CPT 20552 Injection
Trigger point injection(s), 1 or 2 muscle(s) Cost
Body System: Musculoskeletal
Medicare Facility Rate
$34
CMS PFS CY2026
Medicare Non-Facility Rate
$53
Office/clinic setting
Hospital Outpatient
$314
OPPS rate
Surgery Center (ASC)
$28
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.66
Work RVU
0.35
Facility PE RVU
0.04
Malpractice RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $46 | $83 — $127 |
| AL — ALABAMA | $33 | $62 — $95 |
| AR — ARKANSAS | $33 | $61 — $94 |
| AZ — ARIZONA | $35 | $66 — $102 |
| CA — BAKERSFIELD | $37 | $71 — $108 |
| CA — CHICO | $36 | $70 — $108 |
| CA — EL CENTRO | $36 | $70 — $108 |
| CA — FRESNO | $36 | $70 — $108 |
| CA — HANFORD-CORCORAN | $36 | $70 — $108 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $38 | $74 — $115 |
| CA — MADERA | $36 | $70 — $108 |
| CA — MERCED | $36 | $70 — $108 |
| CA — MODESTO | $36 | $70 — $108 |
| CA — NAPA | $40 | $80 — $122 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $38 | $74 — $114 |
| CA — REDDING | $36 | $70 — $108 |
| CA — REST OF CALIFORNIA | $36 | $70 — $108 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $37 | $71 — $110 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $38 | $73 — $113 |
| CA — SALINAS | $37 | $73 — $112 |
Frequently Asked Questions
How much does Trigger point injection(s), 1 or 2 muscle(s) cost?
The Medicare facility rate is $34. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $314. Ambulatory surgery center rate: $28.
How much does Trigger point injection(s), 1 or 2 muscle(s) cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $34.