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See a sample rate comparisonCPT 20552 Fee Schedule
Medicare rates as of October 2026
CPT 20552 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Muscle Relaxant Injection, One Or More Injections Into A Knotted Or Clenched Muscle To Treat Irritation Or Pain; One Or Two Muscles.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11Office 22On Campus Outpatient Hospital |
| Common Modifiers | 59Distinct Procedural Service RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5441 - Level 1 Nerve Injections |
| Surgery Center Payment (ASC) | P3 - Office-based; paid from physician fee schedule practice expense |
| Add-on Codes | 77002 |
| Common Revenue Codes | 04500361Sign up to view all 13 |
| Medicare Fee Schedule | $51.77 national non-facility rate (2026)View Medicare rates for 20552 |
| Medicaid Fee Schedule | $41.60 median of the 8 states in the free previewView Medicaid rates for 20552 |
National average reimbursement for CPT 20552 by major payers:
$67.56
BCBS / Anthem
$73.23
UnitedHealthcare
$76.93
Aetna
$64.26
Cigna
Compare published rates across providers.
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CPT 20552
5 of 25 sample ratesHigher to lower in this preview
Portsmouth Surgicenter, LLC
Portsmouth Surgicenter LLC
$2,287.00Published rateGold Coast Surgery Center LLC, Gulf Comprehensive Surgery Center
Gold Coast Surgery Center LLC
$566.00Published rateGrossmont Surgery Center Lp
$359.00Published rateSurgery Center Of Conway Inc
Surgery Center Of Conway, Inc.
$102.00Published ratePlastic Surgery Specialists, PC
Plastic Surgery Specialists, P.C.
$44.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 20552 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 20552. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 20550-CPT | Inject(S); Sngle Tndon Sheath Or Ligamnt Aponeurosis, Injection(S); Single Tendon Sheath Or Ligament Aponeurosis (Eg Plan |
| 20551-CPT | Injection; Tendon Origin/Insertion |
| 20552-CPT | Muscle Relaxant Injection, One Or More Injections Into A Knotted Or Clenched Muscle To Treat Irritation Or Pain; One Or Two Muscles. |
| 20553-CPT | Muscle Relaxant Injection, One Or More Injections Into A Knotted Or Clenched Muscle To Treat Irritation Or Pain; Three Or More Muscles. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20552. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20552 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
What APC is CPT 20552 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 20552 to APC 5441 (Level 1 Nerve Injections). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 20552 in an ambulatory surgery center?
CMS lists CPT 20552 with ASC payment indicator P3: Office-based; paid from physician fee schedule practice expense.
Which add-on codes are billed with CPT 20552?
CMS add-on code edits list CPT 20552 as a primary code for these add-on codes: 77002.
Which revenue codes are billed with CPT 20552?
Hospital price transparency files list CPT 20552 under these revenue codes: including 0450, 0361, 0761, 0360 and 0510. A revenue code names the hospital department or charge category for the line; it does not change what the service is.