.16 | $33.36 |
| Tennessee | $48.14 | $33.56 |
| Iowa | $47.98 | $33.31 |
| Kansas | $47.92 | $33.42 |
| Mississippi | $47.26 | $33.46 |
| Alabama | $47.25 | $33.22 |
| Arkansas | $46.68 | $32.91 |

## 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 20552 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