CPT 20606 Fee Schedule
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.
| 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 |
National average reimbursement for CPT 20606 by major payers:
$110.17
$112.25
$122.22
$151.29
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 20606 | ||||||
United | 20606 | $566.00 | 1295897106 - WESTMONT SURGERY CENTER LLC, SALT CREEK SURGERY CENTER | 364419691 - WESTMONT SURGERY CENTER, LLC DBA SALT CREEK SURGERY CENTER | IL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 20606 | $50.06 | 1457338949 - HUNALDO VILLALOBOS | 453563980 - (FL) HUNALDO J. VILLALOBOS, M.D., P.A. | FL | Neurological Surgery Physician (207T00000X) |
United | 20606 | $77.06 | 1154775153 - JESSY PIERRE-LOUIS | 591404594 - (FL) CENTRAL FLORIDA HEALTH CARE INC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 20606 | $589.00 | 1043684129 - UNIVERSITY OF MARYLAND MEDICINE ASC, LLC, UNIVERSITY OF MARYLAND SURGERY CENTER | 472525050 - (MD) UNIVERSITY OF MARYLAND MEDICINE ASC LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 20606 | $405.00 | 1780014068 - PEAK SURGERY CENTER LLC | 463392531 - (CO) PEAK SURGERY CENTER LLC | CO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 20606 | $106.94 | 1326428665 - ALEXANDER DRU | 620642575 - (TN) SEMMES-MURPHEY CLINIC PC | TN | Neurological Surgery Physician (207T00000X) |
United | 20606 | $59.97 | 1497798185 - JOAN KOEWLER | 650627493 - JOAN M KOEWLER DPM PA | FL | Podiatrist (213E00000X) |
United | 20606 | $154.10 | 1457795353 - FRANK FAROKHI | 590634434 - SACRED HEART HEALTH SYSTEM INC | FL | Neurological Surgery Physician (207T00000X) |
United | 20606 | $64.25 | 1689865453 - DENNIS MCBROOM | 822410133 | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 20606 | $57.63 | 1013349638 - MARK G WARREN DPM PA | 10683542 | FL | Podiatrist (213E00000X) |
United | 20606 | $50.06 | 1518520360 - YELIZAVETA KOTLYAROVA | 201457851 - (FL) KOPA, PA | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 20606 | $60.63 | 1710940861 - GEORGE MERRITT | 592236313 - (FL) TALLAHASSEE PODIATRY ASSOCIATES, PA | FL | Podiatrist (213E00000X) |
United | 20606 | $57.63 | 1538145974 - RICHARD NETTBOY | 471012178 - (FL) NORRIS DABUL FOOT ANKLE PA | FL | Podiatrist (213E00000X) |
United | 20606 | $52.00 | 1306833587 - MARK MATEY | 650429853 | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 20606 | $335.00 | 1083669196 - SPECIALTY ASC LLC, SURGICAL ARTS CENTER | 880503205 - (NV) SPECIALTY ASC LLC | NV | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
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 |
|---|---|---|
| 20550-CPT | Low | Inj Tendon Sheath Lig Trigger Pnt Gangli |
| 20600-CPT | Low | Arthrocentesis Aspiration And/Or Injection; Smalljoint Bursa(Eg Fingers Toes);Without Ultrasound Guidance (Desc Revised 1/1/15) |
| 20604-CPT | Low | Arthrocentesis, Aspiration And/Or Injection; Small Joint Or Bursa (Eg, Fingers, Toes) Including Ultrasound Guidance With Permanent Recording And Reporting |
| 20606-CPT | Low | 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.
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.