Price AtlasInteractive atlas · All states · techysurgeon.comTendon or ligament injection: what insurers pay
An injection into a tendon sheath or ligament (for example trigger finger or plantar fascia). Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 20550: Tendon Or Ligament Injection
1441 hospitals in 81 markets. National Medicare rate $314, surgery center $33.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 17 | $264 | $436 | $556 | $157–$763 |
| Alaska (statewide) | 3 | — | — | — | $367–$2,539 |
| Arizona (statewide) | 12 | $462 | $758 | $1,180 | $195–$2,161 |
| Arkansas (statewide) | 15 | $300 | $459 | $625 | $193–$931 |
| Atlanta GA | 10 | $1,343 | $1,343 | $1,902 | $1,116–$1,902 |
| Austin TX | 13 | $293 | $461 | $1,800 | $286–$1,800 |
| Boston MA | 15 | $350 | $556 | $628 | $247–$1,106 |
| California (statewide) | 76 | $440 | $803 | $1,117 | $230–$2,163 |
| Charlotte NC | 5 | $351 | $351 | $351 | $346–$351 |
| Chicago IL | 7 | $398 | $425 | $945 | $318–$1,266 |
| Cleveland OH | 11 | $471 | $578 | $1,166 | $319–$2,128 |
| Colorado (statewide) | 22 | $308 | $658 | $1,168 | $171–$2,280 |
| Columbus OH | 2 | — | — | — | $1,104–$1,104 |
| Connecticut (statewide) | 3 | — | — | — | $520–$2,204 |
| Dallas-Fort Worth TX | 15 | $598 | $996 | $1,774 | $461–$2,113 |
| Denver CO | 15 | $1,083 | $1,547 | $1,821 | $892–$2,444 |
| Detroit MI | 15 | $318 | $318 | $353 | $265–$1,137 |
| Florida (statewide) | 65 | $644 | $1,730 | $2,124 | $176–$2,428 |
| Georgia (statewide) | 46 | $895 | $1,330 | $1,728 | $235–$2,108 |
| Hawaii (statewide) | 8 | $465 | $506 | $569 | $381–$1,082 |
| Houston TX | 18 | $605 | $1,766 | $1,891 | $364–$2,052 |
| Idaho (statewide) | 18 | $416 | $571 | $750 | $159–$2,120 |
| Illinois (statewide) | 34 | $424 | $575 | $844 | $226–$1,530 |
| Indiana (statewide) | 34 | $377 | $562 | $986 | $214–$1,800 |
| Indianapolis IN | 3 | — | — | — | $295–$1,820 |
| Iowa (statewide) | 41 | $314 | $567 | $714 | $217–$1,472 |
| Kansas (statewide) | 50 | $142 | $196 | $341 | $142–$1,583 |
| Kentucky (statewide) | 25 | $409 | $538 | $1,396 | $173–$1,895 |
| Las Vegas NV | 2 | — | — | — | $725–$1,645 |
| Los Angeles CA | 17 | $799 | $951 | $970 | $540–$1,302 |
| Louisiana (statewide) | 20 | $273 | $389 | $682 | $178–$949 |
| Maine (statewide) | 18 | $1,076 | $1,328 | $1,404 | $303–$1,766 |
| Maryland (statewide) | 2 | — | — | — | $151–$566 |
| Massachusetts (statewide) | 12 | $283 | $392 | $491 | $283–$1,020 |
| Miami-Fort Lauderdale FL | 7 | $257 | $327 | $746 | $244–$1,148 |
| Michigan (statewide) | 29 | $318 | $342 | $476 | $172–$967 |
| Minneapolis-St. Paul MN | 13 | $850 | $898 | $946 | $519–$1,184 |
| Minnesota (statewide) | 20 | $664 | $862 | $962 | $186–$1,507 |
| Mississippi (statewide) | 20 | $370 | $500 | $623 | $214–$970 |
| Missouri (statewide) | 24 | $390 | $502 | $958 | $200–$2,087 |
| Montana (statewide) | 5 | $620 | $878 | $887 | $601–$1,858 |
| Nashville TN | 8 | $563 | $745 | $862 | $396–$990 |
| Nebraska (statewide) | 21 | $276 | $518 | $946 | $169–$1,645 |
| Nevada (statewide) | 7 | $593 | $717 | $1,666 | $242–$1,688 |
| New Hampshire (statewide) | 6 | $1,060 | $1,084 | $1,304 | $1,000–$1,425 |
| New Jersey (statewide) | 21 | $343 | $717 | $1,269 | $323–$2,506 |
| New Mexico (statewide) | 8 | $390 | $462 | $678 | $197–$1,189 |
| New York (statewide) | 43 | $449 | $676 | $901 | $319–$1,940 |
| New York City | 9 | $740 | $746 | $746 | $269–$2,974 |
| North Carolina (statewide) | 10 | $391 | $760 | $804 | $216–$1,928 |
| North Dakota (statewide) | 7 | $357 | $523 | $613 | $182–$1,262 |
| Ohio (statewide) | 42 | $573 | $788 | $938 | $173–$1,558 |
| Oklahoma (statewide) | 21 | $562 | $620 | $679 | $152–$1,374 |
| Oregon (statewide) | 17 | $475 | $676 | $756 | $178–$1,391 |
| Pennsylvania (statewide) | 54 | $478 | $663 | $980 | $177–$1,936 |
| Philadelphia PA | 10 | $734 | $1,036 | $1,448 | $484–$2,506 |
| Phoenix AZ | 8 | $1,422 | $1,448 | $1,448 | $1,346–$1,448 |
| Pittsburgh PA | 12 | $469 | $500 | $612 | $378–$743 |
| Portland OR | 9 | $1,033 | $1,033 | $1,174 | $858–$1,174 |
| Research Triangle NC | 3 | — | — | — | $234–$1,018 |
| Rhode Island (statewide) | 6 | $416 | $532 | $816 | $385–$914 |
| Richmond VA | 3 | — | — | — | $1,812–$2,123 |
| Rio Grande Valley TX | 6 | $449 | $510 | $1,305 | $414–$1,894 |
| Salt Lake City UT | 9 | $161 | $161 | $165 | $159–$235 |
| San Antonio TX | 3 | — | — | — | $471–$1,913 |
| San Diego CA | 7 | $671 | $671 | $676 | $559–$728 |
| San Francisco Bay Area CA | 3 | — | — | — | $1,096–$2,686 |
| Seattle-Tacoma WA | 16 | $907 | $925 | $992 | $791–$1,099 |
| South Carolina (statewide) | 31 | $571 | $886 | $1,055 | $338–$1,524 |
| South Dakota (statewide) | 5 | $786 | $838 | $854 | $459–$1,530 |
| St. Louis MO | 3 | — | — | — | $1,106–$1,199 |
| Tampa FL | 6 | $1,395 | $1,395 | $1,395 | $972–$1,856 |
| Tennessee (statewide) | 37 | $408 | $481 | $798 | $326–$1,142 |
| Texas (statewide) | 85 | $452 | $598 | $996 | $200–$2,052 |
| Utah (statewide) | 5 | $178 | $270 | $270 | $161–$270 |
| Vermont (statewide) | 2 | — | — | — | $282–$389 |
| Virginia (statewide) | 24 | $874 | $1,443 | $1,704 | $377–$2,366 |
| Washington (statewide) | 19 | $564 | $864 | $981 | $261–$1,531 |
| Washington DC | 11 | $1,070 | $1,162 | $1,424 | $536–$1,770 |
| West Virginia (statewide) | 13 | $424 | $513 | $998 | $255–$2,044 |
| Wisconsin (statewide) | 44 | $576 | $1,148 | $1,894 | $155–$1,894 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Comanche County Hospital | Kansas (statewide) | $142 | 0.5× | 1 | 2026-09-03 |
| Anderson County Hospital | Kansas (statewide) | $142 | 0.5× | 1 | 2025-12-31 |
| Stevens County Hospital | Kansas (statewide) | $142 | 0.5× | 1 | 2026-06-02 |
| Amberwell Hiawatha | Kansas (statewide) | $142 | 0.5× | 1 | 2026-08-18 |
| Stanton County Hospital | Kansas (statewide) | $142 | 0.5× | 1 | 2026-09-18 |
| Russell Regional Hospital | Kansas (statewide) | $142 | 0.5× | 1 | 2026-06-01 |
| Phillips County Health Systems | Kansas (statewide) | $142 | 0.5× | 1 | 2026-08-04 |
| Pawnee Valley Community Hospital | Kansas (statewide) | $142 | 0.5× | 1 | 2026-03-22 |
| Osborne County Memorial Hospital | Kansas (statewide) | $142 | 0.5× | 1 | 2026-09-27 |
| Gove County Medical Center | Kansas (statewide) | $142 | 0.5× | 1 | 2026-08-14 |
| Allen County Regional Hospital | Kansas (statewide) | $142 | 0.5× | 1 | 2025-12-31 |
| Mitchell County Hospital Health Systems | Kansas (statewide) | $142 | 0.5× | 1 | 2026-03-21 |
| Hca Florida Jfk Hospital | Florida (statewide) | $2,242 | 7.0× | 8 | 2026-09-01 |
| Hca Florida North Florida Hospital | Florida (statewide) | $2,242 | 7.0× | 5 | 2026-09-01 |
| Hca Florida West Hospital | Florida (statewide) | $2,250 | 7.0× | 5 | 2026-09-01 |
| Uchealth Grandview Hospital | Colorado (statewide) | $2,280 | 7.0× | 3 | 2025-11-01 |
| Lewisgale Medical Center | Virginia (statewide) | $2,366 | 7.9× | 1 | 2026-09-01 |
| Hca Florida Highlands Hospital | Florida (statewide) | $2,428 | 7.6× | 3 | 2026-09-01 |
| Denver Health Medical Center | Denver CO | $2,444 | 7.5× | 1 | 2026-04-30 |
| Inspira Medical Center Vineland | New Jersey (statewide) | $2,506 | 7.3× | 1 | 2026-03-24 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $2,506 | 7.3× | 1 | 2026-03-24 |
| Alaska Regional Hospital | Alaska (statewide) | $2,539 | 7.5× | 1 | 2026-09-01 |
| Good Samaritan Hospital | San Francisco Bay Area CA | $2,686 | 6.0× | 5 | 2026-09-01 |
| Hospital for Special Surgery | New York City | $2,974 | 7.8× | 5 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for tendon or ligament injection?
Across 1441 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 20550, hospital outpatient is $678, 2.1× the same hospital's local Medicare base rate. The middle half of hospitals runs $414 to $1,116. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for tendon or ligament injection?
Medicare's national hospital outpatient rate for CPT 20550 is $314 and its surgery-center rate is $33, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for tendon or ligament injection?
Lowest medians: Comanche County Hospital ($142), Anderson County Hospital ($142), Stevens County Hospital ($142). Highest: Hospital for Special Surgery ($2,974), Good Samaritan Hospital ($2,686), Alaska Regional Hospital ($2,539). Coverage: every hospital whose price file we could read.