CPT 20560 Surgery - Musculoskeletal

How Much Does Needle Insertion of without Injection 1 or 2 Muscle Cost?

Also known as: Ndl insj w/o njx 1 or 2 musc (CPT 20560)

Trigger point dry needling, inserting a needle into a muscle trigger point without injecting medication.

The total estimated cost of Needle Insertion of without Injection 1 or 2 Muscle (CPT 20560) is $41 to $77, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $12.

Total Estimated Cost of Care

$41 — $77

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$12
Hospital Facility Fee
$37
Anesthesia (est.)
$2
Important: The physician fee of $12 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$12
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$25
Non-facility setting

Patient Guide: Needle Insertion of without Injection 1 or 2 Muscle

What you need to know before your appointment

What to Expect

A thin needle is inserted directly into a tight muscle knot (trigger point) and moved to release the tension. You may feel a twitch response. No medication is injected.

How Long Does It Take?

15-30 minutes

Common Reasons Doctors Order This

Chronic muscle pain, myofascial pain, muscle knots, tension headaches, neck and shoulder pain

How to Prepare

Stay hydrated. Wear loose clothing. Some muscle soreness for 24-48 hours after is normal.

Procedures Commonly Done Together

These procedures are frequently performed alongside Ndl insj w/o njx 1 or 2 musc

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How to Reduce Your Cost for Ndl insj w/o njx 1 or 2 musc

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($25) differs from the facility rate ($12). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

0.31
Work RVU
0.05
Practice Expense RVU
0.01
Malpractice RVU
0.74
Total RVU

Payment = Total RVU (0.74) x CF ($33.40) = $25

Frequently Asked Questions

How much does Ndl insj w/o njx 1 or 2 musc cost?

The Medicare facility rate for Ndl insj w/o njx 1 or 2 musc is $12. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Ndl insj w/o njx 1 or 2 musc cost without insurance?

Without insurance, the cost of Ndl insj w/o njx 1 or 2 musc can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Ndl insj w/o njx 1 or 2 musc?

Most commercial health insurance plans and Medicare cover Ndl insj w/o njx 1 or 2 musc when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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