Medicare Reimbursement for CPT 20702

CPT 20702 is a physician procedure code used for billing purposes; the specific clinical descriptor is licensed by the AMA and not reproduced here. This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount at the national level and by locality, broken out for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$147.97	$122.92
ALASKA* (AK)	$184.62	$157.94
ALABAMA (AL)	$134.60	$112.68
ARKANSAS (AR)	$132.96	$111.45
ARIZONA (AZ)	$144.06	$119.78
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$166.84	$131.52
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$169.21	$133.08
OXNARD-THOUSAND OAKS-VENTURA (CA)	$153.20	$123.59
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$154.98	$125.34
NAPA (CA)	$160.98	$127.96
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$167.40	$132.07
VALLEJO (CA)	$160.18	$127.16
BAKERSFIELD (CA)	$147.92	$120.47
CHICO (CA)	$146.57	$119.11
FRESNO (CA)	$146.57	$119.11
HANFORD-CORCORAN (CA)	$146.57	$119.11
MADERA (CA)	$146.57	$119.11
MERCED (CA)	$146.57	$119.11
MODESTO (CA)	$146.57	$119.11
REDDING (CA)	$146.57	$119.11
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$151.84	$124.38
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$151.47	$122.34
SALINAS (CA)	$150.86	$121.83
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$171.48	$135.36
SANTA CRUZ-WATSONVILLE (CA)	$152.86	$122.42
SANTA ROSA-PETALUMA (CA)	$154.24	$123.48
STOCKTON (CA)	$146.57	$119.11
VISALIA (CA)	$146.57	$119.11
YUBA CITY (CA)	$146.57	$119.11
EL CENTRO (CA)	$146.65	$119.19
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$152.73	$122.77
SAN LUIS OBISPO-PASO ROBLES (CA)	$148.72	$120.19
SANTA MARIA-SANTA BARBARA (CA)	$150.97	$121.76
REST OF CALIFORNIA (CA)	$146.57	$119.11
COLORADO (CO)	$148.57	$121.91
CONNECTICUT (CT)	$156.89	$129.91
DC + MD/VA SUBURBS (DC)	$163.13	$133.62
DELAWARE (DE)	$146.12	$121.37
FORT LAUDERDALE (FL)	$161.84	$136.47
MIAMI (FL)	$175.04	$148.97
REST OF FLORIDA (FL)	$153.99	$130.05
ATLANTA (GA)	$152.30	$126.85
REST OF GEORGIA (GA)	$145.70	$123.35
HAWAII, GUAM (HI)	$147.94	$119.46
IOWA (IA)	$133.84	$110.92
IDAHO (ID)	$135.33	$112.29
EAST ST. LOUIS (IL)	$160.55	$137.51
SUBURBAN CHICAGO (IL)	$162.52	$136.80
CHICAGO (IL)	$169.98	$144.81
REST OF ILLINOIS (IL)	$152.82	$129.95
INDIANA (IN)	$135.90	$112.67
KANSAS (KS)	$135.04	$112.39
KENTUCKY (KY)	$141.01	$118.74
NEW ORLEANS (LA)	$147.24	$123.66
REST OF LOUISIANA (LA)	$141.52	$119.35
METROPOLITAN BOSTON (MA)	$159.23	$129.32
REST OF MASSACHUSETTS (MA)	$148.60	$122.22
BALTIMORE/SURR. CNTYS (MD)	$156.81	$129.93
REST OF MARYLAND (MD)	$148.04	$122.69
SOUTHERN MAINE (ME)	$141.48	$116.65
REST OF MAINE (ME)	$137.77	$114.72
DETROIT (MI)	$157.44	$133.27
REST OF MICHIGAN (MI)	$145.72	$122.85
MINNESOTA (MN)	$137.90	$112.12
METROPOLITAN ST. LOUIS (MO)	$145.59	$121.75
METROPOLITAN KANSAS CITY (MO)	$144.53	$121.01
REST OF MISSOURI (MO)	$140.63	$119.03
MISSISSIPPI (MS)	$136.73	$115.16
MONTANA** (MT)	$147.93	$122.88
NORTH CAROLINA (NC)	$138.70	$115.33
NORTH DAKOTA** (ND)	$138.24	$113.19
NEBRASKA (NE)	$133.93	$110.81
NEW HAMPSHIRE (NH)	$147.97	$121.90
NORTHERN NJ (NJ)	$162.23	$133.17
REST OF NEW JERSEY (NJ)	$157.42	$130.07
NEW MEXICO (NM)	$147.10	$124.13
NEVADA** (NV)	$145.28	$120.21
MANHATTAN (NY)	$170.89	$141.78
NYC SUBURBS/LONG ISLAND (NY)	$176.68	$146.89
POUGHKPSIE/N NYC SUBURBS (NY)	$159.83	$132.40
QUEENS (NY)	$169.53	$139.92
REST OF NEW YORK (NY)	$140.60	$116.80
OHIO (OH)	$143.74	$120.87
OKLAHOMA (OK)	$138.96	$116.59
PORTLAND (OR)	$150.64	$122.81
REST OF OREGON (OR)	$142.90	$117.95
METROPOLITAN PHILADELPHIA (PA)	$154.65	$128.57
REST OF PENNSYLVANIA (PA)	$142.96	$119.96
PUERTO RICO (PR)	$148.27	$122.95
RHODE ISLAND (RI)	$149.40	$123.52
SOUTH CAROLINA (SC)	$141.70	$118.56
SOUTH DAKOTA** (SD)	$137.10	$112.05
TENNESSEE (TN)	$135.83	$113.06
BRAZORIA (TX)	$144.57	$119.74
DALLAS (TX)	$146.18	$121.22
GALVESTON (TX)	$145.45	$120.58
HOUSTON (TX)	$154.42	$129.55
BEAUMONT (TX)	$142.29	$119.50
FORT WORTH (TX)	$145.89	$121.19
AUSTIN (TX)	$149.17	$122.67
REST OF TEXAS (TX)	$143.82	$120.05
UTAH (UT)	$143.29	$119.74
VIRGINIA (VA)	$142.30	$117.68
VIRGIN ISLANDS (VI)	$148.27	$122.95
VERMONT (VT)	$139.38	$114.58
SEATTLE (KING CNTY) (WA)	$160.42	$129.68
REST OF WASHINGTON (WA)	$147.77	$121.39
WISCONSIN (WI)	$134.54	$110.54
WEST VIRGINIA (WV)	$148.46	$126.69
WYOMING** (WY)	$143.71	$118.66

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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 payment for this procedure code is based on three Relative Value Units (RVUs) — work, practice expense, and malpractice — each adjusted by the Geographic Practice Cost Index (GPCI) for the specific locality where the service is performed. These locality-adjusted RVUs are summed and multiplied by the annual national conversion factor to produce the allowed amount. Non-facility (e.g., office) and facility (e.g., hospital) settings use different practice-expense RVUs because the resources and overhead involved differ, which is why the two allowed amounts shown here are not the same.

RVUs — work 2.44, practice expense 1.5 (non-facility) / 0.75 (facility), malpractice 0.49 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, not a guarantee of payment or coverage.
Medicare typically pays 80% of the allowed amount after the patient meets their deductible; the patient or secondary insurer is generally responsible for the remainder.
Actual payment can vary based on modifiers, place of service, sequestration reductions, and annual budget-neutrality adjustments.
Always verify current rates and coverage policy with your Medicare Administrative Contractor (MAC).

Frequently asked

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

Facility rates use lower practice-expense RVUs because Medicare assumes the facility (e.g., hospital) is separately billing for overhead costs like equipment and staff, whereas non-facility rates assume the physician practice bears those costs.

Does this amount reflect what the patient will owe?

No. The figures represent the Medicare-allowed amount before cost-sharing. After the deductible is met, Medicare generally pays 80%, leaving the patient or secondary payer responsible for the remaining 20%, subject to any applicable modifiers or adjustments.

Why might my MAC pay a different amount than shown here?

Local GPCI adjustments, specific modifiers, claim-level edits, sequestration, and mid-year or annual budget-neutrality changes to the conversion factor can all cause the actual paid amount to differ from this estimate.

Is this the same as billed charges?

No. The Medicare PFS allowed amount is the maximum amount Medicare recognizes for the service; it is typically lower than what a provider may bill as a standard charge.

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.