Medicare Reimbursement for CPT 21082

This page covers CPT code 21082, a physician procedure code reported under the Medicare Physician Fee Schedule (PFS). It shows the estimated Medicare-allowed amount nationally and by locality, broken out for non-facility (e.g., office) and facility (e.g., hospital) settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$1498.36	$993.34
ALASKA* (AK)	$1849.79	$1311.94
ALABAMA (AL)	$1371.14	$929.24
ARKANSAS (AR)	$1355.22	$921.40
ARIZONA (AZ)	$1463.90	$974.53
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1819.94	$1107.86
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1851.54	$1123.30
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1621.74	$1024.80
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1634.58	$1037.14
NAPA (CA)	$1736.84	$1071.22
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1822.67	$1110.59
VALLEJO (CA)	$1732.91	$1067.30
BAKERSFIELD (CA)	$1550.91	$997.40
CHICO (CA)	$1543.70	$990.20
FRESNO (CA)	$1543.70	$990.20
HANFORD-CORCORAN (CA)	$1543.70	$990.20
MADERA (CA)	$1543.70	$990.20
MERCED (CA)	$1543.70	$990.20
MODESTO (CA)	$1543.70	$990.20
REDDING (CA)	$1543.70	$990.20
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1569.79	$1016.29
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1606.14	$1018.80
SALINAS (CA)	$1599.79	$1014.47
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1862.68	$1134.44
SANTA CRUZ-WATSONVILLE (CA)	$1634.41	$1020.81
SANTA ROSA-PETALUMA (CA)	$1650.14	$1029.97
STOCKTON (CA)	$1543.70	$990.20
VISALIA (CA)	$1543.70	$990.20
YUBA CITY (CA)	$1543.70	$990.20
EL CENTRO (CA)	$1544.10	$990.60
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1626.95	$1022.95
SAN LUIS OBISPO-PASO ROBLES (CA)	$1575.50	$1000.28
SANTA MARIA-SANTA BARBARA (CA)	$1602.93	$1014.07
REST OF CALIFORNIA (CA)	$1543.70	$990.20
COLORADO (CO)	$1536.28	$998.94
CONNECTICUT (CT)	$1585.71	$1041.81
DC + MD/VA SUBURBS (DC)	$1675.70	$1080.79
DELAWARE (DE)	$1484.79	$985.83
FORT LAUDERDALE (FL)	$1572.75	$1061.16
MIAMI (FL)	$1651.25	$1125.52
REST OF FLORIDA (FL)	$1506.15	$1023.35
ATLANTA (GA)	$1528.35	$1015.24
REST OF GEORGIA (GA)	$1433.89	$983.41
HAWAII, GUAM (HI)	$1565.93	$991.72
IOWA (IA)	$1387.17	$925.07
IDAHO (ID)	$1396.96	$932.34
EAST ST. LOUIS (IL)	$1520.49	$1055.87
SUBURBAN CHICAGO (IL)	$1584.97	$1066.31
CHICAGO (IL)	$1610.62	$1103.08
REST OF ILLINOIS (IL)	$1479.16	$1018.07
INDIANA (IN)	$1403.18	$935.02
KANSAS (KS)	$1387.61	$931.07
KENTUCKY (KY)	$1409.47	$960.50
NEW ORLEANS (LA)	$1465.64	$990.41
REST OF LOUISIANA (LA)	$1409.96	$963.01
METROPOLITAN BOSTON (MA)	$1660.84	$1057.84
REST OF MASSACHUSETTS (MA)	$1532.14	$1000.36
BALTIMORE/SURR. CNTYS (MD)	$1582.21	$1040.32
REST OF MARYLAND (MD)	$1507.45	$996.37
SOUTHERN MAINE (ME)	$1462.13	$961.65
REST OF MAINE (ME)	$1408.90	$944.28
DETROIT (MI)	$1527.47	$1040.13
REST OF MICHIGAN (MI)	$1444.37	$983.28
MINNESOTA (MN)	$1463.38	$943.71
METROPOLITAN ST. LOUIS (MO)	$1463.03	$982.25
METROPOLITAN KANSAS CITY (MO)	$1451.41	$977.20
REST OF MISSOURI (MO)	$1394.23	$958.90
MISSISSIPPI (MS)	$1374.65	$939.83
MONTANA** (MT)	$1498.20	$993.18
NORTH CAROLINA (NC)	$1419.88	$948.69
NORTH DAKOTA** (ND)	$1450.75	$945.73
NEBRASKA (NE)	$1391.56	$925.43
NEW HAMPSHIRE (NH)	$1518.66	$992.94
NORTHERN NJ (NJ)	$1664.89	$1079.07
REST OF NEW JERSEY (NJ)	$1601.32	$1049.84
NEW MEXICO (NM)	$1453.10	$989.99
NEVADA** (NV)	$1485.72	$980.19
MANHATTAN (NY)	$1708.57	$1121.74
NYC SUBURBS/LONG ISLAND (NY)	$1750.27	$1149.79
POUGHKPSIE/N NYC SUBURBS (NY)	$1615.99	$1062.99
QUEENS (NY)	$1711.82	$1114.89
REST OF NEW YORK (NY)	$1437.58	$957.81
OHIO (OH)	$1434.67	$973.58
OKLAHOMA (OK)	$1401.36	$950.38
PORTLAND (OR)	$1570.79	$1009.71
REST OF OREGON (OR)	$1471.60	$968.60
METROPOLITAN PHILADELPHIA (PA)	$1556.37	$1030.64
REST OF PENNSYLVANIA (PA)	$1433.32	$969.71
PUERTO RICO (PR)	$1505.30	$994.72
RHODE ISLAND (RI)	$1527.01	$1005.32
SOUTH CAROLINA (SC)	$1430.14	$963.50
SOUTH DAKOTA** (SD)	$1445.14	$940.12
TENNESSEE (TN)	$1393.96	$934.89
BRAZORIA (TX)	$1479.50	$979.03
DALLAS (TX)	$1490.13	$987.13
GALVESTON (TX)	$1484.83	$983.34
HOUSTON (TX)	$1528.76	$1027.27
BEAUMONT (TX)	$1426.12	$966.55
FORT WORTH (TX)	$1483.78	$985.83
AUSTIN (TX)	$1533.47	$999.16
REST OF TEXAS (TX)	$1452.87	$973.61
UTAH (UT)	$1445.82	$971.10
VIRGINIA (VA)	$1462.23	$965.79
VIRGIN ISLANDS (VI)	$1505.30	$994.72
VERMONT (VT)	$1451.37	$951.40
SEATTLE (KING CNTY) (WA)	$1685.50	$1065.83
REST OF WASHINGTON (WA)	$1527.22	$995.43
WISCONSIN (WI)	$1411.83	$928.02
WEST VIRGINIA (WV)	$1436.04	$997.18
WYOMING** (WY)	$1477.52	$972.50

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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: Policy. 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 — assigned to the code. Each RVU component is adjusted by the Geographic Practice Cost Indices (GPCIs) for the specific 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 and facility settings use different practice-expense RVUs because the resources required differ when the performing provider bears the overhead (non-facility) versus when a facility such as a hospital supplies it (facility).

RVUs — work 20.32, practice expense 22.14 (non-facility) / 7.02 (facility), malpractice 2.4 — × 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 patient meets the annual Part B deductible; the patient or secondary payer is responsible for the rest.
Modifiers, place-of-service coding, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the final paid amount.
Amounts shown use national or locality-level GPCIs and the stated year's conversion factor; your Medicare Administrative Contractor (MAC) may apply additional local policies.
Always verify current rates and coverage rules with your MAC before billing or appealing a denial.

Frequently asked

Why is the facility amount lower than the non-facility amount for this code?

The facility rate uses a lower practice-expense RVU because the facility (such as a hospital) — not the billing physician — absorbs most of the overhead costs like equipment, supplies, and staff for the procedure.

Why might my actual payment differ from the national amount shown here?

The national figure uses national GPCI values; your locality's specific GPCIs, any applicable modifiers, sequestration, and yearly budget-neutrality adjustments can all shift the final allowed amount.

Does this amount reflect what the patient will owe?

No. Medicare generally pays 80% of the allowed amount after the deductible is met; the patient or a supplemental payer is typically responsible for the remaining 20% plus any unmet deductible.

Can this estimate be used to resolve a claim denial?

No. This is a reference estimate for understanding how the fee is calculated. For denial resolution, verify the paid amount and policy specifics directly with your MAC.

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.