Medicare Reimbursement for CPT 17000

CPT 17000 is a physician procedure code reported under the Medicare Physician Fee Schedule (PFS). This page shows the estimated Medicare-allowed amount for this code, both nationally and adjusted for a specific locality, with separate figures for non-facility (e.g., office) and facility (e.g., hospital) settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$66.47	$47.76
ALASKA* (AK)	$78.33	$58.41
ALABAMA (AL)	$60.00	$43.64
ARKANSAS (AR)	$59.19	$43.12
ARIZONA (AZ)	$64.79	$46.67
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$85.54	$59.16
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$87.21	$60.24
OXNARD-THOUSAND OAKS-VENTURA (CA)	$74.41	$52.30
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$74.79	$52.67
NAPA (CA)	$80.96	$56.30
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$85.61	$59.23
VALLEJO (CA)	$80.86	$56.21
BAKERSFIELD (CA)	$70.36	$49.86
CHICO (CA)	$70.17	$49.67
FRESNO (CA)	$70.17	$49.67
HANFORD-CORCORAN (CA)	$70.17	$49.67
MADERA (CA)	$70.17	$49.67
MERCED (CA)	$70.17	$49.67
MODESTO (CA)	$70.17	$49.67
REDDING (CA)	$70.17	$49.67
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$70.82	$50.32
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$73.54	$51.79
SALINAS (CA)	$73.27	$51.59
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$87.49	$60.52
SANTA CRUZ-WATSONVILLE (CA)	$75.57	$52.85
SANTA ROSA-PETALUMA (CA)	$76.33	$53.36
STOCKTON (CA)	$70.17	$49.67
VISALIA (CA)	$70.17	$49.67
YUBA CITY (CA)	$70.17	$49.67
EL CENTRO (CA)	$70.18	$49.68
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$74.91	$52.54
SAN LUIS OBISPO-PASO ROBLES (CA)	$72.09	$50.79
SANTA MARIA-SANTA BARBARA (CA)	$73.52	$51.71
REST OF CALIFORNIA (CA)	$70.17	$49.67
COLORADO (CO)	$69.13	$49.23
CONNECTICUT (CT)	$70.73	$50.58
DC + MD/VA SUBURBS (DC)	$75.73	$53.69
DELAWARE (DE)	$65.83	$47.35
FORT LAUDERDALE (FL)	$68.67	$49.72
MIAMI (FL)	$71.37	$51.90
REST OF FLORIDA (FL)	$65.51	$47.63
ATLANTA (GA)	$67.65	$48.64
REST OF GEORGIA (GA)	$62.02	$45.33
HAWAII, GUAM (HI)	$71.76	$50.49
IOWA (IA)	$61.45	$44.34
IDAHO (ID)	$61.83	$44.62
EAST ST. LOUIS (IL)	$64.92	$47.71
SUBURBAN CHICAGO (IL)	$69.36	$50.15
CHICAGO (IL)	$69.42	$50.63
REST OF ILLINOIS (IL)	$63.70	$46.62
INDIANA (IN)	$62.17	$44.83
KANSAS (KS)	$61.18	$44.27
KENTUCKY (KY)	$61.33	$44.70
NEW ORLEANS (LA)	$64.10	$46.50
REST OF LOUISIANA (LA)	$61.24	$44.68
METROPOLITAN BOSTON (MA)	$75.74	$53.41
REST OF MASSACHUSETTS (MA)	$68.75	$49.05
BALTIMORE/SURR. CNTYS (MD)	$70.53	$50.46
REST OF MARYLAND (MD)	$67.04	$48.11
SOUTHERN MAINE (ME)	$65.33	$46.79
REST OF MAINE (ME)	$62.13	$44.92
DETROIT (MI)	$66.28	$48.23
REST OF MICHIGAN (MI)	$62.83	$45.76
MINNESOTA (MN)	$66.35	$47.11
METROPOLITAN ST. LOUIS (MO)	$64.32	$46.52
METROPOLITAN KANSAS CITY (MO)	$63.69	$46.13
REST OF MISSOURI (MO)	$60.24	$44.12
MISSISSIPPI (MS)	$59.72	$43.62
MONTANA** (MT)	$66.46	$47.76
NORTH CAROLINA (NC)	$62.75	$45.29
NORTH DAKOTA** (ND)	$65.28	$46.57
NEBRASKA (NE)	$61.77	$44.51
NEW HAMPSHIRE (NH)	$68.05	$48.58
NORTHERN NJ (NJ)	$75.01	$53.31
REST OF NEW JERSEY (NJ)	$71.57	$51.14
NEW MEXICO (NM)	$63.16	$46.00
NEVADA** (NV)	$66.18	$47.45
MANHATTAN (NY)	$76.15	$54.42
NYC SUBURBS/LONG ISLAND (NY)	$77.91	$55.67
POUGHKPSIE/N NYC SUBURBS (NY)	$72.03	$51.55
QUEENS (NY)	$76.76	$54.65
REST OF NEW YORK (NY)	$63.63	$45.87
OHIO (OH)	$62.59	$45.51
OKLAHOMA (OK)	$61.23	$44.53
PORTLAND (OR)	$71.24	$50.46
REST OF OREGON (OR)	$65.69	$47.06
METROPOLITAN PHILADELPHIA (PA)	$69.04	$49.57
REST OF PENNSYLVANIA (PA)	$62.69	$45.52
PUERTO RICO (PR)	$66.93	$48.02
RHODE ISLAND (RI)	$68.10	$48.78
SOUTH CAROLINA (SC)	$62.77	$45.48
SOUTH DAKOTA** (SD)	$65.14	$46.43
TENNESSEE (TN)	$61.47	$44.46
BRAZORIA (TX)	$65.78	$47.25
DALLAS (TX)	$66.18	$47.55
GALVESTON (TX)	$65.97	$47.39
HOUSTON (TX)	$67.07	$48.49
BEAUMONT (TX)	$62.30	$45.28
FORT WORTH (TX)	$65.76	$47.32
AUSTIN (TX)	$68.87	$49.09
REST OF TEXAS (TX)	$63.99	$46.24
UTAH (UT)	$63.58	$46.00
VIRGINIA (VA)	$65.12	$46.73
VIRGIN ISLANDS (VI)	$66.93	$48.02
VERMONT (VT)	$65.03	$46.51
SEATTLE (KING CNTY) (WA)	$77.25	$54.30
REST OF WASHINGTON (WA)	$68.62	$48.92
WISCONSIN (WI)	$63.20	$45.28
WEST VIRGINIA (WV)	$61.47	$45.21
WYOMING** (WY)	$65.95	$47.24

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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: Policy. 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 pricing starts with three Relative Value Units (RVUs) assigned to the code: physician work, practice expense, and malpractice. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) for the locality where the service is furnished, reflecting local cost differences. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Practice-expense RVUs differ between non-facility and facility settings because overhead costs (equipment, staff, supplies) are treated differently depending on where the service is performed.

RVUs — work 0.59, practice expense 1.34 (non-facility) / 0.78 (facility), malpractice 0.06 — × 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 patient meets their deductible; the patient or secondary payer is responsible for the remainder.
Modifiers, sequestration, and annual budget-neutrality adjustments can change the actual paid amount.
Always confirm the current, locality-specific fee with your Medicare Administrative Contractor (MAC) before billing.

Frequently asked

Why does the amount differ between non-facility and facility settings?

The practice-expense RVU is lower in a facility setting because the facility (not the physician's office) absorbs certain overhead costs like equipment and staff.

Why might my local Medicare payment differ from the national amount?

The Geographic Practice Cost Index (GPCI) adjusts RVUs for each locality to reflect regional differences in wages, rent, and malpractice costs, so the final payment varies by location.

Does this figure include patient cost-sharing?

No. The amount shown is the total Medicare-allowed amount; Medicare generally pays 80% of it after the deductible, with the patient or secondary insurer covering the rest.

Will this amount stay the same next year?

No. RVUs, GPCIs, and the conversion factor are updated annually and can change the allowed amount from year to year.

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.