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See a sample rate comparisonCPT 20501 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
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 | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 20501 |
| Medicaid Fee Schedule | View Medicaid rates for 20501 |
National average reimbursement for CPT 20501 by major payers:
$153.14
$176.02
$188.79
$76.26
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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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See a sample payer proposalCPT 20501 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20501 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 20501 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 20101-CPT | Moderate | Exploration Of Chest |
| 20500-CPT | Low | 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 | Low | 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 | Low | 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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