CPT 20550 Surgery - Musculoskeletal

How Much Does Trigger Point Injection (1 Muscle) Cost?

Also known as: Njx 1 tendon sheath/ligament (CPT 20550)

Injection of a tendon sheath or ligament.

The total estimated cost of Trigger Point Injection (1 Muscle) (CPT 20550) is $112 to $211, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $33.

Total Estimated Cost of Care

$112 — $211

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

Surgeon/Physician Fee
$33
Hospital Facility Fee
$100
Anesthesia (est.)
$7
Important: The physician fee of $33 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)
$33
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$60
Non-facility setting

Patient Guide: Trigger Point Injection (1 Muscle)

What you need to know before your appointment

What to Expect

The doctor injects steroid and/or numbing medication around a tendon or ligament to reduce inflammation.

How Long Does It Take?

10-15 minutes

Common Reasons Doctors Order This

Tendinitis, de Quervain tenosynovitis, trigger finger, plantar fasciitis, tennis elbow

How to Prepare

Tell your doctor about blood thinners. Rest the area for 24-48 hours after.

Procedures Commonly Done Together

These procedures are frequently performed alongside Njx 1 tendon sheath/ligament

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How to Reduce Your Cost for Njx 1 tendon sheath/ligament

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 ($60) differs from the facility rate ($33). 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.

0.73
Work RVU
0.18
Practice Expense RVU
0.09
Malpractice RVU
1.81
Total RVU

Payment = Total RVU (1.81) x CF ($33.40) = $60

People Also Ask

Common questions people search for about this procedure

How long does a tendon shot last?

Depending on the type of agent used, the pain relief may last for 2-10 hours. The steroid takes anywhere from 3-10 days to start decreasing inflammation. The response to a tendon injection is different for every patient. Some patients experience total relief for many months; others do not have any relief.

Source: www.footcaremd.org See our data-backed answer →
Will insurance pay for a cortisone shot?

A cortisone injection cost typically ranges from 00 to 00, but most insurance plans should cover at least part of the cost.

Source: emergeortho.com See our data-backed answer →
Why are doctors reluctant to give cortisone injections?

As Dr. Cunningham explains: “Most orthopedic surgeons don't like to give cortisone shots repetitively because, while it's good to relieve inflammation and pain, it can also lead to degenerative changes of the cartilage lining the joint.” Doctors usually won't give a patient more than three to four shots per year.

Source: www.hackensackmeridianhealth.org See our data-backed answer →
Would a steroid injection help a torn tendon?

Injecting steroid medicine into the fluid within the tendon sheath can treat the inflammation, decreasing the pain and increasing the range of movement in that area.

Source: www.gosh.nhs.uk See our data-backed answer →

Frequently Asked Questions

How much does Njx 1 tendon sheath/ligament cost?

The Medicare facility rate for Njx 1 tendon sheath/ligament is $33. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Njx 1 tendon sheath/ligament cost without insurance?

Without insurance, the cost of Njx 1 tendon sheath/ligament 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 Njx 1 tendon sheath/ligament?

Most commercial health insurance plans and Medicare cover Njx 1 tendon sheath/ligament 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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