Medicare Reimbursement for CPT 20705

This page covers Medicare Physician Fee Schedule (PFS) estimates for this procedure code (CPT 20705). It shows the national allowed amount as well as how that amount can shift by locality, and breaks out the difference between non-facility and facility payment rates for 2026.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$128.26	$106.21
ALASKA* (AK)	$159.73	$136.25
ALABAMA (AL)	$116.56	$97.27
ARKANSAS (AR)	$115.12	$96.19
ARIZONA (AZ)	$124.83	$103.47
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$144.60	$113.52
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$146.65	$114.87
OXNARD-THOUSAND OAKS-VENTURA (CA)	$132.77	$106.72
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$134.32	$108.24
NAPA (CA)	$139.53	$110.47
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$145.09	$114.01
VALLEJO (CA)	$138.82	$109.77
BAKERSFIELD (CA)	$128.18	$104.02
CHICO (CA)	$126.99	$102.83
FRESNO (CA)	$126.99	$102.83
HANFORD-CORCORAN (CA)	$126.99	$102.83
MADERA (CA)	$126.99	$102.83
MERCED (CA)	$126.99	$102.83
MODESTO (CA)	$126.99	$102.83
REDDING (CA)	$126.99	$102.83
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$131.61	$107.45
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$131.25	$105.61
SALINAS (CA)	$130.73	$105.18
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$148.65	$116.86
SANTA CRUZ-WATSONVILLE (CA)	$132.48	$105.69
SANTA ROSA-PETALUMA (CA)	$133.68	$106.60
STOCKTON (CA)	$126.99	$102.83
VISALIA (CA)	$126.99	$102.83
YUBA CITY (CA)	$126.99	$102.83
EL CENTRO (CA)	$127.06	$102.90
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$132.36	$106.00
SAN LUIS OBISPO-PASO ROBLES (CA)	$128.87	$103.76
SANTA MARIA-SANTA BARBARA (CA)	$130.82	$105.12
REST OF CALIFORNIA (CA)	$126.99	$102.83
COLORADO (CO)	$128.76	$105.30
CONNECTICUT (CT)	$136.05	$112.31
DC + MD/VA SUBURBS (DC)	$141.46	$115.49
DELAWARE (DE)	$126.63	$104.85
FORT LAUDERDALE (FL)	$140.43	$118.10
MIAMI (FL)	$152.01	$129.07
REST OF FLORIDA (FL)	$133.56	$112.48
ATLANTA (GA)	$132.06	$109.66
REST OF GEORGIA (GA)	$126.29	$106.63
HAWAII, GUAM (HI)	$128.21	$103.14
IOWA (IA)	$115.88	$95.71
IDAHO (ID)	$117.19	$96.91
EAST ST. LOUIS (IL)	$139.32	$119.04
SUBURBAN CHICAGO (IL)	$141.02	$118.38
CHICAGO (IL)	$147.57	$125.41
REST OF ILLINOIS (IL)	$132.54	$112.41
INDIANA (IN)	$117.68	$97.25
KANSAS (KS)	$116.94	$97.01
KENTUCKY (KY)	$122.18	$102.58
NEW ORLEANS (LA)	$127.63	$106.89
REST OF LOUISIANA (LA)	$122.62	$103.11
METROPOLITAN BOSTON (MA)	$138.04	$111.72
REST OF MASSACHUSETTS (MA)	$128.79	$105.57
BALTIMORE/SURR. CNTYS (MD)	$135.98	$112.33
REST OF MARYLAND (MD)	$128.31	$106.00
SOUTHERN MAINE (ME)	$122.57	$100.72
REST OF MAINE (ME)	$119.33	$99.05
DETROIT (MI)	$136.58	$115.31
REST OF MICHIGAN (MI)	$126.31	$106.18
MINNESOTA (MN)	$119.42	$96.73
METROPOLITAN ST. LOUIS (MO)	$126.19	$105.20
METROPOLITAN KANSAS CITY (MO)	$125.26	$104.56
REST OF MISSOURI (MO)	$121.85	$102.85
MISSISSIPPI (MS)	$118.43	$99.45
MONTANA** (MT)	$128.23	$106.19
NORTH CAROLINA (NC)	$120.14	$99.58
NORTH DAKOTA** (ND)	$119.73	$97.68
NEBRASKA (NE)	$115.96	$95.61
NEW HAMPSHIRE (NH)	$128.26	$105.31
NORTHERN NJ (NJ)	$140.66	$115.08
REST OF NEW JERSEY (NJ)	$136.48	$112.41
NEW MEXICO (NM)	$127.51	$107.30
NEVADA** (NV)	$125.90	$103.84
MANHATTAN (NY)	$148.25	$122.64
NYC SUBURBS/LONG ISLAND (NY)	$153.33	$127.12
POUGHKPSIE/N NYC SUBURBS (NY)	$138.59	$114.45
QUEENS (NY)	$147.06	$121.00
REST OF NEW YORK (NY)	$121.81	$100.86
OHIO (OH)	$124.57	$104.44
OKLAHOMA (OK)	$120.37	$100.69
PORTLAND (OR)	$130.56	$106.07
REST OF OREGON (OR)	$123.82	$101.86
METROPOLITAN PHILADELPHIA (PA)	$134.09	$111.14
REST OF PENNSYLVANIA (PA)	$123.88	$103.64
PUERTO RICO (PR)	$128.53	$106.24
RHODE ISLAND (RI)	$129.48	$106.71
SOUTH CAROLINA (SC)	$122.78	$102.41
SOUTH DAKOTA** (SD)	$118.72	$96.68
TENNESSEE (TN)	$117.63	$97.59
BRAZORIA (TX)	$125.27	$103.42
DALLAS (TX)	$126.68	$104.72
GALVESTON (TX)	$126.04	$104.15
HOUSTON (TX)	$133.91	$112.02
BEAUMONT (TX)	$123.30	$103.24
FORT WORTH (TX)	$126.43	$104.69
AUSTIN (TX)	$129.30	$105.98
REST OF TEXAS (TX)	$124.63	$103.71
UTAH (UT)	$124.17	$103.45
VIRGINIA (VA)	$123.29	$101.62
VIRGIN ISLANDS (VI)	$128.53	$106.24
VERMONT (VT)	$120.73	$98.90
SEATTLE (KING CNTY) (WA)	$139.07	$112.02
REST OF WASHINGTON (WA)	$128.06	$104.84
WISCONSIN (WI)	$116.48	$95.36
WEST VIRGINIA (WV)	$128.72	$109.56
WYOMING** (WY)	$124.53	$102.48

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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's PFS amount is built from three Relative Value Units (RVUs) assigned to a code: physician work, practice expense, and malpractice risk. Each RVU component is adjusted using the Geographic Practice Cost Indices (GPCIs) for the specific locality where the service is performed, then the adjusted RVUs are summed and multiplied by the annual conversion factor to produce a dollar amount. Practice-expense RVUs differ depending on where the service is furnished — non-facility (e.g., physician office) typically has a higher practice-expense RVU than facility (e.g., hospital outpatient), since the facility setting absorbs some overhead costs separately. This is why the same code can show two different national rates, and why your locality-specific rate may differ from both.

RVUs — work 2.1, practice expense 1.31 (non-facility) / 0.65 (facility), malpractice 0.43 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, not a guarantee of payment — actual reimbursement depends on claim-specific factors.
Medicare typically pays 80% of the allowed amount after the annual Part B deductible is met; the beneficiary or secondary payer is responsible for the remainder.
Modifiers, place-of-service codes, multiple-procedure reductions, and sequestration can all change the final paid amount.
Annual budget-neutrality adjustments and conversion factor updates mean amounts change each year and sometimes mid-year.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.

Frequently asked

Why does the facility rate differ from the non-facility rate for this code?

The facility rate uses a lower practice-expense RVU because Medicare assumes the facility (not the billing physician) is covering certain overhead costs like equipment, supplies, and staff time. The non-facility rate assumes the physician's office bears those costs directly.

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

Not necessarily. The national amount uses a GPCI value of 1.0 for all components. Your actual locality-specific payment will be adjusted up or down based on that area's wage, rent, and malpractice cost indices.

Can I use this estimate to predict exactly what I'll be paid?

No. This figure is a planning estimate based on the standard PFS formula. Final payment can be affected by modifiers, secondary payer rules, deductible status, claim edits, and annual rate changes.

Where can I find the official CPT descriptor for this code?

CPT code descriptors are copyrighted by the American Medical Association (AMA). You can look up the official descriptor in your licensed CPT codebook or AMA-authorized coding software.

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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.