Medicare Reimbursement for CPT 17270

CPT 17270 is a procedure code used for physician billing under Medicare Part B; the full code description is not reproduced here due to AMA licensing restrictions. This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount for 2026, both at the national level and adjusted for locality, and separately for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$146.96	$81.16
ALASKA* (AK)	$173.75	$103.68
ALABAMA (AL)	$132.85	$75.27
ARKANSAS (AR)	$131.06	$74.54
ARIZONA (AZ)	$143.30	$79.54
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$188.84	$96.07
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$192.53	$97.64
OXNARD-THOUSAND OAKS-VENTURA (CA)	$164.39	$86.62
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$165.25	$87.41
NAPA (CA)	$178.77	$92.04
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$188.99	$96.21
VALLEJO (CA)	$178.56	$91.83
BAKERSFIELD (CA)	$155.51	$83.40
CHICO (CA)	$155.11	$82.99
FRESNO (CA)	$155.11	$82.99
HANFORD-CORCORAN (CA)	$155.11	$82.99
MADERA (CA)	$155.11	$82.99
MERCED (CA)	$155.11	$82.99
MODESTO (CA)	$155.11	$82.99
REDDING (CA)	$155.11	$82.99
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$156.53	$84.41
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$162.51	$85.99
SALINAS (CA)	$161.90	$85.64
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$193.13	$98.25
SANTA CRUZ-WATSONVILLE (CA)	$166.93	$86.98
SANTA ROSA-PETALUMA (CA)	$168.61	$87.80
STOCKTON (CA)	$155.11	$82.99
VISALIA (CA)	$155.11	$82.99
YUBA CITY (CA)	$155.11	$82.99
EL CENTRO (CA)	$155.13	$83.01
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$165.50	$86.80
SAN LUIS OBISPO-PASO ROBLES (CA)	$159.31	$84.37
SANTA MARIA-SANTA BARBARA (CA)	$162.45	$85.73
REST OF CALIFORNIA (CA)	$155.11	$82.99
COLORADO (CO)	$152.81	$82.80
CONNECTICUT (CT)	$156.31	$85.44
DC + MD/VA SUBURBS (DC)	$167.29	$89.78
DELAWARE (DE)	$145.57	$80.56
FORT LAUDERDALE (FL)	$151.74	$85.09
MIAMI (FL)	$157.62	$89.12
REST OF FLORIDA (FL)	$144.84	$81.94
ATLANTA (GA)	$149.54	$82.68
REST OF GEORGIA (GA)	$137.23	$78.53
HAWAII, GUAM (HI)	$158.54	$83.73
IOWA (IA)	$136.03	$75.82
IDAHO (ID)	$136.85	$76.31
EAST ST. LOUIS (IL)	$143.54	$83.00
SUBURBAN CHICAGO (IL)	$153.27	$85.70
CHICAGO (IL)	$153.39	$87.26
REST OF ILLINOIS (IL)	$140.89	$80.82
INDIANA (IN)	$137.59	$76.59
KANSAS (KS)	$135.42	$75.93
KENTUCKY (KY)	$135.73	$77.24
NEW ORLEANS (LA)	$141.78	$79.86
REST OF LOUISIANA (LA)	$135.53	$77.29
METROPOLITAN BOSTON (MA)	$167.31	$88.74
REST OF MASSACHUSETTS (MA)	$151.99	$82.70
BALTIMORE/SURR. CNTYS (MD)	$155.85	$85.25
REST OF MARYLAND (MD)	$148.23	$81.64
SOUTHERN MAINE (ME)	$144.48	$79.27
REST OF MAINE (ME)	$137.49	$76.96
DETROIT (MI)	$146.52	$83.02
REST OF MICHIGAN (MI)	$139.01	$78.93
MINNESOTA (MN)	$146.75	$79.04
METROPOLITAN ST. LOUIS (MO)	$142.28	$79.63
METROPOLITAN KANSAS CITY (MO)	$140.89	$79.11
REST OF MISSOURI (MO)	$133.35	$76.63
MISSISSIPPI (MS)	$132.23	$75.57
MONTANA** (MT)	$146.96	$81.16
NORTH CAROLINA (NC)	$138.84	$77.45
NORTH DAKOTA** (ND)	$144.38	$78.58
NEBRASKA (NE)	$136.73	$75.99
NEW HAMPSHIRE (NH)	$150.43	$81.94
NORTHERN NJ (NJ)	$165.74	$89.41
REST OF NEW JERSEY (NJ)	$158.18	$86.33
NEW MEXICO (NM)	$139.71	$79.38
NEVADA** (NV)	$146.34	$80.47
MANHATTAN (NY)	$168.23	$91.77
NYC SUBURBS/LONG ISLAND (NY)	$172.05	$93.81
POUGHKPSIE/N NYC SUBURBS (NY)	$159.19	$87.14
QUEENS (NY)	$169.56	$91.78
REST OF NEW YORK (NY)	$140.78	$78.27
OHIO (OH)	$138.48	$78.41
OKLAHOMA (OK)	$135.52	$76.76
PORTLAND (OR)	$157.43	$84.33
REST OF OREGON (OR)	$145.28	$79.75
METROPOLITAN PHILADELPHIA (PA)	$152.62	$84.12
REST OF PENNSYLVANIA (PA)	$138.70	$78.30
PUERTO RICO (PR)	$147.98	$81.45
RHODE ISLAND (RI)	$150.57	$82.60
SOUTH CAROLINA (SC)	$138.87	$78.08
SOUTH DAKOTA** (SD)	$144.08	$78.28
TENNESSEE (TN)	$136.05	$76.24
BRAZORIA (TX)	$145.49	$80.28
DALLAS (TX)	$146.36	$80.82
GALVESTON (TX)	$145.89	$80.55
HOUSTON (TX)	$148.27	$82.93
BEAUMONT (TX)	$137.85	$77.97
FORT WORTH (TX)	$145.44	$80.56
AUSTIN (TX)	$152.23	$82.62
REST OF TEXAS (TX)	$141.55	$79.11
UTAH (UT)	$140.65	$78.80
VIRGINIA (VA)	$144.02	$79.34
VIRGIN ISLANDS (VI)	$147.98	$81.45
VERMONT (VT)	$143.84	$78.70
SEATTLE (KING CNTY) (WA)	$170.62	$89.89
REST OF WASHINGTON (WA)	$151.69	$82.41
WISCONSIN (WI)	$139.85	$76.81
WEST VIRGINIA (WV)	$136.02	$78.84
WYOMING** (WY)	$145.84	$80.04

Look up another code or locality →

Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 6 units 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. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, reflecting local cost differences. The adjusted RVUs are summed and multiplied by the annual Medicare 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 depending on where the service is rendered.

RVUs — work 1.34, practice expense 2.93 (non-facility) / 0.96 (facility), malpractice 0.13 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only — actual payment can differ based on claim-specific factors.
Medicare typically pays 80% of the approved amount after the patient's 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 final paid amount.
Rates vary by Medicare Administrative Contractor (MAC) locality — verify the exact locality adjustment before billing or appealing a denial.
Figures reflect the CPT code's assigned RVUs for the stated year and may be revised in future rulemaking.

Frequently asked

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

The facility rate uses a lower practice-expense RVU because Medicare assumes the facility (e.g., hospital) — not the billing physician — is absorbing certain overhead and equipment costs.

Does this amount represent what Medicare will actually pay?

No. It is an estimated allowed amount before deductible and coinsurance are applied, and before any claim-specific adjustments such as modifiers or sequestration.

Why does the amount change by locality?

Geographic Practice Cost Indices (GPCIs) adjust the work, practice expense, and malpractice RVUs to reflect regional differences in wages, rent, and other costs.

Where can I find the official rate for my area?

Check your Medicare Administrative Contractor's (MAC) published fee schedule or the CMS Physician Fee Schedule Look-Up Tool for the specific locality.

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.