CPT code 20552: Trigger point injection, one or two muscles2026 Medicare rate & RVUs in Redding, CA

Report 20552 for injection treatment of one or more myofascial trigger points located in one or two muscles, such as trapezius muscles.

CMS RVU26DEffective Oct 1, 2026One payment locality237.4K Medicare services in 2024

In Redding, CA, Medicare pays $53.74 for 20552 in the office and $36.17 when it’s performed in a hospital or facility.

$53.74Office (non-facility)
$36.17Hospital or facility
+3.8%vs the national office rate ($51.77)

Check a contract rate as a % of Medicare · 20552 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 20552 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Redding, CA
  2. What 20552 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 20552 covers

A clinician injects medication into one or more palpable, symptomatic trigger points in one or two muscles to treat myofascial pain. Common sites include cervical or lumbar paraspinal muscles and the trapezius. The service is often performed in an office or outpatient setting by clinicians treating musculoskeletal or pain conditions. The code describes the number of muscles treated, not the number of trigger points or needle placements; dry needling without injection is a different service.

Choose 20552 when the documented injection treatment involves one or two muscles; use the three-or-more-muscle code when that threshold is met. Record the treated muscles, trigger-point findings, injection sites, and medication administered. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeon or team-surgery reporting is 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 Redding, CA compares for 20552

Across 109 of 109 payment localities, the office rate for 20552 runs from $46.68 in Arkansas to $65.44 in San Benito County, CA. Redding, CA pays $53.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

20552 in Redding, CA vs other payment areas
  1. Redding, CA · this page$53.74
  2. Bakersfield, CA · California$53.96+$0.22
  3. Chico, CA · California$53.74
  4. El Centro, CA · California$53.76+$0.02
  5. Fresno, CA · California$53.74
  6. Hanford, CA · California$53.74
  7. Los Angeles, CA · California$57.00+$3.26

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

Every other payment area

20552 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$53.74$36.17
Merced, CACalifornia$53.74$36.17
Modesto, CACalifornia$53.74$36.17
Napa, CACalifornia$60.89$39.76
Oxnard, CACalifornia$56.59$37.64
Rest of CaliforniaCalifornia$53.74$36.17
Riverside, CACalifornia$54.51$36.93
Sacramento, CACalifornia$56.03$37.38

20552 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.

$46.68

$63.23

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

View every state and territory as a table
20552 office rate range by state
State / territoryOffice rate rangeLocalities
AK$63.231
AL$47.251
AR$46.681
AZ$50.561
CA$53.74–$65.4429
CO$53.311
CT$54.851
DC$58.181
DE$51.311
FL$51.71–$56.503
GA$49.19–$52.752
GU$54.631
HI$54.631
IA$47.981
ID$48.291
IL$50.65–$55.094
IN$48.521
KS$47.921
KY$48.461
LA$48.45–$50.432
MA$53.13–$57.832
MD$52.13–$58.183
ME$48.64–$50.662
MI$49.63–$52.392
MN$50.941
MO$47.84–$50.433
MS$47.261
MT$51.771
NC$49.051
ND$50.381
NE$48.161
NH$52.631
NJ$55.43–$57.772
NM$49.911
NV$51.411
NY$49.67–$60.455
OH$49.351
OK$48.251
OR$50.96–$54.632
PA$49.34–$53.762
PR$52.041
RI$52.851
SC$49.291
SD$50.221
TN$48.141
TX$49.08–$53.178
UT$49.851
VA$50.61–$58.182
VI$52.041
VT$50.341
WA$52.98–$58.782
WI$48.981
WV$49.101
WY$51.161

See 20552 in every payment locality

How the 20552 rate is calculated

Each of 20552’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 · 20552

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.64

0.64 RVUs× 1.000 GPCI

Practice expense0.84

0.84 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

1.5500

Conversion factor

$33.4009

Medicare rate

$51.77

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

The exact Redding, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,761

Code
20552
Physician work
0.64
Practice expense
0.84
Malpractice
0.07

GPCI2026.csv

19

Locality
Redding, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office calculation for 20552 in Redding, CA
ComponentRVULocality factorAdjusted
Physician work0.64× 1.0170.6509
Practice expense0.84× 1.0960.9206
Malpractice0.07× 0.5360.0375
Total RVUs1.6090
Conversion factor× 33.4009

Office rate, Redding, CA$53.74

Office: (0.64 × 1.017 + 0.84 × 1.096 + 0.07 × 0.536) × $33.4009 = $53.74

Facility: (0.64 × 1.017 + 0.36 × 1.096 + 0.07 × 0.536) × $33.4009 = $36.17

Open 20552 in the RVU calculator

Payment rules and modifiers for 20552

The CMS indicators that decide how 20552 is paid alongside other services.

CMS payment indicators · 20552

Trigger point injection, one or two muscles

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

20552 without 51 · national office

$51.77

Trigger point injection, one or two muscles

20552-51 · Second procedure: 50%

$25.89

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 20552 has changed in Redding, CA

20552 · Office / nonfacility

$53.74

Effective 2026-10-01

The base rate is $1.13 higher than on 2025-10-01, moving from $52.61 to $53.74 (2.1%).

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

    $52.61changed to$53.74

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.66 changed to 0.64
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $54.33changed to$52.61

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.08 changed to 0.07

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $53.44changed to$54.33

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $55.12changed to$53.44

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $56.27changed to$55.12

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.09 changed to 0.08
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $56.74changed to$56.27

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $58.71changed to$56.74

    • Conversion factor 36.0896 changed to 34.8931
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $58.19changed to$58.71

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.07 changed to 0.09
    • Work GPCI 1.020 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $58.13changed to$58.19

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $58.32changed to$58.13

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$58.32

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$53.74$36.17RVU26D
2026-07-01$53.74$36.17RVU26C
2026-04-01$53.74$36.17RVU26B
2026-01-01$53.74$36.17RVU26A
2025-10-01$52.61$35.64RVU25D
2025-07-01$52.61$35.64RVU25C
2025-04-01$52.61$35.64RVU25B
2025-01-01$52.61$35.64RVU25A
2024-10-01$54.33$36.87RVU24D
2024-07-01$54.33$36.87RVU24C
2024-04-01$54.33$36.87RVU24B
2024-03-09$54.33$36.87RVU24AR
2024-01-01$53.44$36.26RVU24A
2023-10-01$55.12$37.57RVU23D
2023-07-01$55.12$37.57RVU23C
2023-04-01$55.12$37.57RVU23B
2023-01-01$55.12$37.57RVU23A
2022-10-01$56.27$38.58RVU22D
2022-07-01$56.27$38.58RVU22C
2022-04-01$56.27$38.58RVU22B
2022-01-01$56.27$38.58RVU22A
2021-10-01$56.74$38.90RVU21D
2021-07-01$56.74$38.90RVU21C
2021-04-01$56.74$38.90RVU21B
2021-01-01$56.74$38.90RVU21A
2020-10-01$58.71$40.18RVU20D
2020-07-01$58.71$40.18RVU20C
2020-04-01$58.71$40.18RVU20B
2020-01-01$58.71$40.18RVU20A
2019-10-01$58.19$39.61RVU19D
2019-07-01$58.19$39.61RVU19C
2019-04-01$58.19$39.61RVU19B
2019-01-01$58.19$39.61RVU19A
2018-10-01$58.13$39.57RVU18D
2018-07-01$58.13$39.57RVU18C
2018-04-01$58.13$39.57RVU18B
2018-01-01$58.13$39.57RVU18AR1
2017-10-01$58.32$39.73RVU17D
2017-07-01$58.32$39.73RVU17C
2017-04-01$58.32$39.73RVU17B
2017-01-01$58.32$39.73RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 20552 for an earlier date of service

Where the Redding, CA rate applies

Redding, CA is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Redding
  • Anderson
  • Bella Vista
  • Big Bend
  • Burney
  • Cassel
  • Castella
  • Centerville

Browse all communities in California

20552 billing questions

Does the number of trigger points determine whether to report 20552?

No. The distinction is based on the number of muscles injected: 20552 covers one or two muscles, regardless of the number of trigger points treated.

When should 20553 be reported instead?

Use 20553 when injection treatment involves three or more muscles. Document the muscles treated so the code selection is supported.

Can dry needling be reported as 20552?

No. 20552 describes trigger-point injection treatment; needle insertion without injection is represented by the dry-needling codes.

Should modifier 50 be added for bilateral trigger points?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Same-day preoperative and postoperative care is included in this code's 0-day global period.

What documentation supports reporting 20552?

Document the symptomatic trigger points, the one or two muscles treated, injection sites, and the medication administered.

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 20552PPRRVU2026_Oct_nonQPP.csv, line 1,761 (RVU26D)
Geographic factors for Redding, CAGPCI2026.csv, line 19 (RVU26D)

Open CMS sourceHow we calculate rates

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