# CPT 20600: Arthrocentesis/injection, small joint, without ultrasound guidance

Medicare CPT 20600 pays $56.11 in a non-facility setting and $31.40 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $50.30 in Arkansas to $67.69 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/20600-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Clinic/Center, Emergency Medicine, Family Medicine, Infectious Disease, Internal Medicine, Pain Medicine, Rheumatology, Sports Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $56.11 |
| National facility | $31.40 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $67.69 | $41.36 |
| District of Columbia | $63.28 | $34.16 |
| New York | $61.79 | $34.22 |
| California | $61.53 | $32.29 |
| New Jersey | $61.48 | $33.64 |
| Washington | $60.71 | $32.53 |
| Massachusetts | $60.27 | $32.49 |
| Connecticut | $59.57 | $32.95 |
| Hawaii | $59.38 | $31.28 |
| Florida | $58.75 | $33.95 |
| Maryland | $57.96 | $32.20 |
| Colorado | $57.84 | $31.54 |
| Illinois | $57.54 | $33.66 |
| Rhode Island | $57.29 | $31.76 |
| Oregon | $57.26 | $31.22 |
| New Hampshire | $57.09 | $31.36 |
| Puerto Rico | $56.43 | $31.44 |
| Virgin Islands | $56.43 | $31.44 |
| Montana | $56.11 | $31.39 |
| Pennsylvania | $55.84 | $31.63 |
| Nevada | $55.70 | $30.96 |
| Delaware | $55.57 | $31.15 |
| Texas | $55.54 | $31.21 |
| Wyoming | $55.42 | $30.70 |
| Michigan | $55.25 | $32.03 |
| Georgia | $55.19 | $31.62 |
| Minnesota | $55.16 | $29.73 |
| Virginia | $54.78 | $30.49 |
| Arizona | $54.73 | $30.78 |
| North Dakota | $54.53 | $29.81 |
| Vermont | $54.47 | $30.00 |
| South Dakota | $54.34 | $29.62 |
| New Mexico | $53.99 | $31.32 |
| Utah | $53.92 | $30.68 |
| Maine | $53.69 | $30.07 |
| Louisiana | $53.45 | $30.89 |
| Missouri | $53.43 | $30.75 |
| Ohio | $53.35 | $30.78 |
| South Carolina | $53.28 | $30.44 |
| West Virginia | $53.06 | $31.59 |
| North Carolina | $53.00 | $29.94 |
| Wisconsin | $52.92 | $29.24 |
| Indiana | $52.40 | $29.49 |
| Kentucky | $52.33 | $30.35 |
| Idaho | $52.14 | $29.40 |
| Oklahoma | $52.09 | $30.01 |
| Nebraska | $51.98 | $29.17 |
| Tennessee | $51.96 | $29.49 |
| Iowa | $51.78 | $29.16 |
| Kansas | $51.71 | $29.37 |
| Mississippi | $50.96 | $29.68 |
| Alabama | $50.95 | $29.32 |
| Arkansas | $50.30 | $29.06 |

## 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 20600 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