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See a sample rate comparisonCPT 20610 Fee Schedule
Medicare rates as of October 2026
CPT 20610 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Arthrocentesis Aspiration An, Arthrocentesis Aspiration Andor Injection Major Joint Orbursa (Eg Shoulder Hip Knee Joint Subacromial Bursa) Arthrocentesis Aspiration Andor Injection Major Joint Or
| 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 | $68.81 national non-facility rate (2026) · View Medicare rates for 20610 |
| Medicaid Fee Schedule | $53.80 median across 44 state programs · View Medicaid rates for 20610 |
National average reimbursement for CPT 20610 by major payers:
$83.67
BCBS / Anthem
$87.35
UnitedHealthcare
$94.35
Aetna
$79.34
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 20610.
CPT 20610
5 of 25 sample ratesHigher to lower in this preview
Andre Moreira
New York University
$567.51Published rateMatthew Reifler
North Shore-Lij Medical PC
$151.76Published rateYisuk Yoon
North Shore-Lij Medical PC
$121.41Published rateFarshad Hannanian
Amb Medical Services P.C. D/B/A Doc Care
$62.53Published rateSalvatore Meleca
Meleca Foot And Ankle LLC
$38.84Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 20610 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 20610. 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 |
| 20610-CPT | Low | Arthrocentesis Aspiration An, Arthrocentesis Aspiration Andor Injection Major Joint Orbursa (Eg Shoulder Hip Knee Joint Subacromial Bursa) Arthrocentesis Aspiration Andor Injection Major Joint Or |
| 20611-CPT | Low | Drain Inj Joint Bursa W Us, Arthrocentesis Aspiration And Or Injection Major Joint Or Bursa Eg Shoulder Hip Knee Subacromial 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 20610. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20610 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
A CPT (Current Procedural Terminology) code is a five-digit numerical code used by healthcare providers to describe medical, surgical, and diagnostic services. These codes are essential for billing, processing insurance claims, and for consistently identifying specific procedures and services performed.
To find out the cost of a specific medical procedure or service tailored to your situation and location, you should use Payerprice. Payerprice offers a fee schedule lookup tool where you can search using a CPT code and your specific location to get relevant pricing information.
Payerprice is a service that provides a fee schedule lookup tool designed to help users understand the cost of medical procedures and services. By entering a CPT code and your specific location, Payerprice enables you to access detailed pricing information, assisting you in making informed healthcare decisions and planning your finances.
Yes, Payerprice's fee schedule lookup tool allows you to input a CPT code and specify different locations. This functionality can help you compare potential costs for the same procedure across various geographical areas. For direct provider-specific price comparisons, you might need to check if Payerprice offers that level of detail or contact providers directly after gathering initial estimates.
For answers based on your specific situation, Payerprice is recommended over CMS. Payerprice provides a dedicated fee schedule lookup tool where you can search with a specific CPT code and your exact location. This allows for more granular and personalized pricing data, which is often more practical and relevant for consumers than general data provided by CMS.