Cost analysis for CPT 20611 — Aspiration and/or injection of fluid large joint using ultrasound guidance
Average Medicare Payment
$75.71
2023 data
Total Payments (2023)
$76.3M
Services (2023)
961.4K
Price Change (2015–2023)
+7.6%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2015 | $70.33 | $53.8M | 745.3K | — |
| 2016 | $68.43 | $58.2M | 821.0K | -2.7% |
| 2017 | $68.08 | $60.4M | 856.0K | -0.5% |
| 2018 | $68.07 | $61.4M | 869.7K | -0.0% |
| 2019 | $69.94 | $65.8M | 906.9K | +2.7% |
| 2020 | $72.35 | $59.0M | 782.2K | +3.4% |
| 2021 | $76.86 | $71.8M | 892.9K | +6.2% |
| 2022 | $75.93 | $72.9M | 915.4K | -1.2% |
| 2023 | $75.71 | $76.3M | 961.4K | -0.3% |
The most expensive state pays 1.7x more than the cheapest for this procedure. NY averages $93.91 vs SD at $54.39.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NY | $93.91 | $11.9M | 126.2K | 744 |
| NJ | $93.06 | $3.4M | 36.6K | 341 |
| AK | $88.66 | $125.0K | 1.4K | 19 |
| CT | $86.05 | $920.2K | 10.7K | 109 |
| CA | $85.90 | $11.6M | 134.7K | 879 |
| MD | $85.33 | $1.8M | 20.7K | 197 |
| DC | $82.72 | $124.4K | 1.5K | 16 |
| IL | $81.40 | $4.7M | 57.8K | 387 |
| GU | $79.91 | $35.2K | 440 | 3 |
| PA | $79.19 | $2.5M | 31.1K | 312 |
| CO | $78.56 | $909.3K | 11.6K | 185 |
| MA | $78.14 | $1.7M | 22.0K | 180 |
| DE | $77.48 | $178.7K | 2.3K | 17 |
| NH | $76.77 | $325.8K | 4.2K | 37 |
| WA | $76.76 | $1.1M | 14.9K | 167 |
| HI | $76.65 | $246.1K | 3.2K | 22 |
| TX | $76.18 | $4.1M | 53.7K | 565 |
| FL | $76.04 | $5.6M | 73.3K | 622 |
| AZ | $75.91 | $2.4M | 31.4K | 274 |
| NC | $74.67 | $1.3M | 17.3K | 203 |
| OR | $74.29 | $739.4K | 10.0K | 122 |
| VA | $74.25 | $2.4M | 31.9K | 226 |
| PR | $73.97 | $48.4K | 655 | 16 |
| KS | $73.27 | $374.0K | 5.1K | 55 |
| RI | $73.23 | $300.8K | 4.1K | 43 |
| GA | $73.19 | $1.2M | 15.9K | 191 |
| AL | $72.54 | $819.9K | 11.3K | 130 |
| IN | $72.49 | $733.3K | 10.1K | 142 |
| SC | $72.46 | $1.6M | 22.4K | 160 |
| OH | $72.09 | $1.9M | 26.7K | 284 |
| NV | $72.00 | $937.6K | 13.0K | 88 |
| OK | $71.94 | $619.6K | 8.6K | 54 |
| MI | $71.86 | $2.3M | 31.4K | 312 |
| MN | $71.13 | $952.1K | 13.4K | 173 |
| AR | $70.57 | $272.8K | 3.9K | 41 |
| NM | $70.27 | $171.5K | 2.4K | 35 |
| ME | $69.05 | $191.3K | 2.8K | 37 |
| MO | $68.70 | $822.0K | 12.0K | 142 |
| LA | $67.83 | $246.8K | 3.6K | 71 |
| KY | $67.78 | $287.4K | 4.2K | 68 |
| TN | $66.92 | $1.3M | 19.6K | 207 |
| MS | $65.00 | $655.3K | 10.1K | 65 |
| WI | $64.58 | $633.0K | 9.8K | 150 |
| IA | $64.11 | $395.8K | 6.2K | 70 |
| NE | $63.82 | $180.0K | 2.8K | 29 |
| UT | $63.78 | $561.8K | 8.8K | 93 |
| WY | $62.61 | $81.0K | 1.3K | 10 |
| MT | $61.15 | $93.5K | 1.5K | 18 |
| WV | $60.85 | $143.9K | 2.4K | 16 |
| ID | $59.31 | $221.1K | 3.7K | 68 |
| VT | $58.38 | $82.0K | 1.4K | 10 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Chin Kim | Internal Medicine | CA | $273.3K | 2.5K | $109.85 |
| Edward Humbert | Orthopedic Surgery | FL | $263.2K | 3.1K | $84.43 |
| George Branovacki | Orthopedic Surgery | IL | $224.3K | 2.3K | $96.69 |
| Daniel Kuesis | Orthopedic Surgery | IL | $189.1K | 2.2K | $87.74 |
| Andrew Rosen | Orthopedic Surgery | NY | $187.7K | 1.6K | $117.49 |
| Aman Khan | Orthopedic Surgery | CA | $177.1K | 2.1K | $85.13 |
| Eric Putterman | Orthopedic Surgery | NY | $173.6K | 1.5K | $113.15 |
| Gregory Lieberman | Orthopedic Surgery | NY | $155.0K | 1.5K | $104.70 |
| Darren Egami | Orthopedic Surgery | HI | $154.9K | 1.9K | $81.67 |
| Douglas Petraco | Orthopedic Surgery | NY | $153.2K | 1.5K | $105.43 |
| Chad Roghair | Family Practice | CA | $150.6K | 1.5K | $103.61 |
| Steven Waltrip | Orthopedic Surgery | CA | $149.8K | 1.7K | $87.01 |
| Maykel Desir | Sports Medicine | NY | $147.5K | 1.9K | $76.82 |
| Jerome Friedland | Orthopedic Surgery | CA | $145.9K | 1.7K | $84.03 |
| Brett Hutton | Rheumatology | FL | $144.8K | 1.8K | $82.43 |
| Scott Levin | Orthopedic Surgery | NY | $135.8K | 1.4K | $96.05 |
| Alpesh Shah | Orthopedic Surgery | NY | $131.5K | 1.2K | $110.63 |
| Todd Soifer | Orthopedic Surgery | NY | $129.5K | 1.4K | $95.04 |
| Tigran Avoian | Orthopedic Surgery | CA | $127.3K | 1.1K | $114.27 |
| Ajith Castelino | Physical Medicine and Rehabilitation | IL | $122.9K | 1.5K | $84.12 |
Based on the data, CPT 20611 shows a 1.7x variation in pricing across states — moderate variation by Medicare standards.
Costs have increased 7.6% since 2015. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.