Medicare Reimbursement for CPT 17110

CPT 17110 is a procedure code billed under Medicare Part B; the specific service it describes is defined by the AMA's CPT codebook and is not reproduced here. This page shows the estimated Medicare Physician Fee Schedule (PFS) allowed amount for 2026, both nationally and (where available) by locality, with separate figures for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$111.22	$62.46
ALASKA* (AK)	$127.13	$75.20
ALABAMA (AL)	$99.44	$56.77
ARKANSAS (AR)	$97.94	$56.05
ARIZONA (AZ)	$108.22	$60.96
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$147.37	$78.61
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$150.40	$80.08
OXNARD-THOUSAND OAKS-VENTURA (CA)	$126.66	$69.02
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$127.14	$69.45
NAPA (CA)	$138.91	$74.64
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$147.45	$78.69
VALLEJO (CA)	$138.79	$74.52
BAKERSFIELD (CA)	$119.02	$65.57
CHICO (CA)	$118.80	$65.35
FRESNO (CA)	$118.80	$65.35
HANFORD-CORCORAN (CA)	$118.80	$65.35
MADERA (CA)	$118.80	$65.35
MERCED (CA)	$118.80	$65.35
MODESTO (CA)	$118.80	$65.35
REDDING (CA)	$118.80	$65.35
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$119.56	$66.12
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$125.00	$68.29
SALINAS (CA)	$124.55	$68.03
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$150.73	$80.41
SANTA CRUZ-WATSONVILLE (CA)	$129.14	$69.89
SANTA ROSA-PETALUMA (CA)	$130.47	$70.59
STOCKTON (CA)	$118.80	$65.35
VISALIA (CA)	$118.80	$65.35
YUBA CITY (CA)	$118.80	$65.35
EL CENTRO (CA)	$118.81	$65.36
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$127.73	$69.40
SAN LUIS OBISPO-PASO ROBLES (CA)	$122.50	$66.96
SANTA MARIA-SANTA BARBARA (CA)	$125.08	$68.22
REST OF CALIFORNIA (CA)	$118.80	$65.35
COLORADO (CO)	$116.50	$64.61
CONNECTICUT (CT)	$118.81	$66.29
DC + MD/VA SUBURBS (DC)	$128.05	$70.61
DELAWARE (DE)	$110.07	$61.89
FORT LAUDERDALE (FL)	$114.23	$64.84
MIAMI (FL)	$118.33	$67.57
REST OF FLORIDA (FL)	$108.61	$61.99
ATLANTA (GA)	$113.14	$63.60
REST OF GEORGIA (GA)	$102.37	$58.87
HAWAII, GUAM (HI)	$122.05	$66.60
IOWA (IA)	$102.49	$57.87
IDAHO (ID)	$103.10	$58.23
EAST ST. LOUIS (IL)	$106.70	$61.84
SUBURBAN CHICAGO (IL)	$115.52	$65.43
CHICAGO (IL)	$114.84	$65.83
REST OF ILLINOIS (IL)	$105.04	$60.52
INDIANA (IN)	$103.73	$58.53
KANSAS (KS)	$101.79	$57.71
KENTUCKY (KY)	$101.46	$58.11
NEW ORLEANS (LA)	$106.46	$60.57
REST OF LOUISIANA (LA)	$101.22	$58.06
METROPOLITAN BOSTON (MA)	$128.62	$70.39
REST OF MASSACHUSETTS (MA)	$115.68	$64.33
BALTIMORE/SURR. CNTYS (MD)	$118.43	$66.11
REST OF MARYLAND (MD)	$112.29	$62.94
SOUTHERN MAINE (ME)	$109.59	$61.26
REST OF MAINE (ME)	$103.45	$58.58
DETROIT (MI)	$109.81	$62.75
REST OF MICHIGAN (MI)	$104.03	$59.51
MINNESOTA (MN)	$112.08	$61.90
METROPOLITAN ST. LOUIS (MO)	$107.09	$60.67
METROPOLITAN KANSAS CITY (MO)	$105.91	$60.12
REST OF MISSOURI (MO)	$99.27	$57.24
MISSISSIPPI (MS)	$98.64	$56.65
MONTANA** (MT)	$111.22	$62.46
NORTH CAROLINA (NC)	$104.61	$59.11
NORTH DAKOTA** (ND)	$109.84	$61.07
NEBRASKA (NE)	$103.14	$58.12
NEW HAMPSHIRE (NH)	$114.47	$63.70
NORTHERN NJ (NJ)	$126.60	$70.04
REST OF NEW JERSEY (NJ)	$120.29	$67.04
NEW MEXICO (NM)	$104.54	$59.82
NEVADA** (NV)	$110.92	$62.11
MANHATTAN (NY)	$128.01	$71.34
NYC SUBURBS/LONG ISLAND (NY)	$130.97	$72.99
POUGHKPSIE/N NYC SUBURBS (NY)	$120.92	$67.53
QUEENS (NY)	$129.40	$71.76
REST OF NEW YORK (NY)	$106.22	$59.89
OHIO (OH)	$103.75	$59.22
OKLAHOMA (OK)	$101.48	$57.94
PORTLAND (OR)	$120.56	$66.38
REST OF OREGON (OR)	$110.19	$61.62
METROPOLITAN PHILADELPHIA (PA)	$115.62	$64.85
REST OF PENNSYLVANIA (PA)	$104.03	$59.26
PUERTO RICO (PR)	$112.14	$62.84
RHODE ISLAND (RI)	$114.25	$63.87
SOUTH CAROLINA (SC)	$104.33	$59.27
SOUTH DAKOTA** (SD)	$109.67	$60.91
TENNESSEE (TN)	$102.30	$57.97
BRAZORIA (TX)	$110.12	$61.79
DALLAS (TX)	$110.75	$62.18
GALVESTON (TX)	$110.40	$61.98
HOUSTON (TX)	$111.68	$63.26
BEAUMONT (TX)	$103.30	$58.93
FORT WORTH (TX)	$109.92	$61.84
AUSTIN (TX)	$116.00	$64.41
REST OF TEXAS (TX)	$106.60	$60.33
UTAH (UT)	$105.82	$59.98
VIRGINIA (VA)	$109.07	$61.14
VIRGIN ISLANDS (VI)	$112.14	$62.84
VERMONT (VT)	$109.21	$60.93
SEATTLE (KING CNTY) (WA)	$131.49	$71.66
REST OF WASHINGTON (WA)	$115.53	$64.18
WISCONSIN (WI)	$105.99	$59.27
WEST VIRGINIA (WV)	$100.94	$58.57
WYOMING** (WY)	$110.62	$61.85

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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's PFS amount is built from three Relative Value Units (RVUs) assigned to the code: physician work, practice expense, and malpractice. 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, which is why the same code can show two different allowed amounts. The national figures shown here use national GPCI values of 1.0, while locality-specific figures reflect the actual GPCIs for that area.

RVUs — work 0.68, practice expense 2.58 (non-facility) / 1.12 (facility), malpractice 0.07 — × 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 the annual Part B deductible; the patient or secondary insurer is generally responsible for the rest.
Actual payment can vary by locality, applicable modifiers, place of service, sequestration reductions, and annual budget-neutrality adjustments to RVUs or the conversion factor.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC) before billing.

Frequently asked

Why is the facility amount lower than the non-facility amount?

Facility settings use a lower practice-expense RVU because the facility (e.g., hospital) separately bills for overhead costs like equipment and supplies, whereas in a non-facility (office) setting the physician's practice absorbs those costs.

Does this amount include the patient's coinsurance?

No. The figures shown are the total Medicare-allowed amount before cost-sharing; Medicare generally pays 80% after the deductible is met, with the remainder owed by the patient or secondary payer.

Why does the amount change by locality?

Each locality has its own Geographic Practice Cost Indices (GPCIs) that adjust the work, practice expense, and malpractice RVUs to reflect regional cost differences, so the same code can have different allowed amounts in different areas.

Can modifiers change this amount?

Yes. Modifiers (such as those indicating bilateral procedures, reduced services, or multiple procedures) can increase or decrease the final paid amount relative to the base PFS rate shown here.

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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.