Medicare Reimbursement for CPT 21014

This page covers a CPT procedure code (the official AMA descriptor is not reproduced here due to licensing restrictions). It shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount for this code nationally and, where available, by locality, comparing non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$480.30	$480.30
ALASKA* (AK)	$589.84	$589.84
ALABAMA (AL)	$435.66	$435.66
ARKANSAS (AR)	$430.15	$430.15
ARIZONA (AZ)	$467.63	$467.63
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$560.68	$560.68
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$569.46	$569.46
OXNARD-THOUSAND OAKS-VENTURA (CA)	$507.33	$507.33
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$512.36	$512.36
NAPA (CA)	$538.13	$538.13
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$562.18	$562.18
VALLEJO (CA)	$535.97	$535.97
BAKERSFIELD (CA)	$487.07	$487.07
CHICO (CA)	$483.39	$483.39
FRESNO (CA)	$483.39	$483.39
HANFORD-CORCORAN (CA)	$483.39	$483.39
MADERA (CA)	$483.39	$483.39
MERCED (CA)	$483.39	$483.39
MODESTO (CA)	$483.39	$483.39
REDDING (CA)	$483.39	$483.39
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$497.59	$497.59
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$501.47	$501.47
SALINAS (CA)	$499.49	$499.49
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$575.59	$575.59
SANTA CRUZ-WATSONVILLE (CA)	$508.60	$508.60
SANTA ROSA-PETALUMA (CA)	$513.34	$513.34
STOCKTON (CA)	$483.39	$483.39
VISALIA (CA)	$483.39	$483.39
YUBA CITY (CA)	$483.39	$483.39
EL CENTRO (CA)	$483.61	$483.61
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$507.08	$507.08
SAN LUIS OBISPO-PASO ROBLES (CA)	$492.16	$492.16
SANTA MARIA-SANTA BARBARA (CA)	$500.22	$500.22
REST OF CALIFORNIA (CA)	$483.39	$483.39
COLORADO (CO)	$486.50	$486.50
CONNECTICUT (CT)	$509.92	$509.92
DC + MD/VA SUBURBS (DC)	$534.15	$534.15
DELAWARE (DE)	$474.56	$474.56
FORT LAUDERDALE (FL)	$518.58	$518.58
MIAMI (FL)	$556.08	$556.08
REST OF FLORIDA (FL)	$493.50	$493.50
ATLANTA (GA)	$493.13	$493.13
REST OF GEORGIA (GA)	$466.73	$466.73
HAWAII, GUAM (HI)	$489.70	$489.70
IOWA (IA)	$436.37	$436.37
IDAHO (ID)	$440.74	$440.74
EAST ST. LOUIS (IL)	$508.69	$508.69
SUBURBAN CHICAGO (IL)	$521.48	$521.48
CHICAGO (IL)	$540.05	$540.05
REST OF ILLINOIS (IL)	$487.37	$487.37
INDIANA (IN)	$442.75	$442.75
KANSAS (KS)	$438.85	$438.85
KENTUCKY (KY)	$453.90	$453.90
NEW ORLEANS (LA)	$474.26	$474.26
REST OF LOUISIANA (LA)	$454.98	$454.98
METROPOLITAN BOSTON (MA)	$524.56	$524.56
REST OF MASSACHUSETTS (MA)	$485.89	$485.89
BALTIMORE/SURR. CNTYS (MD)	$509.37	$509.37
REST OF MARYLAND (MD)	$481.46	$481.46
SOUTHERN MAINE (ME)	$462.20	$462.20
REST OF MAINE (ME)	$447.31	$447.31
DETROIT (MI)	$503.41	$503.41
REST OF MICHIGAN (MI)	$468.24	$468.24
MINNESOTA (MN)	$455.18	$455.18
METROPOLITAN ST. LOUIS (MO)	$470.60	$470.60
METROPOLITAN KANSAS CITY (MO)	$466.84	$466.84
REST OF MISSOURI (MO)	$451.00	$451.00
MISSISSIPPI (MS)	$440.43	$440.43
MONTANA** (MT)	$480.22	$480.22
NORTH CAROLINA (NC)	$450.72	$450.72
NORTH DAKOTA** (ND)	$454.12	$454.12
NEBRASKA (NE)	$437.17	$437.17
NEW HAMPSHIRE (NH)	$483.16	$483.16
NORTHERN NJ (NJ)	$530.58	$530.58
REST OF NEW JERSEY (NJ)	$512.64	$512.64
NEW MEXICO (NM)	$472.23	$472.23
NEVADA** (NV)	$473.15	$473.15
MANHATTAN (NY)	$554.06	$554.06
NYC SUBURBS/LONG ISLAND (NY)	$571.52	$571.52
POUGHKPSIE/N NYC SUBURBS (NY)	$519.40	$519.40
QUEENS (NY)	$551.79	$551.79
REST OF NEW YORK (NY)	$457.01	$457.01
OHIO (OH)	$462.90	$462.90
OKLAHOMA (OK)	$448.64	$448.64
PORTLAND (OR)	$495.39	$495.39
REST OF OREGON (OR)	$466.39	$466.39
METROPOLITAN PHILADELPHIA (PA)	$501.36	$501.36
REST OF PENNSYLVANIA (PA)	$461.15	$461.15
PUERTO RICO (PR)	$481.89	$481.89
RHODE ISLAND (RI)	$486.69	$486.69
SOUTH CAROLINA (SC)	$458.18	$458.18
SOUTH DAKOTA** (SD)	$451.03	$451.03
TENNESSEE (TN)	$441.32	$441.32
BRAZORIA (TX)	$470.63	$470.63
DALLAS (TX)	$475.32	$475.32
GALVESTON (TX)	$473.15	$473.15
HOUSTON (TX)	$497.31	$497.31
BEAUMONT (TX)	$458.81	$458.81
FORT WORTH (TX)	$473.85	$473.85
AUSTIN (TX)	$487.58	$487.58
REST OF TEXAS (TX)	$465.62	$465.62
UTAH (UT)	$463.56	$463.56
VIRGINIA (VA)	$463.87	$463.87
VIRGIN ISLANDS (VI)	$481.89	$481.89
VERMONT (VT)	$456.48	$456.48
SEATTLE (KING CNTY) (WA)	$530.17	$530.17
REST OF WASHINGTON (WA)	$483.60	$483.60
WISCONSIN (WI)	$441.22	$441.22
WEST VIRGINIA (WV)	$472.57	$472.57
WYOMING** (WY)	$468.84	$468.84

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 2 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) — physician work, practice expense, and malpractice — each adjusted by the Geographic Practice Cost Indices (GPCIs) for the specific locality. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Non-facility and facility settings can have different practice-expense RVUs, reflecting whether overhead costs (like staff and supplies) are borne by the billing practice or by a facility such as a hospital. The conversion factor is updated annually and applies uniformly before geographic adjustments change the final number by locality.

RVUs — work 6.95, practice expense 6.11 (non-facility) / 6.11 (facility), malpractice 1.32 — × 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 deductible is met; the patient or secondary payer is responsible for the remainder.
Modifiers, place of service, multiple-procedure reductions, and sequestration can change the actual paid amount.
Annual budget-neutrality adjustments and conversion factor updates can shift amounts from one year to the next.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC).

Frequently asked

Why does the allowed amount differ by locality?

Medicare adjusts payment using Geographic Practice Cost Indices (GPCIs) that reflect regional differences in labor, rent, and malpractice costs, so the same code can pay differently depending on where the service is billed.

Why are non-facility and facility amounts the same for this code?

When the practice-expense RVUs are identical in both settings, the resulting PFS allowed amount is the same, meaning overhead costs are treated similarly whether the service is performed in an office or a facility.

Does this amount include the patient's deductible and coinsurance?

No. The figure shown is the full Medicare-allowed amount before the beneficiary's deductible and 20% coinsurance are applied.

Will I be paid exactly this amount?

Not necessarily. Modifiers, sequestration, multiple-procedure payment reductions, and annual fee schedule updates can all affect the final reimbursement.

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.