CPT code 20560: Dry needling, 1-2 muscles2026 Medicare rate & RVUs in Utah
Reports dry needling without injected medication when a clinician treats one or two muscles for muscular pain or movement limitation.
In Utah, Medicare pays $23.84 for 20560 in the office and $12.22 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 20560 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 20560 covers
Code 20560 represents dry needling: a clinician inserts one or more fine needles into one or two muscles, without injecting medication or another substance. Physical therapists commonly perform it in outpatient rehabilitation for myofascial pain or muscle-related movement limitation; other qualified practitioners may perform it within their scope. The target is muscle tissue, rather than a tendon sheath, ligament, or tendon origin.
Choose 20560 by the number of muscles treated, not by needle passes, needles, or trigger points. When three or more muscles are treated, assess the related 20561 level. The record should identify each muscle treated, describe needle insertion without injection, and connect the procedure to the patient's condition and treatment plan. CMS assigns work, practice-expense, and malpractice relative value units to this service; its practice-expense inputs differ between office and facility settings.
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 Utah compares for 20560
Across 109 of 109 payment localities, the office rate for 20560 runs from $22.58 in Arkansas to $31.90 in San Benito County, CA. Utah pays $23.84. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$23.84
- Los Angeles, CA · California$27.60+$3.76
- Washington, DC area · District of Columbia$27.81+$3.97
- Miami, FL · Florida$25.80+$1.96
- Chicago, IL · Illinois$25.29+$1.45
- Manhattan, NY · New York$27.85+$4.01
- Alaska · Alaska$30.66+$6.82
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $22.82 | $12.00 |
| ArkansasArkansas | $22.58 | $11.96 |
| ArizonaArizona | $24.23 | $12.26 |
| Bakersfield, CACalifornia | $26.13 | $12.58 |
| Chico, CACalifornia | $26.08 | $12.54 |
| El Centro, CACalifornia | $26.09 | $12.54 |
| Fresno, CACalifornia | $26.08 | $12.54 |
| Hanford, CACalifornia | $26.08 | $12.54 |
| Madera, CACalifornia | $26.08 | $12.54 |
| Merced, CACalifornia | $26.08 | $12.54 |
| Modesto, CACalifornia | $26.08 | $12.54 |
| Napa, CACalifornia | $29.67 | $13.38 |
| Oxnard, CACalifornia | $27.43 | $12.83 |
| Redding, CACalifornia | $26.08 | $12.54 |
| Rest of CaliforniaCalifornia | $26.08 | $12.54 |
| Riverside, CACalifornia | $26.20 | $12.66 |
| Sacramento, CACalifornia | $27.22 | $12.85 |
| Salinas, CACalifornia | $27.11 | $12.79 |
| San Diego, CACalifornia | $27.62 | $12.84 |
| Marin County, CACalifornia | $31.27 | $13.85 |
| San Francisco, CACalifornia | $31.26 | $13.83 |
| San Benito County, CACalifornia | $31.90 | $14.08 |
| Santa Clara County, CACalifornia | $31.85 | $14.03 |
| San Luis Obispo, CACalifornia | $26.69 | $12.61 |
| Santa Cruz, CACalifornia | $27.80 | $12.78 |
| Santa Maria, CACalifornia | $27.18 | $12.77 |
| Santa Rosa, CACalifornia | $28.07 | $12.89 |
| Stockton, CACalifornia | $26.08 | $12.54 |
| Vallejo, CACalifornia | $29.65 | $13.36 |
| Visalia, CACalifornia | $26.08 | $12.54 |
| Yuba City, CACalifornia | $26.08 | $12.54 |
| ColoradoColorado | $25.67 | $12.52 |
| ConnecticutConnecticut | $26.07 | $12.76 |
| DelawareDelaware | $24.57 | $12.36 |
| Fort Lauderdale, FLFlorida | $25.17 | $12.65 |
| Rest of FloridaFlorida | $24.27 | $12.45 |
| Atlanta, GAGeorgia | $25.04 | $12.48 |
| Rest of GeorgiaGeorgia | $23.27 | $12.24 |
| Hawaii, Guam, HIHawaii | $26.50 | $12.45 |
| IowaIowa | $23.32 | $12.01 |
| IdahoIdaho | $23.42 | $12.05 |
| East St. Louis, ILIllinois | $23.93 | $12.56 |
| Rest of IllinoisIllinois | $23.68 | $12.40 |
| Suburban Chicago, ILIllinois | $25.43 | $12.73 |
| IndianaIndiana | $23.52 | $12.06 |
| KansasKansas | $23.20 | $12.03 |
| KentuckyKentucky | $23.13 | $12.14 |
| New Orleans, LALouisiana | $23.93 | $12.31 |
| Rest of LouisianaLouisiana | $23.09 | $12.15 |
| Metropolitan Boston, MAMassachusetts | $27.83 | $13.07 |
| Rest of MassachusettsMassachusetts | $25.56 | $12.54 |
| Baltimore area, MDMaryland | $25.99 | $12.73 |
| Rest of MarylandMaryland | $24.96 | $12.45 |
| Rest of MaineMaine | $23.47 | $12.10 |
| Southern Maine, MEMaine | $24.47 | $12.22 |
| Detroit, MIMichigan | $24.45 | $12.53 |
| Rest of MichiganMichigan | $23.54 | $12.26 |
| MinnesotaMinnesota | $24.89 | $12.17 |
| Metropolitan Kansas City, MOMissouri | $23.85 | $12.25 |
| Metropolitan St. Louis, MOMissouri | $24.04 | $12.28 |
| Rest of MissouriMissouri | $22.77 | $12.12 |
| MississippiMississippi | $22.68 | $12.04 |
| MontanaMontana | $24.72 | $12.36 |
| North CarolinaNorth Carolina | $23.66 | $12.13 |
| North DakotaNorth Dakota | $24.52 | $12.16 |
| NebraskaNebraska | $23.43 | $12.02 |
| New HampshireNew Hampshire | $25.25 | $12.39 |
| Northern New JerseyNew Jersey | $27.64 | $13.30 |
| Rest of New JerseyNew Jersey | $26.45 | $12.96 |
| New MexicoNew Mexico | $23.62 | $12.29 |
| NevadaNevada | $24.67 | $12.30 |
| NYC suburbs and Long Island, NYNew York | $28.32 | $13.62 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $26.59 | $13.05 |
| Queens, NYNew York | $28.08 | $13.47 |
| Rest of New YorkNew York | $23.92 | $12.18 |
| OhioOhio | $23.50 | $12.22 |
| OklahomaOklahoma | $23.14 | $12.11 |
| Portland, OROregon | $26.35 | $12.62 |
| Rest of OregonOregon | $24.56 | $12.25 |
| Metropolitan Philadelphia, PAPennsylvania | $25.54 | $12.68 |
| Rest of PennsylvaniaPennsylvania | $23.55 | $12.20 |
| Puerto RicoPuerto Rico | $24.87 | $12.37 |
| Rhode IslandRhode Island | $25.34 | $12.57 |
| South CarolinaSouth Carolina | $23.60 | $12.18 |
| South DakotaSouth Dakota | $24.49 | $12.14 |
| TennesseeTennessee | $23.29 | $12.05 |
| Austin, TXTexas | $25.51 | $12.44 |
| Beaumont, TXTexas | $23.43 | $12.18 |
| Brazoria, TXTexas | $24.60 | $12.35 |
| Dallas, TXTexas | $24.71 | $12.40 |
| Fort Worth, TXTexas | $24.57 | $12.39 |
| Galveston, TXTexas | $24.64 | $12.37 |
| Houston, TXTexas | $24.83 | $12.56 |
| Rest of TexasTexas | $23.97 | $12.24 |
| VirginiaVirginia | $24.38 | $12.23 |
| Virgin Islands, VIUnited States Virgin Islands | $24.87 | $12.37 |
| VermontVermont | $24.41 | $12.18 |
| Rest of WashingtonWashington | $25.51 | $12.50 |
| King County, WAWashington | $28.36 | $13.19 |
| WisconsinWisconsin | $23.90 | $12.06 |
| West VirginiaWest Virginia | $23.02 | $12.28 |
| WyomingWyoming | $24.63 | $12.27 |
20560 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.
$22.58
$30.66
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $30.66 | 1 |
| AL | $22.82 | 1 |
| AR | $22.58 | 1 |
| AZ | $24.23 | 1 |
| CA | $26.08–$31.90 | 29 |
| CO | $25.67 | 1 |
| CT | $26.07 | 1 |
| DC | $27.81 | 1 |
| DE | $24.57 | 1 |
| FL | $24.27–$25.80 | 3 |
| GA | $23.27–$25.04 | 2 |
| GU | $26.50 | 1 |
| HI | $26.50 | 1 |
| IA | $23.32 | 1 |
| ID | $23.42 | 1 |
| IL | $23.68–$25.43 | 4 |
| IN | $23.52 | 1 |
| KS | $23.20 | 1 |
| KY | $23.13 | 1 |
| LA | $23.09–$23.93 | 2 |
| MA | $25.56–$27.83 | 2 |
| MD | $24.96–$27.81 | 3 |
| ME | $23.47–$24.47 | 2 |
| MI | $23.54–$24.45 | 2 |
| MN | $24.89 | 1 |
| MO | $22.77–$24.04 | 3 |
| MS | $22.68 | 1 |
| MT | $24.72 | 1 |
| NC | $23.66 | 1 |
| ND | $24.52 | 1 |
| NE | $23.43 | 1 |
| NH | $25.25 | 1 |
| NJ | $26.45–$27.64 | 2 |
| NM | $23.62 | 1 |
| NV | $24.67 | 1 |
| NY | $23.92–$28.32 | 5 |
| OH | $23.50 | 1 |
| OK | $23.14 | 1 |
| OR | $24.56–$26.35 | 2 |
| PA | $23.55–$25.54 | 2 |
| PR | $24.87 | 1 |
| RI | $25.34 | 1 |
| SC | $23.60 | 1 |
| SD | $24.49 | 1 |
| TN | $23.29 | 1 |
| TX | $23.43–$25.51 | 8 |
| UT | $23.84 | 1 |
| VA | $24.38–$27.81 | 2 |
| VI | $24.87 | 1 |
| VT | $24.41 | 1 |
| WA | $25.51–$28.36 | 2 |
| WI | $23.90 | 1 |
| WV | $23.02 | 1 |
| WY | $24.63 | 1 |
How the 20560 rate is calculated
Each of 20560’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 · 20560
RVUs × geographic indexes × conversion factor
Work0.31
0.31 RVUs× 1.000 GPCI
Practice expense0.42
0.42 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.7400
Conversion factor
$33.4009
Medicare rate
$24.72
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,764
- Code
- 20560
- Physician work
- 0.31
- Practice expense
- 0.42
- Malpractice
- 0.01
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.31 | × 1.000 | 0.3100 |
| Practice expense | 0.42 | × 0.940 | 0.3948 |
| Malpractice | 0.01 | × 0.898 | 0.0090 |
| Total RVUs | 0.7138 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Utah$23.84
Office: (0.31 × 1 + 0.42 × 0.94 + 0.01 × 0.898) × $33.4009 = $23.84
Facility: (0.31 × 1 + 0.05 × 0.94 + 0.01 × 0.898) × $33.4009 = $12.22
Payment rules and modifiers for 20560
20560 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 20560
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$24.72
- Non-facility (office)
- $24.72
- Facility
- $12.36
Higher because the practice carries its own overhead.
How 20560 has changed in Utah
20560 · Office / nonfacility
$23.84
Effective 2026-10-01
The base rate is $0.21 higher than on 2025-10-01, moving from $23.63 to $23.84 (0.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$23.63changed to$23.84
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.32 changed to 0.31
- Malpractice RVU 0.02 changed to 0.01
- Practice expense GPCI 0.933 changed to 0.940
- Malpractice GPCI 0.930 changed to 0.898
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$24.63changed to$23.63
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.44 changed to 0.42
- Malpractice RVU 0.01 changed to 0.02
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$24.22changed to$24.63
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$24.94changed to$24.22
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.865 changed to 0.930
January 1, 2023
RVU23A
$25.62changed to$24.94
- Conversion factor 34.6062 changed to 33.8872
- Malpractice RVU 0.02 changed to 0.01
- Practice expense GPCI 0.919 changed to 0.926
- Malpractice GPCI 0.799 changed to 0.865
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$25.43changed to$25.62
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.41 changed to 0.44
- Malpractice RVU 0.04 changed to 0.02
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$25.60changed to$25.43
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.39 changed to 0.41
- Malpractice RVU 0.03 changed to 0.04
- Practice expense GPCI 0.923 changed to 0.919
- Malpractice GPCI 0.982 changed to 0.799
Held through RVU21B, RVU21C, RVU21D.
April 1, 2020
RVU20B
No ratechanged to$25.60
Held through RVU20C, RVU20D.
January 1, 2020
RVU20A
No ratechanged toNo rate
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, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $23.84 | $12.22 | RVU26D |
| 2026-07-01 | $23.84 | $12.22 | RVU26C |
| 2026-04-01 | $23.84 | $12.22 | RVU26B |
| 2026-01-01 | $23.84 | $12.22 | RVU26A |
| 2025-10-01 | $23.63 | $14.27 | RVU25D |
| 2025-07-01 | $23.63 | $14.27 | RVU25C |
| 2025-04-01 | $23.63 | $14.27 | RVU25B |
| 2025-01-01 | $23.63 | $14.27 | RVU25A |
| 2024-10-01 | $24.63 | $14.38 | RVU24D |
| 2024-07-01 | $24.63 | $14.38 | RVU24C |
| 2024-04-01 | $24.63 | $14.38 | RVU24B |
| 2024-03-09 | $24.63 | $14.38 | RVU24AR |
| 2024-01-01 | $24.22 | $14.14 | RVU24A |
| 2023-10-01 | $24.94 | $14.59 | RVU23D |
| 2023-07-01 | $24.94 | $14.59 | RVU23C |
| 2023-04-01 | $24.94 | $14.59 | RVU23B |
| 2023-01-01 | $24.94 | $14.59 | RVU23A |
| 2022-10-01 | $25.62 | $14.81 | RVU22D |
| 2022-07-01 | $25.62 | $14.81 | RVU22C |
| 2022-04-01 | $25.62 | $14.81 | RVU22B |
| 2022-01-01 | $25.62 | $14.81 | RVU22A |
| 2021-10-01 | $25.43 | $16.13 | RVU21D |
| 2021-07-01 | $25.43 | $16.13 | RVU21C |
| 2021-04-01 | $25.43 | $16.13 | RVU21B |
| 2021-01-01 | $25.43 | $16.13 | RVU21A |
| 2020-10-01 | $25.60 | $16.61 | RVU20D |
| 2020-07-01 | $25.60 | $16.61 | RVU20C |
| 2020-04-01 | $25.60 | $16.61 | RVU20B |
| 2020-01-01 | Separate payment rules apply | Separate payment rules apply | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
20560 billing questions
When should I use 20560 instead of 20561?
Use 20560 for treatment of one or two muscles. For three or more muscles, assess 20561.
Is 20560 selected by needle count or muscle count?
Select the code by the number of muscles treated, not the number of needles or insertion passes. Document the muscles addressed.
Can 20560 be used when medication is injected?
No. 20560 describes needle insertion without an injection; a trigger-point injection is represented by a different code family, including 20552 and 20553.
What documentation supports 20560?
Record the treated muscle or muscles, the dry-needling procedure without injection, and the clinical condition or limitation being addressed.
How does 20560 differ from trigger-point injection codes?
20560 represents needle insertion without injectate. Codes 20552 and 20553 describe trigger-point injection services, with selection based on the number of points injected.
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
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