Code Reality Check
20610 reimbursement rate: Major joint injection (shoulder, hip, knee)
Major joint injection (shoulder, hip, knee) (CPT 20610) pays a median $184.18 in Wisconsin and $60.03 in Kentucky, against a Medicare anchor of $68.59. 51 of 51 states clear the publication floor.
spread 3.1x top to bottom
Medicare anchor $68.59
51/51 states published
The 50-state spread
as of 2026-07-15| State | Median | vs Medicare | Band | Rate points | Tier |
|---|---|---|---|---|---|
| Wisconsin | $184.18 | 2.69x | $78–$359 · P90 $574 | 170,871 | Benchmark |
| Alaska | $165.80 | 2.42x | $91–$310 · P90 $431 | 3,031 | Benchmark |
| South Dakota | $132.39 | 1.93x | $64–$182 · P90 $232 | 9,138 | Benchmark |
| Nebraska | $126.17 | 1.84x | $75–$142 · P90 $169 | 14,651 | Benchmark |
| Minnesota | $121.74 | 1.77x | $65–$222 · P90 $343 | 58,012 | Benchmark |
| Oregon | $118.26 | 1.72x | $80–$164 · P90 $214 | 30,133 | Benchmark |
| Iowa | $116.85 | 1.70x | $80–$191 · P90 $459 | 20,381 | Benchmark |
| Massachusetts | $105.86 | 1.54x | $61–$211 · P90 $273 | 98,912 | Benchmark |
| Montana | $104.44 | 1.52x | $82–$164 · P90 $381 | 6,544 | Benchmark |
| North Dakota | $103.67 | 1.51x | $61–$183 · P90 $232 | 7,778 | Benchmark |
| Connecticut | $102.03 | 1.49x | $64–$192 · P90 $252 | 39,148 | Benchmark |
| Wyoming | $99.14 | 1.45x | $64–$146 · P90 $304 | 2,359 | Benchmark |
| Colorado | $95.14 | 1.39x | $65–$180 · P90 $229 | 40,627 | Benchmark |
| Mississippi | $94.72 | 1.38x | $58–$139 · P90 $201 | 13,866 | Benchmark |
| South Carolina | $94.43 | 1.38x | $73–$125 · P90 $165 | 54,726 | Benchmark |
| California | $93.34 | 1.36x | $67–$202 · P90 $303 | 317,253 | Benchmark |
| Utah | $92.83 | 1.35x | $60–$142 · P90 $160 | 27,001 | Benchmark |
| New Hampshire | $91.58 | 1.34x | $57–$132 · P90 $184 | 31,099 | Benchmark |
| North Carolina | $90.30 | 1.32x | $70–$112 · P90 $172 | 205,888 | Benchmark |
| Pennsylvania | $90.12 | 1.31x | $62–$123 · P90 $177 | 131,069 | Benchmark |
| Idaho | $89.97 | 1.31x | $53–$133 · P90 $152 | 13,750 | Benchmark |
| District of Columbia | $89.65 | 1.31x | $57–$129 · P90 $205 | 10,158 | Benchmark |
| Illinois | $89.13 | 1.30x | $63–$123 · P90 $197 | 111,169 | Benchmark |
| Alabama | $87.07 | 1.27x | $58–$104 · P90 $153 | 20,427 | Benchmark |
| Washington | $86.98 | 1.27x | $63–$147 · P90 $186 | 43,982 | Benchmark |
| New Mexico | $86.91 | 1.27x | $64–$124 · P90 $156 | 11,173 | Benchmark |
| Georgia | $86.85 | 1.27x | $59–$134 · P90 $195 | 339,347 | Benchmark |
| New York | $86.47 | 1.26x | $57–$116 · P90 $204 | 676,455 | Benchmark |
| Hawaii | $83.21 | 1.21x | $69–$101 · P90 $195 | 9,068 | Benchmark |
| Kansas | $82.70 | 1.21x | $65–$102 · P90 $125 | 19,729 | Benchmark |
| Michigan | $82.20 | 1.20x | $60–$106 · P90 $164 | 59,828 | Benchmark |
| West Virginia | $79.36 | 1.16x | $61–$115 · P90 $146 | 23,501 | Benchmark |
| New Jersey | $78.99 | 1.15x | $50–$113 · P90 $194 | 71,349 | Benchmark |
| Tennessee | $78.90 | 1.15x | $57–$108 · P90 $157 | 53,756 | Benchmark |
| Rhode Island | $77.65 | 1.13x | $53–$102 · P90 $139 | 13,342 | Benchmark |
| Maine | $77.40 | 1.13x | $52–$112 · P90 $143 | 35,546 | Benchmark |
| Missouri | $77.12 | 1.12x | $49–$109 · P90 $176 | 203,432 | Benchmark |
| Louisiana | $76.66 | 1.12x | $48–$104 · P90 $132 | 24,190 | Benchmark |
| Vermont | $73.83 | 1.08x | $42–$105 · P90 $160 | 6,219 | Benchmark |
| Maryland | $72.91 | 1.06x | $60–$126 · P90 $202 | 40,953 | Benchmark |
| Arkansas | $71.87 | 1.05x | $50–$104 · P90 $140 | 16,518 | Benchmark |
| Ohio | $71.29 | 1.04x | $48–$107 · P90 $182 | 339,936 | Benchmark |
| Virginia | $67.70 | 0.99x | $51–$98 · P90 $130 | 107,524 | Benchmark |
| Oklahoma | $67.51 | 0.98x | $45–$92 · P90 $117 | 16,283 | Benchmark |
| Delaware | $67.47 | 0.98x | $49–$107 · P90 $143 | 6,231 | Benchmark |
| Arizona | $66.88 | 0.98x | $59–$112 · P90 $208 | 30,747 | Benchmark |
| Texas | $65.94 | 0.96x | $51–$96 · P90 $140 | 136,942 | Benchmark |
| Indiana | $65.53 | 0.96x | $48–$94 · P90 $140 | 198,261 | Benchmark |
| Florida | $65.41 | 0.95x | $46–$100 · P90 $156 | 129,391 | Benchmark |
| Nevada | $62.73 | 0.91x | $48–$96 · P90 $141 | 13,440 | Benchmark |
| Kentucky | $60.03 | 0.88x | $41–$89 · P90 $127 | 84,988 | Benchmark |
Payer-blind local peer percentiles per state, full verified distribution. Publication floor: 11 verified rate points and a non-degenerate spread; the P25–P75 band unlocks at 25 points, P90 at 100 (a smaller cell's P90 is one contract, not a statistic).
Documented reimbursement figures are modeled, not guaranteed. Derived from federally mandated Transparency in Coverage data (45 CFR 147.212). No PHI.
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Cite this page
Source: Reddenda Code Reality Check, CPT 20610. Reddenda. https://reddenda.health/code/20610/
Derivation federally mandated TiC MRFs, verified to provider identity4,150,122 verified rate points across 51 statesas of 2026-07-15 · methodology v1.0