CPT code 20551: Tendon injection, tendon origin or insertion2026 Medicare rate & RVUs in Wyoming

Injection at one tendon origin or insertion, commonly for focal tendinopathy or enthesopathy, is reported when treatment targets the attachment rather than its sheath.

CMS RVU26DEffective Oct 1, 2026One payment locality120.7K Medicare services in 2024

In Wyoming, Medicare pays $59.76 for 20551 in the office and $32.37 when it’s performed in a hospital or facility.

$59.76Office (non-facility)
$32.37Hospital or facility
−1.2%vs the national office rate ($60.46)

Check a contract rate as a % of Medicare · 20551 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 20551 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Wyoming
  2. What 20551 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 20551 covers

This procedure delivers medication to one tendon origin or insertion to treat a localized condition such as tendinopathy or enthesopathy. A physician or other qualified clinician may perform it in an office or outpatient facility. A familiar example is an injection at the common extensor tendon origin for lateral epicondylitis. The target is the tendon’s attachment, not a tendon sheath or a muscle trigger point.

Report 20551 for one tendon origin or insertion; document the treated site, diagnosis, medication, and clinical rationale. The code includes the injection service, while medication may be separately reportable when applicable coding and payment requirements are met. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery services are not paid, and co-surgeon and team-surgery reporting are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Wyoming compares for 20551

Across 109 of 109 payment localities, the office rate for 20551 runs from $54.45 in Arkansas to $76.66 in San Benito County, CA. Wyoming pays $59.76. The RVUs are the same everywhere; the geographic indexes change the dollars.

20551 in Wyoming vs other payment areas
  1. Wyoming · this page$59.76
  2. Los Angeles, CA · California$66.67+$6.91
  3. Washington, DC area · District of Columbia$68.02+$8.26
  4. Miami, FL · Florida$65.91+$6.15
  5. Chicago, IL · Illinois$64.25+$4.49
  6. Manhattan, NY · New York$68.99+$9.23
  7. Alaska · Alaska$73.62+$13.86

Other areas in Wyoming first, then benchmark localities. Bars start at $0.

Every other payment area

20551 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$55.12$31.16
ArkansasArkansas$54.45$30.92
ArizonaArizona$59.04$32.50
Bakersfield, CACalifornia$63.08$33.06
Chico, CACalifornia$62.84$32.82
El Centro, CACalifornia$62.85$32.83
Fresno, CACalifornia$62.84$32.82
Hanford, CACalifornia$62.84$32.82

20551 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$54.45

$73.62

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
20551 office rate range by state
State / territoryOffice rate rangeLocalities
AK$73.621
AL$55.121
AR$54.451
AZ$59.041
CA$62.84–$76.6629
CO$62.301
CT$64.081
DC$68.021
DE$59.911
FL$60.33–$65.913
GA$57.36–$61.602
GU$63.911
HI$63.911
IA$56.011
ID$56.381
IL$59.05–$64.254
IN$56.641
KS$55.921
KY$56.521
LA$56.50–$58.852
MA$62.07–$67.642
MD$60.88–$68.023
ME$56.77–$59.172
MI$57.89–$61.122
MN$59.541
MO$55.78–$58.863
MS$55.121
MT$60.451
NC$57.251
ND$58.871
NE$56.221
NH$61.491
NJ$64.76–$67.522
NM$58.221
NV$60.041
NY$57.99–$70.625
OH$57.571
OK$56.291
OR$59.53–$63.872
PA$57.57–$62.782
PR$60.781
RI$61.731
SC$57.521
SD$58.681
TN$56.181
TX$57.26–$62.148
UT$58.181
VA$59.10–$68.022
VI$60.781
VT$58.801
WA$61.90–$68.772
WI$57.201
WV$57.231
WY$59.761

See 20551 in every payment locality

How the 20551 rate is calculated

Each of 20551’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 20551

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.73

0.73 RVUs× 1.000 GPCI

Practice expense1.00

1.00 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

1.8100

Conversion factor

$33.4009

Medicare rate

$60.46

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Wyoming inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,760

Code
20551
Physician work
0.73
Practice expense
1.00
Malpractice
0.08

GPCI2026.csv

112

Locality
Wyoming
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office calculation for 20551 in Wyoming
ComponentRVULocality factorAdjusted
Physician work0.73× 1.0000.7300
Practice expense1.00× 1.0001.0000
Malpractice0.08× 0.7400.0592
Total RVUs1.7892
Conversion factor× 33.4009

Office rate, Wyoming$59.76

Office: (0.73 × 1 + 1 × 1 + 0.08 × 0.74) × $33.4009 = $59.76

Facility: (0.73 × 1 + 0.18 × 1 + 0.08 × 0.74) × $33.4009 = $32.37

Open 20551 in the RVU calculator

Payment rules and modifiers for 20551

The CMS indicators that decide how 20551 is paid alongside other services.

CMS payment indicators · 20551

Tendon injection, tendon origin or insertion

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

20551 without 51 · national office

$60.46

Tendon injection, tendon origin or insertion

20551-51 · Second procedure: 50%

$30.23

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 20551 has changed in Wyoming

20551 · Office / nonfacility

$59.76

Effective 2026-10-01

The base rate is $4.48 higher than on 2025-10-01, moving from $55.28 to $59.76 (8.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $55.28changed to$59.76

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.75 changed to 0.73
    • Practice expense RVU 0.90 changed to 1.00
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $56.81changed to$55.28

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.89 changed to 0.90
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $55.88changed to$56.81

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $57.91changed to$55.88

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.88 changed to 0.89
    • Malpractice RVU 0.10 changed to 0.09
    • Malpractice GPCI 0.790 changed to 0.739
  5. January 1, 2023

    RVU23A

    $59.03changed to$57.91

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.09 changed to 0.10
    • Malpractice GPCI 0.841 changed to 0.790

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $58.12changed to$59.03

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.84 changed to 0.88

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $57.29changed to$58.12

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.76 changed to 0.84
    • Malpractice GPCI 0.860 changed to 0.841

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $54.79changed to$57.29

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.70 changed to 0.76
    • Malpractice RVU 0.08 changed to 0.09
    • Malpractice GPCI 0.880 changed to 0.860

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $61.93changed to$54.79

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.90 changed to 0.70

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $61.87changed to$61.93

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.89 changed to 0.90
    • Malpractice GPCI 1.050 changed to 0.880

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $61.85changed to$61.87

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.88 changed to 0.89
    • Malpractice GPCI 1.219 changed to 1.050

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $62.51changed to$61.85

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $62.20changed to$62.51

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $61.90changed to$62.20

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.08 changed to 0.09
    • Malpractice GPCI 1.226 changed to 1.219

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $61.20changed to$61.90

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.95 changed to 0.88
    • Malpractice GPCI 1.233 changed to 1.226

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $61.20

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$59.76$32.37RVU26D
2026-07-01$59.76$32.37RVU26C
2026-04-01$59.76$32.37RVU26B
2026-01-01$59.76$32.37RVU26A
2025-10-01$55.28$36.52RVU25D
2025-07-01$55.28$36.52RVU25C
2025-04-01$55.28$36.52RVU25B
2025-01-01$55.28$36.52RVU25A
2024-10-01$56.81$37.50RVU24D
2024-07-01$56.81$37.50RVU24C
2024-04-01$56.81$37.50RVU24B
2024-03-09$56.81$37.50RVU24AR
2024-01-01$55.88$36.89RVU24A
2023-10-01$57.91$38.60RVU23D
2023-07-01$57.91$38.60RVU23C
2023-04-01$57.91$38.60RVU23B
2023-01-01$57.91$38.60RVU23A
2022-10-01$59.03$39.30RVU22D
2022-07-01$59.03$39.30RVU22C
2022-04-01$59.03$39.30RVU22B
2022-01-01$59.03$39.30RVU22A
2021-10-01$58.12$39.63RVU21D
2021-07-01$58.12$39.63RVU21C
2021-04-01$58.12$39.63RVU21B
2021-01-01$58.12$39.63RVU21A
2020-10-01$57.29$41.05RVU20D
2020-07-01$57.29$41.05RVU20C
2020-04-01$57.29$41.05RVU20B
2020-01-01$57.29$41.05RVU20A
2019-10-01$54.79$41.10RVU19D
2019-07-01$54.79$41.10RVU19C
2019-04-01$54.79$41.10RVU19B
2019-01-01$54.79$41.10RVU19A
2018-10-01$61.93$43.93RVU18D
2018-07-01$61.93$43.93RVU18C
2018-04-01$61.93$43.93RVU18B
2018-01-01$61.93$43.93RVU18AR1
2017-10-01$61.87$43.93RVU17D
2017-07-01$61.87$43.93RVU17C
2017-04-01$61.87$43.93RVU17B
2017-01-01$61.87$43.93RVU17A
2016-10-01$61.85$44.31RVU16D
2016-07-01$61.85$44.31RVU16C
2016-04-01$61.85$44.31RVU16B
2016-01-01$61.85$44.31RVU16A
2015-10-01$62.51$44.91RVU15D
2015-07-01$62.51$44.91RVU15C
2015-04-01$62.20$44.68RVU15B
2015-01-01$62.20$44.68RVU15A
2014-10-01$61.90$44.35RVU14D
2014-07-01$61.90$44.35RVU14C
2014-04-01$61.90$44.35RVU14B
2014-01-01$61.90$44.35RVU14A
2013-10-01$61.20$43.16RVU13D
2013-07-01$61.20$43.16RVU13C
2013-04-01$61.20$43.16RVU13B
2013-01-01$61.20$43.16RVU13AR

Price 20551 for an earlier date of service

Where the Wyoming rate applies

Wyoming is a Medicare payment area, not a city. Our Census mapping connects it to 205 cities and communities in Wyoming. Some span more than one payment area; confirm with the service ZIP.

  • Afton
  • Albany
  • Albin
  • Alcova
  • Alpine
  • Alpine Northeast
  • Alpine Northwest
  • Alta

Browse all communities in Wyoming

20551 billing questions

How is 20551 different from 20550?

Use 20551 when the injection targets a tendon origin or insertion. Code 20550 describes an injection into a tendon sheath or ligament.

Can 20551 be used for a trigger-point injection?

No. Trigger-point injections are reported with 20552 or 20553 according to the number of muscles treated; 20551 targets a tendon attachment.

What documentation supports 20551?

Record the specific tendon origin or insertion, the condition treated, and the medication administered. The note should make clear that the target was the attachment rather than a tendon sheath or trigger point.

How should multiple injections at the same tendon attachment be counted?

The code describes treatment of one tendon origin or insertion, not the number of needle passes or medication aliquots. Document each distinct treated target and follow applicable unit-reporting requirements.

Can modifier 50 be reported for bilateral tendon injections?

Modifier 50 is inappropriate for 20551 under the CMS descriptor and anatomy rule. Follow applicable reporting requirements for separately documented sides.

How does CMS handle same-session procedures and assistants?

When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Assistant-at-surgery services are not paid; co-surgeon and team-surgery reporting are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 20551PPRRVU2026_Oct_nonQPP.csv, line 1,760 (RVU26D)
Geographic factors for WyomingGPCI2026.csv, line 112 (RVU26D)

Open CMS sourceHow we calculate rates

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