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See a sample rate comparisonCPT 20501 Fee Schedule
Medicare rates as of October 2026
CPT 20501 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 | 22On Campus Outpatient Hospital 21Inpatient Hospital |
| Common Modifiers | GCService performed by resident under supervision 51Multiple procedures |
| Surgery Center Payment (ASC) | N1 - Packaged; no separate payment |
| Common Revenue Codes | 03610360Sign up to view all 4 |
| Medicare Fee Schedule | $135.61 national non-facility rate (2026)View Medicare rates for 20501 |
| Medicaid Fee Schedule | $109.25 median of the 8 states in the free previewView Medicaid rates for 20501 |
National average reimbursement for CPT 20501 by major payers:
$153.14
BCBS / Anthem
$176.02
UnitedHealthcare
$188.79
Aetna
$76.26
Cigna
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CPT 20501
5 of 25 sample ratesHigher to lower in this preview
Hospital For Special Surgery West Side Ambulatory Surgery Center, LLC, Hss West Side Asc, LLC
$1,979.00Published rateBrook Plaza Ambulatory Surgical Center, Inc.
$1,008.00Published rateSun City Az Endoscopy Asc LLC, Sun City Endoscopy Center
Sun City Az Endoscopy Asc LLC
$410.00Published rateCenter For Spine & Pain Medicine, PC, Cspm Ambulatory Surgery
Center For Spine And Pain Medici
$125.00Published rateDayton Eye Surgery Center L.L.C., Dayton Eye Surgery Center
Dayton Eye Surgery Center
$64.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 20501 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 20501. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 20101-CPT | Exploration Of Chest |
| 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. |
| 20605-CPT | Drain Inj Joint Bursa W O Us, Arthrocentesis Aspiration And Or Injection Intermediate Joint Or Bursa Eg Temporomandibular Acromioclavicular Wrist Elbow Or Ankle Olecranon Bursa Without Ultrasound Guidance |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20501. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20501 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.
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Frequently Asked Questions
How does Medicare pay for CPT 20501 in an ambulatory surgery center?
CMS lists CPT 20501 with ASC payment indicator N1: Packaged; no separate payment.
Which revenue codes are billed with CPT 20501?
Hospital price transparency files list CPT 20501 under these revenue codes: 0361, 0360, 0761 and 0320. A revenue code names the hospital department or charge category for the line; it does not change what the service is.