Medicare Reimbursement for CPT 15781

CPT 15781 is a procedure code defined by the American Medical Association; the descriptor itself is not reproduced here due to licensing restrictions. This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount for 2026, both at the national level and adjustable by locality, and separately for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$520.39	$368.41
ALASKA* (AK)	$615.30	$453.45
ALABAMA (AL)	$469.77	$336.79
ARKANSAS (AR)	$463.38	$332.83
ARIZONA (AZ)	$507.13	$359.87
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$663.21	$448.93
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$675.93	$456.78
OXNARD-THOUSAND OAKS-VENTURA (CA)	$579.11	$399.48
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$582.37	$402.58
NAPA (CA)	$628.53	$428.23
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$663.87	$449.59
VALLEJO (CA)	$627.58	$427.28
BAKERSFIELD (CA)	$548.33	$381.77
CHICO (CA)	$546.59	$380.03
FRESNO (CA)	$546.59	$380.03
HANFORD-CORCORAN (CA)	$546.59	$380.03
MADERA (CA)	$546.59	$380.03
MERCED (CA)	$546.59	$380.03
MODESTO (CA)	$546.59	$380.03
REDDING (CA)	$546.59	$380.03
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$552.90	$386.33
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$572.32	$395.57
SALINAS (CA)	$570.15	$394.01
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$678.62	$459.47
SANTA CRUZ-WATSONVILLE (CA)	$587.43	$402.78
SANTA ROSA-PETALUMA (CA)	$593.29	$406.66
STOCKTON (CA)	$546.59	$380.03
VISALIA (CA)	$546.59	$380.03
YUBA CITY (CA)	$546.59	$380.03
EL CENTRO (CA)	$546.69	$380.12
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$582.60	$400.84
SAN LUIS OBISPO-PASO ROBLES (CA)	$561.11	$388.01
SANTA MARIA-SANTA BARBARA (CA)	$572.03	$394.82
REST OF CALIFORNIA (CA)	$546.59	$380.03
COLORADO (CO)	$539.72	$378.01
CONNECTICUT (CT)	$553.72	$390.05
DC + MD/VA SUBURBS (DC)	$591.50	$412.48
DELAWARE (DE)	$515.19	$365.04
FORT LAUDERDALE (FL)	$540.43	$386.48
MIAMI (FL)	$563.85	$405.65
REST OF FLORIDA (FL)	$515.27	$369.99
ATLANTA (GA)	$530.17	$375.77
REST OF GEORGIA (GA)	$487.64	$352.07
HAWAII, GUAM (HI)	$558.49	$385.70
IOWA (IA)	$480.00	$340.95
IDAHO (ID)	$483.16	$343.35
EAST ST. LOUIS (IL)	$513.02	$373.20
SUBURBAN CHICAGO (IL)	$545.60	$389.52
CHICAGO (IL)	$548.31	$395.57
REST OF ILLINOIS (IL)	$501.91	$363.16
INDIANA (IN)	$485.78	$344.90
KANSAS (KS)	$478.36	$340.98
KENTUCKY (KY)	$481.26	$346.15
NEW ORLEANS (LA)	$503.10	$360.09
REST OF LOUISIANA (LA)	$480.74	$346.24
METROPOLITAN BOSTON (MA)	$590.46	$409.01
REST OF MASSACHUSETTS (MA)	$536.96	$376.94
BALTIMORE/SURR. CNTYS (MD)	$552.24	$389.17
REST OF MARYLAND (MD)	$524.48	$370.69
SOUTHERN MAINE (ME)	$510.20	$359.59
REST OF MAINE (ME)	$486.05	$346.23
DETROIT (MI)	$521.86	$375.20
REST OF MICHIGAN (MI)	$493.51	$354.75
MINNESOTA (MN)	$516.54	$360.16
METROPOLITAN ST. LOUIS (MO)	$504.22	$359.54
METROPOLITAN KANSAS CITY (MO)	$499.34	$356.64
REST OF MISSOURI (MO)	$473.28	$342.28
MISSISSIPPI (MS)	$468.39	$337.54
MONTANA** (MT)	$520.35	$368.37
NORTH CAROLINA (NC)	$490.77	$348.98
NORTH DAKOTA** (ND)	$508.88	$356.90
NEBRASKA (NE)	$482.33	$342.06
NEW HAMPSHIRE (NH)	$531.81	$373.60
NORTHERN NJ (NJ)	$586.02	$409.73
REST OF NEW JERSEY (NJ)	$559.87	$393.91
NEW MEXICO (NM)	$496.25	$356.89
NEVADA** (NV)	$517.49	$365.36
MANHATTAN (NY)	$596.90	$420.30
NYC SUBURBS/LONG ISLAND (NY)	$611.26	$430.57
POUGHKPSIE/N NYC SUBURBS (NY)	$563.88	$397.47
QUEENS (NY)	$600.86	$421.23
REST OF NEW YORK (NY)	$497.75	$353.37
OHIO (OH)	$491.16	$352.41
OKLAHOMA (OK)	$479.93	$344.22
PORTLAND (OR)	$555.52	$386.68
REST OF OREGON (OR)	$513.28	$361.92
METROPOLITAN PHILADELPHIA (PA)	$540.91	$382.70
REST OF PENNSYLVANIA (PA)	$491.63	$352.12
PUERTO RICO (PR)	$523.81	$370.16
RHODE ISLAND (RI)	$532.54	$375.55
SOUTH CAROLINA (SC)	$491.82	$351.39
SOUTH DAKOTA** (SD)	$507.52	$355.55
TENNESSEE (TN)	$480.69	$342.54
BRAZORIA (TX)	$514.39	$363.79
DALLAS (TX)	$517.75	$366.39
GALVESTON (TX)	$516.00	$365.09
HOUSTON (TX)	$526.61	$375.70
BEAUMONT (TX)	$488.62	$350.32
FORT WORTH (TX)	$514.63	$364.78
AUSTIN (TX)	$538.09	$377.30
REST OF TEXAS (TX)	$501.29	$357.06
UTAH (UT)	$498.15	$355.29
VIRGINIA (VA)	$508.95	$359.56
VIRGIN ISLANDS (VI)	$523.81	$370.16
VERMONT (VT)	$507.44	$356.98
SEATTLE (KING CNTY) (WA)	$601.66	$415.19
REST OF WASHINGTON (WA)	$535.78	$375.75
WISCONSIN (WI)	$492.80	$347.21
WEST VIRGINIA (WV)	$484.50	$352.43
WYOMING** (WY)	$515.35	$363.38

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 1 unit per patient per day — Date of Service Edit: Clinical. Units above the MUE are denied; some MUEs can be exceeded only with appropriate documentation and modifiers where policy allows.

How the amount is calculated

Medicare's PFS amount is built from three Relative Value Units (RVUs) assigned to a code: physician work, practice expense, and malpractice risk. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, then the adjusted RVUs are summed and multiplied by the annual conversion factor to produce a dollar amount. Non-facility (e.g., office) and facility (e.g., hospital) settings use different practice-expense RVUs because overhead costs differ, which is why the two allowed amounts differ. The conversion factor is updated annually and applies uniformly nationwide, while GPCIs vary allowed amounts by region.

RVUs — work 4.89, practice expense 10.11 (non-facility) / 5.56 (facility), malpractice 0.58 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, not a guarantee of payment.
Medicare typically pays 80% of the allowed amount after the annual Part B deductible is met; the patient or secondary insurer is responsible for the remainder.
Actual payment can vary by locality, applicable modifiers, sequestration reductions, and annual budget-neutrality adjustments.
Always verify the current fee with your Medicare Administrative Contractor (MAC) before billing or counseling patients.

Frequently asked

Why does the facility amount differ from the non-facility amount?

Facility and non-facility rates use different practice-expense RVUs because overhead costs (equipment, staff, supplies) differ when a service is performed in a hospital or facility setting versus an office setting.

Does this amount reflect what the patient will owe?

No. Medicare generally pays 80% of the allowed amount after the deductible is met; the patient or a secondary payer is typically responsible for the remaining 20% (coinsurance).

Why might my MAC's published rate differ from this page?

Local GPCIs, modifiers, sequestration, and periodic budget-neutrality adjustments can cause the locally published amount to differ slightly from a generic estimate.

Can I get the official CPT descriptor for this code here?

No. CPT descriptors are copyrighted by the American Medical Association and are not reproduced on this page; please refer to your CPT codebook or AMA-licensed source.

More free billing tools: all Medicare fees · fee calculator · denial code decoder

Estimated Medicare Physician Fee Schedule amount. Medicare generally pays 80% after the deductible; actual amounts vary by locality, modifiers, sequestration, and annual updates. Verify with your MAC.