# CPT 20690: Application of external fixation system

Medicare CPT 20690 pays $545.77 in a non-facility setting and $545.77 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $489.25 in Arkansas to $675.92 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/20690-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $545.77 |
| National facility | $545.77 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $675.92 | $675.92 |
| District of Columbia | $603.71 | $603.71 |
| New York | $603.46 | $603.46 |
| Florida | $601.15 | $601.15 |
| Illinois | $592.59 | $592.59 |
| New Jersey | $590.72 | $590.72 |
| Connecticut | $579.18 | $579.18 |
| Washington | $570.88 | $570.88 |
| Massachusetts | $569.84 | $569.84 |
| California | $566.61 | $566.61 |
| Maryland | $562.56 | $562.56 |
| Michigan | $556.99 | $556.99 |
| Rhode Island | $551.63 | $551.63 |
| Colorado | $549.48 | $549.48 |
| Hawaii | $549.13 | $549.13 |
| Georgia | $548.26 | $548.26 |
| Pennsylvania | $548.18 | $548.18 |
| Puerto Rico | $547.13 | $547.13 |
| Virgin Islands | $547.13 | $547.13 |
| New Hampshire | $546.83 | $546.83 |
| Montana | $545.66 | $545.66 |
| West Virginia | $544.20 | $544.20 |
| Oregon | $542.89 | $542.89 |
| New Mexico | $540.61 | $540.61 |
| Texas | $540.10 | $540.10 |
| Delaware | $538.94 | $538.94 |
| Nevada | $536.32 | $536.32 |
| Arizona | $531.19 | $531.19 |
| Louisiana | $530.91 | $530.91 |
| Wyoming | $530.75 | $530.75 |
| Ohio | $528.65 | $528.65 |
| Missouri | $528.23 | $528.23 |
| Utah | $527.75 | $527.75 |
| Virginia | $525.35 | $525.35 |
| South Carolina | $521.75 | $521.75 |
| Kentucky | $518.43 | $518.43 |
| Vermont | $515.20 | $515.20 |
| Maine | $515.19 | $515.19 |
| North Dakota | $511.45 | $511.45 |
| North Carolina | $511.37 | $511.37 |
| Oklahoma | $511.26 | $511.26 |
| Minnesota | $510.95 | $510.95 |
| South Dakota | $507.40 | $507.40 |
| Mississippi | $502.60 | $502.60 |
| Indiana | $501.32 | $501.32 |
| Tennessee | $500.63 | $500.63 |
| Idaho | $499.15 | $499.15 |
| Kansas | $497.71 | $497.71 |
| Wisconsin | $497.30 | $497.30 |
| Alabama | $495.43 | $495.43 |
| Nebraska | $494.27 | $494.27 |
| Iowa | $493.75 | $493.75 |
| Arkansas | $489.25 | $489.25 |

## 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 20690 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