Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 20606 Fee Schedule
Medicare rates as of October 2026
CPT 20606 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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 | RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $94.19 national non-facility rate (2026) · View Medicare rates for 20606 |
| Medicaid Fee Schedule | $73.55 median of the 8 states in the free preview · View Medicaid rates for 20606 |
National average reimbursement for CPT 20606 by major payers:
$110.17
BCBS / Anthem
$112.25
UnitedHealthcare
$122.22
Aetna
$100.15
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 20606.
CPT 20606
5 of 25 sample ratesHigher to lower in this preview
Crozer-Chester Medical Center
$2,163.00Published rateVision Institute Of Michigan Surgery Center PC, Surgery Center Of Michigan
$340.00Published rateRiverside Ambulatory Surgery Center LLC
$112.00Published rateJoan Koewler
Joan M Koewler Dpm PA
$59.97Published rateYelizaveta Kotlyarova
Kopa, PA
$50.06Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 20606 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 20606. Select one to see its fee schedule.
| 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 20606) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
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.
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.
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.
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.