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See a sample rate comparisonCPT 20605 Fee Schedule
Medicare rates as of October 2026
CPT 20605 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11Office 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft 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 16 |
| Medicare Fee Schedule | $57.12 national non-facility rate (2026)View Medicare rates for 20605 |
| Medicaid Fee Schedule | $45.825 median of the 8 states in the free previewView Medicaid rates for 20605 |
National average reimbursement for CPT 20605 by major payers:
$71.48
BCBS / Anthem
$72.20
UnitedHealthcare
$78.04
Aetna
$65.55
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 20605.
CPT 20605
5 of 25 sample ratesHigher to lower in this preview
Ellyn Amato
Inova Health Care Services
$125.14Published rateMarta Biderman Waberski
Inova Health Care Services
$119.31Published rateFella Ezzekmi-Aksouh
Inova Health Care Services
$119.31Published rateGonzalo Luizaga Coca
Inova Health Care Services
$110.18Published rateKelli Morrissey
Inova Health Care Services
$97.09Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 20605 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 20605. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 20600-CPT | Arthrocentesis Aspiration An, Arthrocentesis Aspiration Andor Injection Small Jointbursa Or Ganglion Cyst (Eg Fingers Toes)Arthrocentesis Aspiration Andor Injection Sm All Joint |
| 20604-CPT | Drain Inj Joint Bursa W Us, Arthrocentesis Aspiration And Or Injection Small Joint Or Bursa Eg Fingers Toes With Ultrasound Guidance With Permanent Recording And Reporting |
| 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 |
| 20606-CPT | Drain Inj Joint Bursa W Us, Arthrocentesis Aspiration And Or Injection Intermediate Joint Or Bursa Eg Temporomandibular Acromioclavicular Wrist Elbow Or Ankle Olecranon Bursa With Ultrasound Guidance With Permanent Recording And Reporting |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20605. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20605 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 20605 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 20605 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 20605 in an ambulatory surgery center?
CMS lists CPT 20605 with ASC payment indicator P3: Office-based; paid from physician fee schedule practice expense.
Which add-on codes are billed with CPT 20605?
CMS add-on code edits list CPT 20605 as a primary code for these add-on codes: 77002.
Which revenue codes are billed with CPT 20605?
Hospital price transparency files list CPT 20605 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.