# CPT 20560: Needle Insertion w/o Injection 1 or 2 Muscles

Medicare 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.

Web page: https://www.med-reveal.com/rates/20560-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Rheumatology, Sports Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $24.72 |
| National facility | $12.36 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $30.66 | $17.49 |
| District of Columbia | $27.81 | $13.25 |
| California | $27.50 | $12.88 |
| New Jersey | $27.05 | $13.13 |
| New York | $26.95 | $13.16 |
| Washington | $26.94 | $12.85 |
| Massachusetts | $26.70 | $12.81 |
| Hawaii | $26.50 | $12.45 |
| Connecticut | $26.07 | $12.76 |
| Colorado | $25.67 | $12.52 |
| Maryland | $25.48 | $12.59 |
| Oregon | $25.46 | $12.43 |
| 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 | $24.16 | $12.36 |
| Michigan | $23.99 | $12.40 |
| 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 | $23.55 | $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 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 20560 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