Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 20500 Fee Schedule
Medicare rates as of October 2026
CPT 20500 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Dye Injection To View Sinuses, An Injection Of Contrast Material Into A Sinus In Order To Identify The Location Of An Infection Or Fluid-Filled Area.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11Office 22On Campus Outpatient Hospital |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5163 - Level 3 ENT Procedures |
| Surgery Center Payment (ASC) | P3 - Office-based; paid from physician fee schedule practice expense |
| Common Revenue Codes | 03610360Sign up to view all 3 |
| Medicare Fee Schedule | $128.59 national non-facility rate (2026)View Medicare rates for 20500 |
| Medicaid Fee Schedule | $103.255 median of the 8 states in the free previewView Medicaid rates for 20500 |
National average reimbursement for CPT 20500 by major payers:
$159.59
BCBS / Anthem
$157.52
UnitedHealthcare
$161.80
Aetna
$157.42
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 20500.
CPT 20500
5 of 25 sample ratesHigher to lower in this preview
River Valley Asc LLC, River Valley Asc, LLC
River Valley Asc LLC
$2,573.00Published rateOrthoarizona Scottsdale Asc, LLC
Orthoarizona Scottsdale Asc LLC
$1,146.00Published ratePrime Surgical Suites, LLC, Scsv, LLC
Prime Surgical Suites LLC
$736.00Published rateMadison Street Surgery Center, LLC
Madison Street Surgery Center LLC
$555.00Published rateInger Reynolds
Deaconess Hospital Inc
$88.01Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Looking for other data?
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 20500 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 20500. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 20500-CPT | Dye Injection To View Sinuses, An Injection Of Contrast Material Into A Sinus In Order To Identify The Location Of An Infection Or Fluid-Filled Area. |
| 20501-CPT | Dye Injection To View Sinuses, An Injection Of Contrast Material Into A Sinus In Order To Identify The Location Of An Infection Or Fluid-Filled Area. |
| 20525-CPT | Removal Of Foreign Body In Mus, Removal Of Foreign Body In Muscle Or Tendon Sheath Deep Or Complicated Removal Of Foreign Body In Muscle Or Tendon Sheath Deep Or |
| 20660-CPT | Device To Stop Head Movement, Immobilization (Stop Movement) Of The Head And Neck By Attaching A Device Such As Cranial Tongs A Caliper Or A Frame. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20500. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20500 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 20500) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
What APC is CPT 20500 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 20500 to APC 5163 (Level 3 ENT Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 20500 in an ambulatory surgery center?
CMS lists CPT 20500 with ASC payment indicator P3: Office-based; paid from physician fee schedule practice expense.
Which revenue codes are billed with CPT 20500?
Hospital price transparency files list CPT 20500 under these revenue codes: 0361, 0360 and 0761. A revenue code names the hospital department or charge category for the line; it does not change what the service is.