Medicare Reimbursement for CPT 17106
This page covers CPT code 17106, a procedure code defined by the American Medical Association. It shows the Medicare Physician Fee Schedule (PFS) allowed amount for 2026, both at the national level and adjusted by 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) | $342.03 | $239.48 |
| ALASKA* (AK) | $409.35 | $300.15 |
| ALABAMA (AL) | $309.97 | $220.24 |
| ARKANSAS (AR) | $305.93 | $217.85 |
| ARIZONA (AZ) | $333.56 | $234.20 |
| SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA) | $430.56 | $285.98 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA) | $438.62 | $290.76 |
| OXNARD-THOUSAND OAKS-VENTURA (CA) | $377.91 | $256.71 |
| LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA) | $380.26 | $258.95 |
| NAPA (CA) | $408.76 | $273.62 |
| SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA) | $431.04 | $286.46 |
| VALLEJO (CA) | $408.08 | $272.93 |
| BAKERSFIELD (CA) | $358.77 | $246.38 |
| CHICO (CA) | $357.50 | $245.12 |
| FRESNO (CA) | $357.50 | $245.12 |
| HANFORD-CORCORAN (CA) | $357.50 | $245.12 |
| MADERA (CA) | $357.50 | $245.12 |
| MERCED (CA) | $357.50 | $245.12 |
| MODESTO (CA) | $357.50 | $245.12 |
| REDDING (CA) | $357.50 | $245.12 |
| RIVERSIDE-SAN BERNARDINO-ONTARIO (CA) | $362.07 | $249.69 |
| SACRAMENTO-ROSEVILLE-FOLSOM (CA) | $373.71 | $254.45 |
| SALINAS (CA) | $372.28 | $253.43 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA) | $440.57 | $292.71 |
| SANTA CRUZ-WATSONVILLE (CA) | $382.71 | $258.12 |
| SANTA ROSA-PETALUMA (CA) | $386.49 | $260.57 |
| STOCKTON (CA) | $357.50 | $245.12 |
| VISALIA (CA) | $357.50 | $245.12 |
| YUBA CITY (CA) | $357.50 | $245.12 |
| EL CENTRO (CA) | $357.57 | $245.19 |
| SAN DIEGO-CHULA VISTA-CARLSBAD (CA) | $379.93 | $257.29 |
| SAN LUIS OBISPO-PASO ROBLES (CA) | $366.44 | $249.64 |
| SANTA MARIA-SANTA BARBARA (CA) | $373.37 | $253.81 |
| REST OF CALIFORNIA (CA) | $357.50 | $245.12 |
| COLORADO (CO) | $353.69 | $244.59 |
| CONNECTICUT (CT) | $363.37 | $252.94 |
| DC + MD/VA SUBURBS (DC) | $387.08 | $266.29 |
| DELAWARE (DE) | $338.72 | $237.41 |
| FORT LAUDERDALE (FL) | $356.06 | $252.19 |
| MIAMI (FL) | $371.99 | $265.25 |
| REST OF FLORIDA (FL) | $339.94 | $241.91 |
| ATLANTA (GA) | $348.53 | $244.35 |
| REST OF GEORGIA (GA) | $322.28 | $230.81 |
| HAWAII, GUAM (HI) | $364.58 | $247.99 |
| IOWA (IA) | $315.91 | $222.08 |
| IDAHO (ID) | $318.01 | $223.67 |
| EAST ST. LOUIS (IL) | $339.63 | $245.29 |
| SUBURBAN CHICAGO (IL) | $359.31 | $254.00 |
| CHICAGO (IL) | $362.07 | $259.02 |
| REST OF ILLINOIS (IL) | $331.85 | $238.23 |
| INDIANA (IN) | $319.65 | $224.59 |
| KANSAS (KS) | $315.12 | $222.43 |
| KENTUCKY (KY) | $317.77 | $226.61 |
| NEW ORLEANS (LA) | $331.68 | $235.18 |
| REST OF LOUISIANA (LA) | $317.54 | $226.80 |
| METROPOLITAN BOSTON (MA) | $385.72 | $263.28 |
| REST OF MASSACHUSETTS (MA) | $352.11 | $244.14 |
| BALTIMORE/SURR. CNTYS (MD) | $362.44 | $252.41 |
| REST OF MARYLAND (MD) | $344.57 | $240.80 |
| SOUTHERN MAINE (ME) | $334.98 | $233.36 |
| REST OF MAINE (ME) | $320.10 | $225.76 |
| DETROIT (MI) | $344.38 | $245.43 |
| REST OF MICHIGAN (MI) | $325.76 | $232.14 |
| MINNESOTA (MN) | $338.17 | $232.66 |
| METROPOLITAN ST. LOUIS (MO) | $332.08 | $234.46 |
| METROPOLITAN KANSAS CITY (MO) | $329.03 | $232.74 |
| REST OF MISSOURI (MO) | $312.99 | $224.60 |
| MISSISSIPPI (MS) | $309.49 | $221.20 |
| MONTANA** (MT) | $342.00 | $239.46 |
| NORTH CAROLINA (NC) | $323.04 | $227.37 |
| NORTH DAKOTA** (ND) | $333.69 | $231.15 |
| NEBRASKA (NE) | $317.30 | $222.66 |
| NEW HAMPSHIRE (NH) | $348.79 | $242.04 |
| NORTHERN NJ (NJ) | $383.80 | $264.85 |
| REST OF NEW JERSEY (NJ) | $367.31 | $255.33 |
| NEW MEXICO (NM) | $327.60 | $233.57 |
| NEVADA** (NV) | $339.89 | $237.25 |
| MANHATTAN (NY) | $391.60 | $272.45 |
| NYC SUBURBS/LONG ISLAND (NY) | $401.01 | $279.09 |
| POUGHKPSIE/N NYC SUBURBS (NY) | $370.12 | $257.84 |
| QUEENS (NY) | $393.73 | $272.53 |
| REST OF NEW YORK (NY) | $327.47 | $230.06 |
| OHIO (OH) | $324.06 | $230.44 |
| OKLAHOMA (OK) | $316.67 | $225.10 |
| PORTLAND (OR) | $363.42 | $249.50 |
| REST OF OREGON (OR) | $337.03 | $234.90 |
| METROPOLITAN PHILADELPHIA (PA) | $355.41 | $248.67 |
| REST OF PENNSYLVANIA (PA) | $324.22 | $230.09 |
| PUERTO RICO (PR) | $344.10 | $240.43 |
| RHODE ISLAND (RI) | $349.65 | $243.73 |
| SOUTH CAROLINA (SC) | $324.13 | $229.38 |
| SOUTH DAKOTA** (SD) | $332.71 | $230.17 |
| TENNESSEE (TN) | $316.62 | $223.41 |
| BRAZORIA (TX) | $338.03 | $236.41 |
| DALLAS (TX) | $340.28 | $238.15 |
| GALVESTON (TX) | $339.12 | $237.30 |
| HOUSTON (TX) | $346.81 | $244.98 |
| BEAUMONT (TX) | $322.33 | $229.02 |
| FORT WORTH (TX) | $338.39 | $237.28 |
| AUSTIN (TX) | $352.72 | $244.23 |
| REST OF TEXAS (TX) | $330.07 | $232.76 |
| UTAH (UT) | $328.13 | $231.74 |
| VIRGINIA (VA) | $334.37 | $233.57 |
| VIRGIN ISLANDS (VI) | $344.10 | $240.43 |
| VERMONT (VT) | $333.02 | $231.50 |
| SEATTLE (KING CNTY) (WA) | $392.63 | $266.81 |
| REST OF WASHINGTON (WA) | $351.25 | $243.27 |
| WISCONSIN (WI) | $323.59 | $225.36 |
| WEST VIRGINIA (WV) | $320.86 | $231.75 |
| WYOMING** (WY) | $338.38 | $235.84 |
Look up another code or locality →
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's PFS amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — each adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed. The adjusted RVUs are summed and multiplied by the annual conversion factor to produce the allowed amount. Practice-expense RVUs differ between non-facility and facility settings because overhead costs differ, which is why the two amounts shown on this page are not the same. The conversion factor is set annually by CMS and applies nationwide, while GPCIs vary by locality, so the same code can price differently depending on where it's billed.
RVUs — work 3.6, practice expense 6.22 (non-facility) / 3.15 (facility), malpractice 0.42 — × 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 Part B deductible is met; the patient or secondary payer is responsible for the remainder.
- Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the actual paid amount.
- Locality-specific GPCIs mean the same code can price differently across regions.
- Always verify current rates and coverage policy with your Medicare Administrative Contractor (MAC) before billing.
Frequently asked
Why is the facility amount lower than the non-facility amount for this code?
Facility pricing uses lower practice-expense RVUs because Medicare assumes the facility (not the physician's office) absorbs certain overhead costs like equipment and supplies.
Does this amount reflect what Medicare actually pays?
It reflects the Medicare-allowed amount before cost-sharing. Medicare generally pays 80% of this figure after the annual deductible, with the remaining 20% owed by the patient or supplemental insurance.
Why might my MAC's payment differ from the amount shown here?
Local wage indices (GPCIs), applied modifiers, claim-specific adjustments, sequestration, and mid-year or annual rule changes can all cause the actual paid amount to differ from the standard PFS calculation.
Can I use this figure to bill the patient directly?
No. This is a reference estimate for understanding Medicare's fee schedule methodology, not billing or coding advice. Confirm actual allowed amounts and patient responsibility through your MAC or claims system.
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.
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