Price Checker / CPT 20501
How much does Njx Sinus Tract Diagnostic cost?
CPT 20501 · Based on 2026 Medicare rates and hospital-published pricing
A fair cash price for this is roughly $470–$550.
Fair price
$470–$550
What this should cost
With insurance
~$75,500
Typical out-of-pocket
Overcharged if over
$690
Push back above this
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Njx Sinus Tract Diagnostic
CPT code 20501 refers to njx sinus tract diagnostic (billing description: "Njx sinus tract diagnostic"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $31 in a facility (hospital or surgery center) and $136 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.