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

Dry needling of three or more muscles

CPT 20561the billing code this page is about

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

Hospitals typically charge $46 cash for this outpatient procedure — the median across 1,607 hospitals that filed a usable cash price; the average of the middle 60% is $49. Most fall between $29 and $83 (20th–80th percentile).

Hospitals
1,607
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 1,607 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
$22$32$46$72$150

The most expensive tenth of hospitals charges at least 6.9× what the cheapest tenth charges ($22 vs $150).

How the prices are spread

$15 – $21: 72 hospitals$15$21 – $28: 145 hospitals$28 – $38: 309 hospitals$28$38 – $52: 299 hospitals$52 – $71: 279 hospitals$52$71 – $97: 165 hospitals$97 – $133: 75 hospitals$97$133 – $182: 56 hospitals$182 – $248: 23 hospitals$182$248 – $338: 25 hospitals$248median $46price bands are equal on a log scale
Hospitals per price band (1,448 of 1,607 — the bands cover the 5th to 95th percentile)
FromToHospitals
$15$2172
$21$28145
$28$38309
$38$52299
$52$71279
$71$97165
$97$13375
$133$18256
$182$24823
$248$33825

Against Medicare

Medicare pays (OPPS 2026, national rate)$30
Median cash price$46
Cash as a multiple of Medicare1.56×

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 $46.

Alaska: median $48 across 12 hospitalsAK$48Maine: median $61 across 15 hospitalsME$61Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $51 across 13 hospitalsNH$51Washington: median $62 across 24 hospitalsWA$62Idaho: median $40 across 18 hospitalsID$40Montana: median $40 across 22 hospitalsMT$40North Dakota: median $50 across 19 hospitalsND$50Minnesota: median $42 across 74 hospitalsMN$42Illinois: median $43 across 72 hospitalsIL$43Wisconsin: median $37 across 65 hospitalsWI$37Michigan: median $42 across 45 hospitalsMI$42New York: median $29 across 27 hospitalsNY$29Massachusetts: median $74 across 10 hospitalsMA$74Oregon: median $86 across 25 hospitalsOR$86Nevada: 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 24 hospitalsSD$40Iowa: median $34 across 62 hospitalsIA$34Indiana: median $41 across 63 hospitalsIN$41Ohio: median $39 across 122 hospitalsOH$39Pennsylvania: median $17 across 18 hospitalsPA$17New Jersey: median $40 across 35 hospitalsNJ$40Connecticut: median $56 across 14 hospitalsCT$56Rhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $588 across 59 hospitalsCA$588Utah: median $40 across 28 hospitalsUT$40Colorado: median $54 across 59 hospitalsCO$54Nebraska: median $51 across 32 hospitalsNE$51Missouri: median $36 across 32 hospitalsMO$36Kentucky: median $35 across 43 hospitalsKY$35West Virginia: median $60 across 22 hospitalsWV$60Virginia: median $45 across 39 hospitalsVA$45Maryland: 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 $98 across 16 hospitalsAZ$98New Mexico: median $47 across 14 hospitalsNM$47Kansas: median $34 across 41 hospitalsKS$34Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $16 across 28 hospitalsTN$16North Carolina: median $36 across 41 hospitalsNC$36South Carolina: median $41 across 35 hospitalsSC$41Oklahoma: median $53 across 19 hospitalsOK$53Louisiana: median $44 across 36 hospitalsLA$44Mississippi: median $33 across 22 hospitalsMS$33Alabama: median $45 across 22 hospitalsAL$45Georgia: median $79 across 65 hospitalsGA$79Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $57 across 87 hospitalsTX$57Florida: median $62 across 48 hospitalsFL$62
Cash price by state, most expensive first. National median $46. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA59$588+1172%$59 – $1,109
Arizona AZ16$98+111%$27 – $446
Oregon OR25$86+85%$68 – $127
Georgia GA65$79+71%$57 – $140
Massachusetts MA10$74+61%$61 – $175
Florida FL48$62+33%$32 – $305
Washington WA24$62+33%$44 – $205
Maine ME15$61+32%$28 – $101
West Virginia WV22$60+30%$46 – $82
Texas TX87$57+23%$28 – $132
Connecticut CT14$56+20%$50 – $381
Colorado CO59$54+17%$23 – $83
Oklahoma OK19$53+15%$13 – $71
New Hampshire NH13$51+11%$25 – $65
Nebraska NE32$51+10%$38 – $80
North Dakota ND19$50+7%$29 – $65
Alaska AK12$48+5%$48 – $124
New Mexico NM14$47+2%$36 – $56
Alabama AL22$45−3%$26 – $72
Virginia VA39$45−3%$34 – $68
Louisiana LA36$44−5%$24 – $145
Illinois IL72$43−8%$25 – $70
Minnesota MN74$42−10%$30 – $71
Michigan MI45$42−10%$28 – $51
South Carolina SC35$41−11%$30 – $60
Indiana IN63$41−11%$30 – $71
Idaho ID18$40−13%$30 – $79
South Dakota SD24$40−13%$40 – $64
Utah UT28$40−13%$40 – $53
Montana MT22$40−14%$24 – $66
New Jersey NJ35$40−14%$27 – $4,881
Ohio OH122$39−16%$33 – $73
Wisconsin WI65$37−19%$17 – $64
North Carolina NC41$36−21%$30 – $41
Missouri MO32$36−22%$28 – $59
Kentucky KY43$35−25%$31 – $86
Iowa IA62$34−26%$24 – $59
Kansas KS41$34−27%$24 – $52
Mississippi MS22$33−28%$13 – $112
New York NY27$29−37%$29 – $62
Pennsylvania PA18$17−64%$14 – $50
Tennessee TN28$16−66%$8 – $40
Maryland MD8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Arkansas AR6not 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 $46.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,119$46$28 – $85
Children’s35$127$40 – $160
Critical access447$47$31 – $71
Ownership
For-profit110$53$30 – $132
Government279$45$29 – $74
Non-profit1,212$46$29 – $83
System affiliation
Part of a system1,350$46$29 – $83
Independent257$51$29 – $85

Cash price vs list price

Median list price (chargemaster)$79
Median cash price$46
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

1,165 hospitals filed a usable inpatient cash price for this code. The median is $46 and the average of the middle 60% is $49; most fall between $30 and $83.

Cash price percentiles, inpatient, across 1,165 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
$22$33$46$72$160

The most expensive tenth of hospitals charges at least 7.2× what the cheapest tenth charges ($22 vs $160).

Of the 1,244 hospitals that filed this code inpatient, 1,165 gave a usable cash price; 20 carried a plausibility flag, 16 filed a number their own filing marks as not a price, 0 gave an estimate, and 43 a list price only.

How complete is this

1,607 of the 3,956 hospitals with a price file in our corpus (41%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,714 hospitals that filed this code at all gave us
Usable cash price — counted1,607
Cash price carrying a plausibility flag — shown on the compare tool, excluded here41
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded16
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded49
Hospitals that filed this code1,714

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 3 or More 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 three or more muscles (CPT 20561) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-20561-dry-needling-of-three-or-more-muscles