# CPT 20553: Injection, trigger points, 3 or more muscles

Medicare CPT 20553 pays $59.79 in a non-facility setting and $40.75 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $53.88 in Arkansas to $72.91 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/20553-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Family Medicine, Internal Medicine, Orthopaedic Surgery, Pain Medicine, Rheumatology, Sports Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $59.79 |
| National facility | $40.75 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $72.91 | $52.63 |
| District of Columbia | $67.23 | $44.81 |
| New York | $65.69 | $44.45 |
| California | $65.44 | $42.91 |
| New Jersey | $65.38 | $43.95 |
| Washington | $64.58 | $42.87 |
| Massachusetts | $64.11 | $42.72 |
| Connecticut | $63.36 | $42.85 |
| Hawaii | $63.15 | $41.50 |
| Florida | $62.43 | $43.33 |
| Maryland | $61.71 | $41.86 |
| Colorado | $61.59 | $41.33 |
| Illinois | $61.20 | $42.81 |
| Rhode Island | $61.04 | $41.38 |
| Oregon | $61.00 | $40.94 |
| New Hampshire | $60.80 | $40.98 |
| Puerto Rico | $60.11 | $40.86 |
| Virgin Islands | $60.11 | $40.86 |
| Montana | $59.78 | $40.74 |
| Pennsylvania | $59.52 | $40.88 |
| Nevada | $59.37 | $40.32 |
| Delaware | $59.25 | $40.44 |
| Texas | $59.22 | $40.48 |
| Wyoming | $59.09 | $40.05 |
| Michigan | $58.88 | $41.00 |
| Minnesota | $58.86 | $39.27 |
| Georgia | $58.85 | $40.68 |
| Virginia | $58.45 | $39.73 |
| Arizona | $58.39 | $39.94 |
| North Dakota | $58.20 | $39.16 |
| Vermont | $58.14 | $39.29 |
| South Dakota | $58.01 | $38.97 |
| New Mexico | $57.61 | $40.15 |
| Utah | $57.55 | $39.65 |
| Maine | $57.33 | $39.14 |
| Louisiana | $57.07 | $39.68 |
| Missouri | $57.05 | $39.58 |
| Ohio | $56.96 | $39.58 |
| South Carolina | $56.90 | $39.31 |
| West Virginia | $56.65 | $40.11 |
| North Carolina | $56.63 | $38.87 |
| Wisconsin | $56.56 | $38.32 |
| Indiana | $56.02 | $38.38 |
| Kentucky | $55.93 | $39.00 |
| Idaho | $55.76 | $38.25 |
| Oklahoma | $55.69 | $38.69 |
| Nebraska | $55.61 | $38.03 |
| Tennessee | $55.57 | $38.27 |
| Iowa | $55.39 | $37.97 |
| Kansas | $55.32 | $38.11 |
| Alabama | $54.54 | $37.88 |
| Mississippi | $54.54 | $38.15 |
| Arkansas | $53.88 | $37.52 |

## 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 20553 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