{"procedure":{"code_type":"CPT","code":"20553","lay_name":"Trigger point injection in three or more muscles","blurb":"Injection of medication into tender knots in muscle; this code covers the session when three or more muscles are treated.","slug":"cpt-20553-trigger-point-injection-in-three-or-more-muscles","description":"Injection Single/Mlt Trigger Point 3/> Muscles","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"156","label":"Injections and aspirations of muscles, tendons, bursa, joints and soft tissue","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-25T01:13:55.396173Z","n_priced_setters":3956,"n_filed":2704,"n_usable":2526,"n_not_usable":1,"n_labelled":85,"n_no_cash":91,"n_estimated":1,"n_states":50,"cash_p10":87.0,"cash_p20":144.5,"cash_p25":174.2,"cash_p50":384.25,"cash_p75":684.48,"cash_p80":794.45,"cash_p90":1120.0,"cash_mean_trimmed":408.36,"gross_p50":685.0,"cash_to_gross_p50":0.65,"medicare_rate":313.6,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":1.2253,"by_state":[{"state":"AK","n":14,"p20":277.6,"p50":382.73,"p80":563.84},{"state":"AL","n":28,"p20":191.13,"p50":389.0,"p80":813.0},{"state":"AR","n":21,"p20":123.93,"p50":190.4,"p80":632.0},{"state":"AZ","n":33,"p20":153.5,"p50":376.67,"p80":860.0},{"state":"CA","n":150,"p20":412.8,"p50":717.89,"p80":1412.0},{"state":"CO","n":62,"p20":141.0,"p50":340.99,"p80":748.0},{"state":"CT","n":18,"p20":225.0,"p50":545.4,"p80":957.28},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":79,"p20":364.59,"p50":724.75,"p80":1109.5},{"state":"GA","n":60,"p20":286.95,"p50":1239.0,"p80":1529.4},{"state":"HI","n":15,"p20":66.31,"p50":811.2,"p80":1101.75},{"state":"IA","n":84,"p20":132.0,"p50":260.4,"p80":606.12},{"state":"ID","n":22,"p20":96.8,"p50":184.6,"p80":672.0},{"state":"IL","n":103,"p20":178.5,"p50":357.0,"p80":819.0},{"state":"IN","n":53,"p20":122.5,"p50":317.15,"p80":558.0},{"state":"KS","n":79,"p20":100.0,"p50":171.8,"p80":402.5},{"state":"KY","n":38,"p20":162.0,"p50":572.36,"p80":1222.8},{"state":"LA","n":33,"p20":99.84,"p50":176.46,"p80":544.5},{"state":"MA","n":48,"p20":222.0,"p50":502.15,"p80":702.0},{"state":"MD","n":10,"p20":165.0,"p50":339.22,"p80":576.59},{"state":"ME","n":22,"p20":79.15,"p50":149.4,"p80":412.5},{"state":"MI","n":78,"p20":162.6,"p50":397.94,"p80":870.4},{"state":"MN","n":80,"p20":105.12,"p50":286.0,"p80":449.93},{"state":"MO","n":67,"p20":110.7,"p50":362.7,"p80":854.7},{"state":"MS","n":45,"p20":107.8,"p50":188.4,"p80":279.5},{"state":"MT","n":28,"p20":64.8,"p50":159.98,"p80":265.0},{"state":"NC","n":63,"p20":280.0,"p50":403.5,"p80":794.45},{"state":"ND","n":20,"p20":74.42,"p50":194.0,"p80":435.75},{"state":"NE","n":65,"p20":111.0,"p50":183.0,"p80":542.0},{"state":"NH","n":15,"p20":47.1,"p50":82.53,"p80":224.11},{"state":"NJ","n":51,"p20":326.73,"p50":393.89,"p80":3986.0},{"state":"NM","n":23,"p20":91.7,"p50":231.0,"p80":594.9},{"state":"NV","n":15,"p20":112.0,"p50":322.28,"p80":389.9},{"state":"NY","n":103,"p20":145.82,"p50":427.0,"p80":961.0},{"state":"OH","n":128,"p20":272.4,"p50":631.21,"p80":882.7},{"state":"OK","n":51,"p20":69.3,"p50":203.45,"p80":399.9},{"state":"OR","n":51,"p20":68.9,"p50":119.25,"p80":256.54},{"state":"PA","n":112,"p20":228.6,"p50":394.2,"p80":725.4},{"state":"RI","n":8,"p20":null,"p50":null,"p80":null},{"state":"SC","n":39,"p20":429.0,"p50":598.0,"p80":1098.5},{"state":"SD","n":19,"p20":179.45,"p50":196.0,"p80":311.47},{"state":"TN","n":41,"p20":164.85,"p50":235.35,"p80":422.87},{"state":"TX","n":138,"p20":297.0,"p50":665.84,"p80":703.22},{"state":"UT","n":30,"p20":401.66,"p50":506.68,"p80":596.09},{"state":"VA","n":53,"p20":226.8,"p50":378.0,"p80":460.0},{"state":"VT","n":13,"p20":99.05,"p50":160.8,"p80":668.0},{"state":"WA","n":74,"p20":103.11,"p50":276.27,"p80":545.6},{"state":"WI","n":91,"p20":172.9,"p50":283.5,"p80":655.8},{"state":"WV","n":35,"p20":150.64,"p50":340.0,"p80":566.5},{"state":"WY","n":15,"p20":119.2,"p50":208.8,"p80":449.0}],"by_segment":{"hospital_type":[{"key":"acute","n":1742,"p20":214.2,"p50":454.0,"p80":886.0},{"key":"childrens","n":48,"p20":239.52,"p50":627.79,"p80":1282.23},{"key":"critical_access","n":728,"p20":93.72,"p50":193.7,"p80":481.0}],"ownership":[{"key":"for_profit","n":234,"p20":226.8,"p50":500.56,"p80":1075.8},{"key":"government","n":512,"p20":102.66,"p50":254.1,"p80":573.38},{"key":"nonprofit","n":1772,"p20":163.77,"p50":404.09,"p80":825.35}],"affiliation":[{"key":"affiliated","n":2019,"p20":171.6,"p50":425.0,"p80":854.7},{"key":"independent","n":507,"p20":98.58,"p50":232.0,"p80":563.84}]},"histogram":[{"lo":59.5,"hi":82.2,"n":105},{"lo":82.2,"hi":113.57,"n":173},{"lo":113.57,"hi":156.9,"n":154},{"lo":156.9,"hi":216.77,"n":197},{"lo":216.77,"hi":299.48,"n":270},{"lo":299.48,"hi":413.75,"n":314},{"lo":413.75,"hi":571.62,"n":343},{"lo":571.62,"hi":789.73,"n":333},{"lo":789.73,"hi":1091.06,"n":199},{"lo":1091.06,"hi":1507.37,"n":189}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:13:55.396173Z","n_priced_setters":3956,"n_filed":1931,"n_usable":1801,"n_not_usable":1,"n_labelled":50,"n_no_cash":79,"n_estimated":0,"n_states":50,"cash_p10":101.25,"cash_p20":175.8,"cash_p25":226.04,"cash_p50":454.0,"cash_p75":748.0,"cash_p80":849.2,"cash_p90":1120.0,"cash_mean_trimmed":469.81,"gross_p50":757.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":7,"p20":null,"p50":null,"p80":null},{"state":"AL","n":16,"p20":254.1,"p50":389.0,"p80":813.0},{"state":"AR","n":13,"p20":95.19,"p50":188.99,"p80":706.0},{"state":"AZ","n":25,"p20":153.5,"p50":225.5,"p80":860.0},{"state":"CA","n":133,"p20":467.4,"p50":750.0,"p80":1451.0},{"state":"CO","n":47,"p20":238.37,"p50":358.6,"p80":748.0},{"state":"CT","n":12,"p20":225.0,"p50":545.4,"p80":957.28},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":61,"p20":514.8,"p50":791.7,"p80":1109.5},{"state":"GA","n":48,"p20":561.0,"p50":1248.0,"p80":1529.4},{"state":"HI","n":11,"p20":66.31,"p50":672.75,"p80":879.75},{"state":"IA","n":48,"p20":136.29,"p50":401.85,"p80":652.0},{"state":"ID","n":16,"p20":181.9,"p50":407.84,"p80":818.0},{"state":"IL","n":88,"p20":181.12,"p50":468.0,"p80":773.6},{"state":"IN","n":29,"p20":62.1,"p50":399.1,"p80":688.16},{"state":"KS","n":37,"p20":161.7,"p50":355.2,"p80":584.86},{"state":"KY","n":26,"p20":326.3,"p50":503.0,"p80":749.6},{"state":"LA","n":15,"p20":99.84,"p50":155.68,"p80":366.0},{"state":"MA","n":41,"p20":249.67,"p50":510.0,"p80":702.0},{"state":"MD","n":7,"p20":null,"p50":null,"p80":null},{"state":"ME","n":19,"p20":76.5,"p50":149.4,"p80":412.5},{"state":"MI","n":62,"p20":231.7,"p50":397.94,"p80":894.2},{"state":"MN","n":59,"p20":124.94,"p50":286.0,"p80":476.85},{"state":"MO","n":36,"p20":168.08,"p50":554.4,"p80":1071.0},{"state":"MS","n":27,"p20":180.89,"p50":270.0,"p80":420.0},{"state":"MT","n":16,"p20":64.35,"p50":131.89,"p80":237.6},{"state":"NC","n":42,"p20":339.34,"p50":453.0,"p80":794.45},{"state":"ND","n":11,"p20":74.42,"p50":231.03,"p80":460.2},{"state":"NE","n":23,"p20":155.0,"p50":225.12,"p80":439.0},{"state":"NH","n":13,"p20":47.1,"p50":82.53,"p80":281.94},{"state":"NJ","n":17,"p20":342.51,"p50":393.89,"p80":1421.0},{"state":"NM","n":17,"p20":91.7,"p50":448.14,"p80":594.9},{"state":"NV","n":6,"p20":null,"p50":null,"p80":null},{"state":"NY","n":63,"p20":108.0,"p50":481.0,"p80":750.0},{"state":"OH","n":117,"p20":303.6,"p50":648.0,"p80":882.7},{"state":"OK","n":35,"p20":69.3,"p50":181.05,"p80":319.77},{"state":"OR","n":32,"p20":94.97,"p50":188.48,"p80":1095.75},{"state":"PA","n":93,"p20":286.8,"p50":490.0,"p80":766.2},{"state":"RI","n":3,"p20":null,"p50":null,"p80":null},{"state":"SC","n":33,"p20":429.0,"p50":677.0,"p80":1098.5},{"state":"SD","n":11,"p20":179.45,"p50":282.6,"p80":430.0},{"state":"TN","n":36,"p20":152.59,"p50":235.35,"p80":308.1},{"state":"TX","n":108,"p20":416.65,"p50":684.48,"p80":703.22},{"state":"UT","n":28,"p20":401.66,"p50":506.68,"p80":596.09},{"state":"VA","n":46,"p20":226.8,"p50":378.0,"p80":457.0},{"state":"VT","n":9,"p20":null,"p50":null,"p80":null},{"state":"WA","n":59,"p20":168.0,"p50":426.4,"p80":770.7},{"state":"WI","n":75,"p20":172.9,"p50":283.5,"p80":776.16},{"state":"WV","n":12,"p20":147.0,"p50":285.67,"p80":766.62},{"state":"WY","n":10,"p20":106.66,"p50":217.98,"p80":554.62}],"by_segment":{"hospital_type":[{"key":"acute","n":1339,"p20":229.9,"p50":510.0,"p80":913.5},{"key":"childrens","n":27,"p20":239.52,"p50":545.4,"p80":911.0},{"key":"critical_access","n":427,"p20":104.76,"p50":280.0,"p80":572.0}],"ownership":[{"key":"for_profit","n":151,"p20":195.42,"p50":506.68,"p80":957.28},{"key":"government","n":291,"p20":120.8,"p50":333.3,"p80":730.0},{"key":"nonprofit","n":1351,"p20":196.51,"p50":466.95,"p80":859.35}],"affiliation":[{"key":"affiliated","n":1502,"p20":198.5,"p50":473.2,"p80":862.4},{"key":"independent","n":299,"p20":111.36,"p50":329.6,"p80":618.8}]},"histogram":[{"lo":68.23,"hi":92.63,"n":63},{"lo":92.63,"hi":125.75,"n":96},{"lo":125.75,"hi":170.72,"n":92},{"lo":170.72,"hi":231.77,"n":131},{"lo":231.77,"hi":314.65,"n":185},{"lo":314.65,"hi":427.16,"n":183},{"lo":427.16,"hi":579.91,"n":259},{"lo":579.91,"hi":787.28,"n":282},{"lo":787.28,"hi":1068.8,"n":165},{"lo":1068.8,"hi":1451.0,"n":169}],"previous":null}},"related":[{"code_type":"CPT","code":"20552","lay_name":"Trigger point injection in one or two muscles","slug":"cpt-20552-trigger-point-injection-in-one-or-two-muscles"},{"code_type":"CPT","code":"20550","lay_name":"Injection into a tendon sheath, ligament or fascia","slug":"cpt-20550-injection-into-a-tendon-sheath-ligament-or-fascia"},{"code_type":"CPT","code":"20612","lay_name":"Draining or injecting a ganglion cyst","slug":"cpt-20612-draining-or-injecting-a-ganglion-cyst"},{"code_type":"CPT","code":"20551","lay_name":"Injection where a tendon attaches to bone","slug":"cpt-20551-injection-where-a-tendon-attaches-to-bone"},{"code_type":"CPT","code":"20500","lay_name":"Treatment injection into a draining tract or fistula","slug":"cpt-20500-treatment-injection-into-a-draining-tract-or-fistula"},{"code_type":"CPT","code":"64650","lay_name":"Injection to reduce underarm sweating, both armpits","slug":"cpt-64650-injection-to-reduce-underarm-sweating-both-armpits"},{"code_type":"CPT","code":"20527","lay_name":"Enzyme injection for a tight cord in the palm","slug":"cpt-20527-enzyme-injection-for-a-tight-cord-in-the-palm"},{"code_type":"CPT","code":"64653","lay_name":"Injection to reduce sweating, other body area","slug":"cpt-64653-injection-to-reduce-sweating-other-body-area"}]}