HRHospitalRates.comCompare prices

Procedure price report · Physical, occupational, and speech therapy exercises; manipulation; and other procedures

Dry needling of one or two muscles

CPT 20560the billing code this page is about

Insertion of needles into muscle trigger points without injecting any medication; this code covers the session when one or two muscles are needled.

Hospitals typically charge $39 cash for this outpatient procedure — the median across 1,659 hospitals that filed a usable cash price; the average of the middle 60% is $40. Most fall between $23 and $72 (20th–80th percentile).

Hospitals
1,659
States
50
Filings dated
Feb 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,659 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$17$26$39$61$129

The most expensive tenth of hospitals charges at least 7.8× what the cheapest tenth charges ($17 vs $129).

How the prices are spread

$12 – $17: 88 hospitals$12$17 – $23: 170 hospitals$23 – $32: 304 hospitals$23$32 – $44: 341 hospitals$44 – $62: 277 hospitals$44$62 – $85: 143 hospitals$85 – $118: 81 hospitals$85$118 – $164: 47 hospitals$164 – $227: 23 hospitals$164$227 – $314: 23 hospitals$227median $39price bands are equal on a log scale
Hospitals per price band (1,497 of 1,659 — the bands cover the 5th to 95th percentile)
FromToHospitals
$12$1788
$17$23170
$23$32304
$32$44341
$44$62277
$62$85143
$85$11881
$118$16447
$164$22723
$227$31423

Against Medicare

Medicare pays (OPPS 2026, national rate)$30
Median cash price$39
Cash as a multiple of Medicare1.31×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $39.

Alaska: median $48 across 13 hospitalsAK$48Maine: median $39 across 14 hospitalsME$39Vermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $32 across 12 hospitalsNH$32Washington: median $58 across 29 hospitalsWA$58Idaho: median $40 across 18 hospitalsID$40Montana: median $31 across 22 hospitalsMT$31North Dakota: median $36 across 18 hospitalsND$36Minnesota: median $30 across 77 hospitalsMN$30Illinois: median $34 across 67 hospitalsIL$34Wisconsin: median $28 across 65 hospitalsWI$28Michigan: median $34 across 44 hospitalsMI$34New York: median $29 across 28 hospitalsNY$29Massachusetts: median $61 across 11 hospitalsMA$61Oregon: median $56 across 23 hospitalsOR$56Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $40 across 27 hospitalsSD$40Iowa: median $32 across 66 hospitalsIA$32Indiana: median $28 across 60 hospitalsIN$28Ohio: median $33 across 123 hospitalsOH$33Pennsylvania: median $38 across 26 hospitalsPA$38New Jersey: median $33 across 39 hospitalsNJ$33Connecticut: median $56 across 15 hospitalsCT$56Rhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $624 across 62 hospitalsCA$624Utah: median $34 across 26 hospitalsUT$34Colorado: median $42 across 60 hospitalsCO$42Nebraska: median $43 across 36 hospitalsNE$43Missouri: median $41 across 35 hospitalsMO$41Kentucky: median $34 across 43 hospitalsKY$34West Virginia: median $48 across 22 hospitalsWV$48Virginia: median $43 across 40 hospitalsVA$43Maryland: 8 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $390 across 17 hospitalsAZ$390New Mexico: median $36 across 15 hospitalsNM$36Kansas: median $27 across 46 hospitalsKS$27Arkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $16 across 29 hospitalsTN$16North Carolina: median $31 across 43 hospitalsNC$31South Carolina: median $24 across 37 hospitalsSC$24Oklahoma: median $36 across 21 hospitalsOK$36Louisiana: median $33 across 35 hospitalsLA$33Mississippi: median $30 across 23 hospitalsMS$30Alabama: median $35 across 22 hospitalsAL$35Georgia: median $71 across 67 hospitalsGA$71Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $48 across 93 hospitalsTX$48Florida: median $62 across 48 hospitalsFL$62
Cash price by state, most expensive first. National median $39. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA62$624+1506%$56 – $1,176
Arizona AZ17$390+904%$25 – $446
Georgia GA67$71+83%$47 – $98
Florida FL48$62+59%$29 – $301
Massachusetts MA11$61+57%$40 – $175
Washington WA29$58+49%$41 – $156
Oregon OR23$56+45%$46 – $87
Connecticut CT15$56+43%$45 – $286
Alaska AK13$48+24%$42 – $125
Texas TX93$48+24%$25 – $129
West Virginia WV22$48+22%$34 – $61
Virginia VA40$43+12%$26 – $59
Nebraska NE36$43+10%$35 – $80
Colorado CO60$42+9%$15 – $61
Missouri MO35$41+5%$23 – $48
Idaho ID18$40+3%$23 – $81
South Dakota SD27$40+2%$38 – $42
Maine ME14$390%$21 – $85
Pennsylvania PA26$38−2%$10 – $55
New Mexico NM15$36−6%$30 – $50
North Dakota ND18$36−7%$28 – $41
Oklahoma OK21$36−7%$13 – $54
Alabama AL22$35−10%$25 – $50
Utah UT26$34−12%$29 – $38
Michigan MI44$34−13%$24 – $40
Illinois IL67$34−14%$25 – $50
Kentucky KY43$34−14%$30 – $86
Louisiana LA35$33−15%$17 – $73
New Jersey NJ39$33−16%$27 – $4,881
Ohio OH123$33−16%$23 – $73
New Hampshire NH12$32−18%$22 – $47
Iowa IA66$32−19%$21 – $48
North Carolina NC43$31−20%$21 – $38
Montana MT22$31−20%$18 – $48
Mississippi MS23$30−23%$11 – $112
Minnesota MN77$30−23%$21 – $42
New York NY28$29−25%$29 – $53
Wisconsin WI65$28−27%$13 – $47
Indiana IN60$28−29%$15 – $51
Kansas KS46$27−31%$21 – $41
South Carolina SC37$24−38%$23 – $37
Tennessee TN29$16−58%$8 – $40
Arkansas AR9not enough hospitals filed a usable price
Maryland MD8not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $39.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,146$38$23 – $74
Children’s36$78$35 – $160
Critical access471$40$24 – $54
Ownership
For-profit116$44$23 – $103
Government295$40$25 – $60
Non-profit1,242$38$23 – $73
System affiliation
Part of a system1,387$38$23 – $73
Independent272$41$25 – $69

Cash price vs list price

Median list price (chargemaster)$64
Median cash price$39
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 37%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,182 hospitals filed a usable inpatient cash price for this code. The median is $39 and the average of the middle 60% is $40; most fall between $23 and $73.

Cash price percentiles, inpatient, across 1,182 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$16$25$39$62$129

The most expensive tenth of hospitals charges at least 8.0× what the cheapest tenth charges ($16 vs $129).

Of the 1,267 hospitals that filed this code inpatient, 1,182 gave a usable cash price; 20 carried a plausibility flag, 18 filed a number their own filing marks as not a price, 0 gave an estimate, and 47 a list price only.

How complete is this

1,659 of the 3,956 hospitals with a price file in our corpus (42%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,772 hospitals that filed this code at all gave us
Usable cash price — counted1,659
Cash price carrying a plausibility flag — shown on the compare tool, excluded here39
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded19
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded54
Hospitals that filed this code1,772

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Physical, occupational, and speech therapy exercises; manipulation; and other procedures family.

Hospitals file this code under descriptions such as Needle Insertion W/O Injection 1 or 2 Muscles.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Dry needling of one or two muscles (CPT 20560) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-20560-dry-needling-of-one-or-two-muscles