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Medicare rate data current as of December 23, 2024 (CMS Physician Fee Schedule RVU25A). Next scheduled CMS update: January 2026. About our data

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Reimbursement rates sourced from CMS Medicare Physician Fee Schedule RVU25A. Data accurate as of release date. For informational purposes only — verify with payer contracts before billing decisions.

CPT codes and descriptions are copyright 2024 American Medical Association. All Rights Reserved.

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Home/CPT codes/20610/By state
CPT 20610Surgery

Reimbursement by state

Drain/inj joint/bursa w/o us

Highest
$77.19
Alaska
Median
$61.94
across 53 states
Lowest
$56.66
Arkansas
Spread
36%
highest vs lowest
RankStateLocalityRatevs Median
1topAlaskaAlaska$77.19+24.6%
2New YorkManhattanⓘ$73.40+18.5%
3District of ColumbiaWashington DC + MD/VA Suburbs$72.02+16.3%
4WashingtonSeattle (King County)$71.28+15.1%
5New JerseyNorthern NJ$70.96+14.6%
6MassachusettsMetro Boston

Methodology

Each state shows the non-facility rate for one representative Medicare locality. Most states have only one locality, but several (CA, NY, TX, FL, IL, MA, MO, NJ, OR, WA, PA) have multiple. For those, we use the largest metropolitan locality. States like California span a wide GPCI range — billers in different California cities should check the locality-specific rate on the main code page.

Rates derived from 2025 CMS Physician Fee Schedule (RVU25A) with 2025 GPCI adjustments. Conversion factor: 32.3465.

← Back to CPT 20610

$70.65
+14.1%
7FloridaMiamiⓘ$70.61+14.0%
8IllinoisChicagoⓘ$68.63+10.8%
9ConnecticutConnecticut$67.89+9.6%
10MarylandBaltimore / Surrounding Counties$67.83+9.5%
11HawaiiHawaii / Guam$66.57+7.5%
12PennsylvaniaMetropolitan Philadelphia$66.54+7.4%
13MichiganDetroit$66.02+6.6%
14OregonPortland$65.88+6.4%
15CaliforniaLos Angeles-Long Beach-Anaheimⓘ$65.54+5.8%
16Rhode IslandRhode Island$64.71+4.5%
17ColoradoColorado$64.66+4.4%
18TexasHoustonⓘ$64.58+4.3%
19New HampshireNew Hampshire$64.11+3.5%
20Puerto RicoPuerto Rico$63.56+2.6%
21Virgin IslandsVirgin Islands$63.56+2.6%
22MontanaMontana$63.31+2.2%
23DelawareDelaware$63.15+2.0%
24NevadaNevada$62.74+1.3%
25MaineMaine (rest)$62.36+0.7%
26WyomingWyoming$62.30+0.6%
27ArizonaArizona$61.94+0.0%
28VirginiaVirginia$61.88-0.1%
29LouisianaNew Orleans$61.87-0.1%
30MissouriSt. Louis$61.62-0.5%
31North DakotaNorth Dakota$61.37-0.9%
32MinnesotaMinnesota$61.30-1.0%
33VermontVermont$61.14-1.3%
34New MexicoNew Mexico$61.03-1.5%
35UtahUtah$60.85-1.8%
36South DakotaSouth Dakota$60.80-1.8%
37OhioOhio$60.54-2.3%
38West VirginiaWest Virginia$60.16-2.9%
39GeorgiaGeorgia$59.99-3.1%
40South CarolinaSouth Carolina$59.70-3.6%
41North CarolinaNorth Carolina$59.50-3.9%
42WisconsinWisconsin$59.14-4.5%
43OklahomaOklahoma$58.95-4.8%
44KentuckyKentucky$58.90-4.9%
45IndianaIndiana$58.61-5.4%
46KansasKansas$58.30-5.9%
47IowaIowa$58.19-6.1%
48IdahoIdaho$58.04-6.3%
49TennesseeTennessee$57.98-6.4%
50NebraskaNebraska$57.68-6.9%
51MississippiMississippi$57.44-7.3%
52AlabamaAlabama$57.21-7.6%
53lowArkansasArkansas$56.66-8.5%