CPT 20560

Needle Insertion W/O Injection 1 Or 2 Muscles

CPT 20560 pays $24.72 in a non-facility setting and $12.36 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $22.58 in Arkansas to $30.66 in Alaska, a 36% spread.

National non-facility rate

$24.72

Office and other outpatient settings

Facility rate
$12.36

Hospital and ASC settings

Highest state
$30.66

Alaska

Lowest state
$22.58

Arkansas · 36% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $24.72
CPT 20560 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $24.72, national facility $12.36.
StateRate compared visuallyNon-facilityFacility
Alaska
$30.66$17.49
District of Columbia
$27.81$13.25
California
$27.51$12.88
New Jersey
$27.05$13.13
New York
$26.95$13.16
Washington
$26.94$12.85
Massachusetts
$26.69$12.81
Hawaii
$26.50$12.45
Connecticut
$26.07$12.76
Colorado
$25.67$12.52
Maryland
$25.47$12.59
Oregon
$25.46$12.44
Rhode Island
$25.34$12.57
New Hampshire
$25.25$12.39
Florida
$25.08$12.68
Minnesota
$24.89$12.17
Puerto Rico
$24.87$12.37
Virgin Islands
$24.87$12.37
Montana
$24.72$12.36
Nevada
$24.67$12.30
Wyoming
$24.63$12.27
Illinois
$24.58$12.64
Delaware
$24.57$12.36
Pennsylvania
$24.55$12.44
Texas
$24.53$12.37
North Dakota
$24.52$12.16
South Dakota
$24.49$12.14
Vermont
$24.41$12.18
Virginia
$24.38$12.23
Arizona
$24.23$12.26
Georgia
$24.15$12.36
Michigan
$24.00$12.39
Maine
$23.97$12.16
Wisconsin
$23.90$12.06
Utah
$23.84$12.22
North Carolina
$23.66$12.13
New Mexico
$23.62$12.29
South Carolina
$23.60$12.18
Missouri
$23.56$12.22
Indiana
$23.52$12.06
Louisiana
$23.51$12.23
Ohio
$23.50$12.22
Nebraska
$23.43$12.02
Idaho
$23.42$12.05
Iowa
$23.32$12.01
Tennessee
$23.29$12.05
Kansas
$23.20$12.03
Oklahoma
$23.14$12.11
Kentucky
$23.13$12.14
West Virginia
$23.02$12.28
Alabama
$22.82$12.00
Mississippi
$22.68$12.04
Arkansas
$22.58$11.96

Billed by 2 specialties

Commercial rates for 20560

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates