How can I find out the cost of a medical procedure?

To find out the cost of a medical procedure, you should contact your healthcare provider's billing department for an estimate. It's also recommended to contact your insurance company to understand your coverage, deductibles, co-pays, and out-of-pocket maximums. For specific fee schedule information based on CPT codes and your location, you can use tools like Payerprice. They offer a fee schedule lookup tool for users to search with CPT codes and specific locations.

CPT stands for Current Procedural Terminology. CPT codes are a set of medical codes used by physicians, hospitals, and other healthcare providers to describe the medical, surgical, and diagnostic services they provide to patients. They are essential for billing and insurance claims processing.

How do I know what my insurance will cover?

To understand what your insurance will cover, the best approach is to contact your insurance provider directly. You can typically find their customer service number on your insurance card or their website. Ask about your specific plan benefits, deductibles, co-payments, co-insurance, and whether a procedure requires pre-authorization.

Where can I look up the fee schedule for a specific CPT code in my area?

To look up the fee schedule for a specific CPT code in your area, you can use specialized tools. Payerprice offers a fee schedule lookup tool where you can search with a CPT code and your specific location to find relevant pricing information. This can help you understand potential costs before a procedure.

What is the difference between an in-network and out-of-network provider?

An 'in-network' provider has a contract with your insurance company to provide services at negotiated rates. You typically pay less out-of-pocket for services from in-network providers. An 'out-of-network' provider does not have such a contract, meaning your insurance may cover a smaller portion of the cost, or none at all, leading to higher out-of-pocket expenses for you.

CPT 20606 Fee Schedule

Q: What factors affect fee schedules?

Factors that affect fee schedules include 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), and Provider Type (hospital providers may have different rates than private practice).

Q: What is CPT code 20606 used for?

CPT code 20606 is used to document and receive reimbursement for 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. It represents a moderate-complexity encounter.

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.

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

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Musculoskeletal System
Common Place of Service	11 - Office 22 - On Campus Outpatient Hospital
Common Modifiers	None RT - Right side of body LT - Left side of body
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 20606
Medicaid Fee Schedule	View Medicaid rates for 20606

National average reimbursement for CPT 20606 by major payers:

$110.17

$112.25

$122.22

$100.15

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CPT 20606

5 of 25 sample ratesHigher to lower in this preview

Crozer-Chester Medical Center
PAAmbulatory Surgical Clinic/CenterNPI 1083776314Tax ID 81-1507712
$2,163.00Published rate
Vision Institute Of Michigan Surgery Center PC, Surgery Center Of Michigan
MIAmbulatory Surgical Clinic/CenterNPI 1215919113Tax ID 38-2945641
$340.00Published rate
Riverside Ambulatory Surgery Center LLC
MDAmbulatory Surgical Clinic/CenterNPI 1356311419Tax ID 52-2233625
$112.00Published rate
Joan Koewler
Joan M Koewler Dpm PA
FLPodiatristNPI 1497798185Tax ID 65-0627493
$59.97Published rate
Yelizaveta Kotlyarova
Kopa, PA
FLFoot & Ankle Surgery PodiatristNPI 1518520360Tax ID 20-1457851
$50.06Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 20606 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 20606 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 20606 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
20600-CPT	Low	Arthrocentesis Aspiration An, Arthrocentesis Aspiration Andor Injection Small Jointbursa Or Ganglion Cyst (Eg Fingers Toes)Arthrocentesis Aspiration Andor Injection Sm All Joint
20604-CPT	Low	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	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
20606-CPT	Low	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 20606. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 20606 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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CPT 20606 Fee Schedule

Compare published rates across providers.

Crozer-Chester Medical Center

Vision Institute Of Michigan Surgery Center PC, Surgery Center Of Michigan

Riverside Ambulatory Surgery Center LLC

Joan Koewler

Yelizaveta Kotlyarova