# CPT 20561: Needle Insertion w/o Injection 3 or More Muscles

Medicare CPT 20561 pays $38.08 in a non-facility setting and $19.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $34.58 in Arkansas to $46.87 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/20561-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Rheumatology, Sports Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $38.08 |
| National facility | $19.71 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $46.87 | $27.30 |
| District of Columbia | $42.84 | $21.20 |
| California | $42.10 | $20.36 |
| New Jersey | $41.66 | $20.98 |
| New York | $41.65 | $21.16 |
| Washington | $41.35 | $20.41 |
| Massachusetts | $41.01 | $20.37 |
| Hawaii | $40.58 | $19.70 |
| Connecticut | $40.25 | $20.46 |
| Colorado | $39.41 | $19.87 |
| Maryland | $39.27 | $20.12 |
| Florida | $39.10 | $20.67 |
| Oregon | $39.07 | $19.72 |
| Rhode Island | $38.97 | $20.00 |
| New Hampshire | $38.83 | $19.70 |
| Illinois | $38.32 | $20.57 |
| Puerto Rico | $38.30 | $19.72 |
| Virgin Islands | $38.30 | $19.72 |
| Montana | $38.08 | $19.70 |
| Minnesota | $37.99 | $19.09 |
| Nevada | $37.93 | $19.54 |
| Pennsylvania | $37.85 | $19.85 |
| Wyoming | $37.82 | $19.45 |
| Delaware | $37.80 | $19.65 |
| Texas | $37.76 | $19.68 |
| North Dakota | $37.48 | $19.11 |
| Virginia | $37.42 | $19.36 |
| South Dakota | $37.41 | $19.04 |
| Vermont | $37.37 | $19.18 |
| Georgia | $37.32 | $19.79 |
| Arizona | $37.27 | $19.47 |
| Michigan | $37.19 | $19.93 |
| Maine | $36.75 | $19.20 |
| Utah | $36.69 | $19.42 |
| New Mexico | $36.50 | $19.66 |
| Wisconsin | $36.49 | $18.89 |
| Missouri | $36.30 | $19.44 |
| South Carolina | $36.30 | $19.33 |
| North Carolina | $36.28 | $19.14 |
| Louisiana | $36.27 | $19.50 |
| Ohio | $36.23 | $19.45 |
| Indiana | $36.00 | $18.97 |
| Idaho | $35.84 | $18.94 |
| Nebraska | $35.81 | $18.85 |
| West Virginia | $35.71 | $19.74 |
| Tennessee | $35.67 | $18.97 |
| Iowa | $35.66 | $18.85 |
| Kentucky | $35.62 | $19.29 |
| Oklahoma | $35.57 | $19.16 |
| Kansas | $35.53 | $18.92 |
| Alabama | $34.97 | $18.90 |
| Mississippi | $34.84 | $19.03 |
| Arkansas | $34.58 | $18.80 |

## 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 20561 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