# CPT 20605: Arthrocentesis/injection, intermediate joint

Medicare CPT 20605 pays $57.12 in a non-facility setting and $32.06 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $51.25 in Arkansas to $69.04 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/20605-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 | $57.12 |
| National facility | $32.06 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $69.04 | $42.37 |
| District of Columbia | $64.37 | $34.87 |
| New York | $62.87 | $34.92 |
| California | $62.62 | $32.98 |
| New Jersey | $62.56 | $34.35 |
| Washington | $61.78 | $33.23 |
| Massachusetts | $61.33 | $33.18 |
| Connecticut | $60.61 | $33.63 |
| Hawaii | $60.43 | $31.95 |
| Florida | $59.75 | $34.62 |
| Maryland | $58.99 | $32.87 |
| Colorado | $58.87 | $32.21 |
| Illinois | $58.53 | $34.33 |
| Rhode Island | $58.31 | $32.44 |
| Oregon | $58.29 | $31.89 |
| New Hampshire | $58.11 | $32.03 |
| Puerto Rico | $57.43 | $32.11 |
| Virgin Islands | $57.43 | $32.11 |
| Montana | $57.11 | $32.06 |
| Pennsylvania | $56.84 | $32.30 |
| Nevada | $56.70 | $31.63 |
| Delaware | $56.57 | $31.82 |
| Texas | $56.54 | $31.88 |
| Wyoming | $56.42 | $31.37 |
| Michigan | $56.23 | $32.71 |
| Georgia | $56.19 | $32.28 |
| Minnesota | $56.17 | $30.40 |
| Virginia | $55.78 | $31.15 |
| Arizona | $55.73 | $31.45 |
| North Dakota | $55.53 | $30.48 |
| Vermont | $55.47 | $30.67 |
| South Dakota | $55.34 | $30.29 |
| New Mexico | $54.96 | $31.99 |
| Utah | $54.90 | $31.35 |
| Maine | $54.68 | $30.74 |
| Louisiana | $54.43 | $31.55 |
| Missouri | $54.41 | $31.42 |
| Ohio | $54.32 | $31.45 |
| South Carolina | $54.25 | $31.11 |
| West Virginia | $54.02 | $32.25 |
| North Carolina | $53.98 | $30.61 |
| Wisconsin | $53.91 | $29.91 |
| Indiana | $53.38 | $30.16 |
| Kentucky | $53.29 | $31.02 |
| Idaho | $53.12 | $30.07 |
| Oklahoma | $53.05 | $30.68 |
| Nebraska | $52.96 | $29.84 |
| Tennessee | $52.93 | $30.16 |
| Iowa | $52.75 | $29.83 |
| Kansas | $52.68 | $30.03 |
| Alabama | $51.91 | $29.99 |
| Mississippi | $51.91 | $30.35 |
| Arkansas | $51.25 | $29.73 |

## 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 20605 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