CPT 20553 Surgery - Musculoskeletal
Njx 1/mlt trigger points 3/> Cost
Body System: Musculoskeletal
Medicare Facility Rate
$41
CMS PFS CY2026
Medicare Non-Facility Rate
$60
Office/clinic setting
Hospital Outpatient
$314
OPPS rate
Surgery Center (ASC)
$33
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.73
Work RVU
0.41
Facility PE RVU
0.08
Malpractice RVU
1.79
Total RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $53 | $95 — $147 |
| AL — ALABAMA | $38 | $71 — $110 |
| AR — ARKANSAS | $38 | $70 — $108 |
| AZ — ARIZONA | $40 | $76 — $117 |
| CA — BAKERSFIELD | $42 | $81 — $125 |
| CA — CHICO | $41 | $81 — $125 |
| CA — EL CENTRO | $41 | $81 — $125 |
| CA — FRESNO | $41 | $81 — $125 |
| CA — HANFORD-CORCORAN | $41 | $81 — $125 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $44 | $86 — $132 |
| CA — MADERA | $41 | $81 — $125 |
| CA — MERCED | $41 | $81 — $125 |
| CA — MODESTO | $41 | $81 — $125 |
| CA — NAPA | $46 | $92 — $142 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $43 | $85 — $132 |
| CA — REDDING | $41 | $81 — $125 |
| CA — REST OF CALIFORNIA | $41 | $81 — $125 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $42 | $82 — $127 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $43 | $85 — $130 |
| CA — SALINAS | $43 | $84 — $130 |
Frequently Asked Questions
How much does Njx 1/mlt trigger points 3/> cost?
The Medicare facility rate is $41. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $314. Ambulatory surgery center rate: $33.
How much does Njx 1/mlt trigger points 3/> 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 $41.