Medicare Reimbursement for CPT 20700

This page covers a CPT procedure code (descriptor not shown due to AMA licensing restrictions) as priced under the Medicare Physician Fee Schedule (PFS). It shows the national Medicare allowed amount for 2026, along with how the amount differs by site of service — non-facility versus facility — before any locality adjustment is applied.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$84.84	$70.81
ALASKA* (AK)	$107.10	$92.16
ALABAMA (AL)	$77.65	$65.37
ARKANSAS (AR)	$76.76	$64.71
ARIZONA (AZ)	$82.74	$69.15
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$95.71	$75.93
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$97.07	$76.84
OXNARD-THOUSAND OAKS-VENTURA (CA)	$87.91	$71.33
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$88.93	$72.34
NAPA (CA)	$92.35	$73.86
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$96.00	$76.22
VALLEJO (CA)	$91.92	$73.43
BAKERSFIELD (CA)	$85.00	$69.62
CHICO (CA)	$84.27	$68.89
FRESNO (CA)	$84.27	$68.89
HANFORD-CORCORAN (CA)	$84.27	$68.89
MADERA (CA)	$84.27	$68.89
MERCED (CA)	$84.27	$68.89
MODESTO (CA)	$84.27	$68.89
REDDING (CA)	$84.27	$68.89
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$87.07	$71.69
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$87.03	$70.71
SALINAS (CA)	$86.68	$70.42
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$98.28	$78.05
SANTA CRUZ-WATSONVILLE (CA)	$87.72	$70.68
SANTA ROSA-PETALUMA (CA)	$88.52	$71.29
STOCKTON (CA)	$84.27	$68.89
VISALIA (CA)	$84.27	$68.89
YUBA CITY (CA)	$84.27	$68.89
EL CENTRO (CA)	$84.31	$68.94
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$87.69	$70.91
SAN LUIS OBISPO-PASO ROBLES (CA)	$85.44	$69.47
SANTA MARIA-SANTA BARBARA (CA)	$86.72	$70.36
REST OF CALIFORNIA (CA)	$84.27	$68.89
COLORADO (CO)	$85.27	$70.35
CONNECTICUT (CT)	$89.75	$74.64
DC + MD/VA SUBURBS (DC)	$93.33	$76.80
DELAWARE (DE)	$83.88	$70.02
FORT LAUDERDALE (FL)	$92.21	$78.00
MIAMI (FL)	$99.24	$84.64
REST OF FLORIDA (FL)	$88.00	$74.59
ATLANTA (GA)	$87.17	$72.92
REST OF GEORGIA (GA)	$83.55	$71.03
HAWAII, GUAM (HI)	$84.93	$68.98
IOWA (IA)	$77.27	$64.44
IDAHO (ID)	$78.07	$65.16
EAST ST. LOUIS (IL)	$91.45	$78.55
SUBURBAN CHICAGO (IL)	$92.62	$78.22
CHICAGO (IL)	$96.56	$82.46
REST OF ILLINOIS (IL)	$87.34	$74.54
INDIANA (IN)	$78.38	$65.37
KANSAS (KS)	$77.90	$65.22
KENTUCKY (KY)	$81.06	$68.59
NEW ORLEANS (LA)	$84.40	$71.20
REST OF LOUISIANA (LA)	$81.32	$68.91
METROPOLITAN BOSTON (MA)	$91.20	$74.45
REST OF MASSACHUSETTS (MA)	$85.31	$70.54
BALTIMORE/SURR. CNTYS (MD)	$89.68	$74.62
REST OF MARYLAND (MD)	$84.94	$70.75
SOUTHERN MAINE (ME)	$81.39	$67.49
REST OF MAINE (ME)	$79.36	$66.46
DETROIT (MI)	$89.84	$76.30
REST OF MICHIGAN (MI)	$83.58	$70.77
MINNESOTA (MN)	$79.52	$65.08
METROPOLITAN ST. LOUIS (MO)	$83.54	$70.19
METROPOLITAN KANSAS CITY (MO)	$82.97	$69.80
REST OF MISSOURI (MO)	$80.83	$68.74
MISSISSIPPI (MS)	$78.76	$66.69
MONTANA** (MT)	$84.82	$70.79
NORTH CAROLINA (NC)	$79.87	$66.78
NORTH DAKOTA** (ND)	$79.68	$65.65
NEBRASKA (NE)	$77.33	$64.38
NEW HAMPSHIRE (NH)	$84.88	$70.27
NORTHERN NJ (NJ)	$92.88	$76.61
REST OF NEW JERSEY (NJ)	$90.15	$74.83
NEW MEXICO (NM)	$84.31	$71.45
NEVADA** (NV)	$83.42	$69.37
MANHATTAN (NY)	$97.49	$81.18
NYC SUBURBS/LONG ISLAND (NY)	$100.58	$83.90
POUGHKPSIE/N NYC SUBURBS (NY)	$91.46	$76.10
QUEENS (NY)	$96.78	$80.20
REST OF NEW YORK (NY)	$80.89	$67.56
OHIO (OH)	$82.52	$69.72
OKLAHOMA (OK)	$79.97	$67.44
PORTLAND (OR)	$86.44	$70.85
REST OF OREGON (OR)	$82.15	$68.18
METROPOLITAN PHILADELPHIA (PA)	$88.52	$73.91
REST OF PENNSYLVANIA (PA)	$82.11	$69.24
PUERTO RICO (PR)	$85.01	$70.83
RHODE ISLAND (RI)	$85.73	$71.24
SOUTH CAROLINA (SC)	$81.45	$68.49
SOUTH DAKOTA** (SD)	$79.07	$65.04
TENNESSEE (TN)	$78.33	$65.57
BRAZORIA (TX)	$83.07	$69.17
DALLAS (TX)	$83.93	$69.96
GALVESTON (TX)	$83.54	$69.61
HOUSTON (TX)	$88.30	$74.37
BEAUMONT (TX)	$81.76	$68.99
FORT WORTH (TX)	$83.77	$69.94
AUSTIN (TX)	$85.53	$70.69
REST OF TEXAS (TX)	$82.60	$69.29
UTAH (UT)	$82.31	$69.12
VIRGINIA (VA)	$81.82	$68.03
VIRGIN ISLANDS (VI)	$85.01	$70.83
VERMONT (VT)	$80.27	$66.39
SEATTLE (KING CNTY) (WA)	$91.90	$74.69
REST OF WASHINGTON (WA)	$84.85	$70.08
WISCONSIN (WI)	$77.68	$64.24
WEST VIRGINIA (WV)	$84.99	$72.80
WYOMING** (WY)	$82.58	$68.55

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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 bases payment on three Relative Value Units (RVUs) assigned to a code: physician work, practice expense, and malpractice. Each RVU component is adjusted using the Geographic Practice Cost Indices (GPCIs) for the specific locality where the service is furnished, then the adjusted RVUs are summed and multiplied by the annual conversion factor to produce a dollar amount. Practice-expense RVUs are typically higher when a service is performed in a non-facility setting (such as a physician office) versus a facility setting (such as a hospital), because the physician absorbs more overhead costs in the office setting. This is why the same code can show two different national or locality-specific allowed amounts depending on place of service.

RVUs — work 1.46, practice expense 0.82 (non-facility) / 0.4 (facility), malpractice 0.26 — × 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 generally responsible for the remainder.
Actual payment varies by locality, applicable modifiers, sequestration, and annual budget-neutrality adjustments made by CMS.
Always verify current rates and coverage policy with your Medicare Administrative Contractor (MAC) before billing.

Frequently asked

Why does this code show two different fee amounts?

Medicare pays differently depending on where the service is performed. The non-facility rate applies to settings like a physician's office, where the practice absorbs overhead costs. The facility rate applies when the service is performed in a hospital or other facility that bears those overhead costs separately.

Why isn't the CPT code description shown here?

CPT code descriptors are copyrighted and licensed by the American Medical Association. This page cannot display or paraphrase the official descriptor, so the code is referenced generically.

Will my locality's payment match the national amount shown?

Not necessarily. The national amount uses a standardized set of inputs, but actual payment is adjusted by locality-specific GPCIs, which can raise or lower the amount compared to the national figure.

Does this amount reflect what the patient will owe?

No. This figure represents the Medicare-allowed amount before cost-sharing. After the Part B deductible is met, Medicare generally pays 80% of the allowed amount, leaving the remaining 20% plus any unmet deductible as patient responsibility, unless covered by supplemental insurance.

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.