Medicare Reimbursement for CPT 22110

CPT 22110 is a procedure code used for physician billing under Medicare Part B. This page shows the estimated Medicare Physician Fee Schedule (PFS) allowed amount for this code, both at the national level and adjusted for local cost differences, with separate figures for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$1019.06	$1019.06
ALASKA* (AK)	$1208.09	$1208.09
ALABAMA (AL)	$903.26	$903.26
ARKANSAS (AR)	$889.10	$889.10
ARIZONA (AZ)	$985.00	$985.00
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1148.50	$1148.50
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1164.54	$1164.54
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1052.17	$1052.17
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1064.53	$1064.53
NAPA (CA)	$1107.82	$1107.82
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1153.50	$1153.50
VALLEJO (CA)	$1100.62	$1100.62
BAKERSFIELD (CA)	$1010.21	$1010.21
CHICO (CA)	$998.57	$998.57
FRESNO (CA)	$998.57	$998.57
HANFORD-CORCORAN (CA)	$998.57	$998.57
MADERA (CA)	$998.57	$998.57
MERCED (CA)	$998.57	$998.57
MODESTO (CA)	$998.57	$998.57
REDDING (CA)	$998.57	$998.57
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1045.62	$1045.62
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1035.12	$1035.12
SALINAS (CA)	$1031.18	$1031.18
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1184.97	$1184.97
SANTA CRUZ-WATSONVILLE (CA)	$1049.92	$1049.92
SANTA ROSA-PETALUMA (CA)	$1059.44	$1059.44
STOCKTON (CA)	$998.57	$998.57
VISALIA (CA)	$998.57	$998.57
YUBA CITY (CA)	$998.57	$998.57
EL CENTRO (CA)	$999.31	$999.31
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1047.00	$1047.00
SAN LUIS OBISPO-PASO ROBLES (CA)	$1016.47	$1016.47
SANTA MARIA-SANTA BARBARA (CA)	$1032.72	$1032.72
REST OF CALIFORNIA (CA)	$998.57	$998.57
COLORADO (CO)	$1018.98	$1018.98
CONNECTICUT (CT)	$1091.09	$1091.09
DC + MD/VA SUBURBS (DC)	$1134.37	$1134.37
DELAWARE (DE)	$1001.50	$1001.50
FORT LAUDERDALE (FL)	$1143.22	$1143.22
MIAMI (FL)	$1260.83	$1260.83
REST OF FLORIDA (FL)	$1074.67	$1074.67
ATLANTA (GA)	$1056.63	$1056.63
REST OF GEORGIA (GA)	$1002.33	$1002.33
HAWAII, GUAM (HI)	$1014.21	$1014.21
IOWA (IA)	$895.07	$895.07
IDAHO (ID)	$908.32	$908.32
EAST ST. LOUIS (IL)	$1134.79	$1134.79
SUBURBAN CHICAGO (IL)	$1146.95	$1146.95
CHICAGO (IL)	$1214.65	$1214.65
REST OF ILLINOIS (IL)	$1065.59	$1065.59
INDIANA (IN)	$913.14	$913.14
KANSAS (KS)	$906.21	$906.21
KENTUCKY (KY)	$960.37	$960.37
NEW ORLEANS (LA)	$1014.49	$1014.49
REST OF LOUISIANA (LA)	$965.03	$965.03
METROPOLITAN BOSTON (MA)	$1102.33	$1102.33
REST OF MASSACHUSETTS (MA)	$1018.58	$1018.58
BALTIMORE/SURR. CNTYS (MD)	$1091.57	$1091.57
REST OF MARYLAND (MD)	$1016.56	$1016.56
SOUTHERN MAINE (ME)	$961.09	$961.09
REST OF MAINE (ME)	$930.22	$930.22
DETROIT (MI)	$1105.31	$1105.31
REST OF MICHIGAN (MI)	$1001.81	$1001.81
MINNESOTA (MN)	$927.67	$927.67
METROPOLITAN ST. LOUIS (MO)	$999.38	$999.38
METROPOLITAN KANSAS CITY (MO)	$990.29	$990.29
REST OF MISSOURI (MO)	$957.81	$957.81
MISSISSIPPI (MS)	$922.86	$922.86
MONTANA** (MT)	$1018.77	$1018.77
NORTH CAROLINA (NC)	$938.12	$938.12
NORTH DAKOTA** (ND)	$931.76	$931.76
NEBRASKA (NE)	$895.60	$895.60
NEW HAMPSHIRE (NH)	$1017.75	$1017.75
NORTHERN NJ (NJ)	$1124.37	$1124.37
REST OF NEW JERSEY (NJ)	$1089.84	$1089.84
NEW MEXICO (NM)	$1014.06	$1014.06
NEVADA** (NV)	$994.93	$994.93
MANHATTAN (NY)	$1201.78	$1201.78
NYC SUBURBS/LONG ISLAND (NY)	$1252.85	$1252.85
POUGHKPSIE/N NYC SUBURBS (NY)	$1109.98	$1109.98
QUEENS (NY)	$1188.94	$1188.94
REST OF NEW YORK (NY)	$954.60	$954.60
OHIO (OH)	$984.03	$984.03
OKLAHOMA (OK)	$941.76	$941.76
PORTLAND (OR)	$1034.93	$1034.93
REST OF OREGON (OR)	$973.75	$973.75
METROPOLITAN PHILADELPHIA (PA)	$1072.70	$1072.70
REST OF PENNSYLVANIA (PA)	$976.85	$976.85
PUERTO RICO (PR)	$1021.43	$1021.43
RHODE ISLAND (RI)	$1025.59	$1025.59
SOUTH CAROLINA (SC)	$965.39	$965.39
SOUTH DAKOTA** (SD)	$921.48	$921.48
TENNESSEE (TN)	$913.15	$913.15
BRAZORIA (TX)	$986.63	$986.63
DALLAS (TX)	$1000.63	$1000.63
GALVESTON (TX)	$994.52	$994.52
HOUSTON (TX)	$1075.05	$1075.05
BEAUMONT (TX)	$971.17	$971.17
FORT WORTH (TX)	$998.38	$998.38
AUSTIN (TX)	$1027.36	$1027.36
REST OF TEXAS (TX)	$983.58	$983.58
UTAH (UT)	$979.10	$979.10
VIRGINIA (VA)	$968.78	$968.78
VIRGIN ISLANDS (VI)	$1021.43	$1021.43
VERMONT (VT)	$942.30	$942.30
SEATTLE (KING CNTY) (WA)	$1109.43	$1109.43
REST OF WASHINGTON (WA)	$1011.92	$1011.92
WISCONSIN (WI)	$899.88	$899.88
WEST VIRGINIA (WV)	$1027.88	$1027.88
WYOMING** (WY)	$980.85	$980.85

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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 fee schedule amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to each procedure code. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, reflecting local differences in wages, rent, and liability costs. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the dollar amount. Non-facility and facility settings can have different practice-expense RVUs because overhead costs differ depending on whether the service is performed in a physician's office versus a hospital or facility setting; for this code, those values happen to be the same, so the resulting amounts do not differ.

RVUs — work 13.65, practice expense 12.46 (non-facility) / 12.46 (facility), malpractice 4.4 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This amount 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 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 rules with your Medicare Administrative Contractor (MAC).

Frequently asked

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

The practice-expense RVU for this code is identical in both settings, so the calculated allowed amount does not differ between non-facility and facility place of service.

Does this amount reflect what Medicare will actually pay?

No. It reflects the Medicare-allowed amount before the standard 80/20 cost-sharing split and before any adjustments for modifiers, deductibles, or sequestration.

Will this rate change next year?

Yes. CMS updates RVUs, GPCIs, and the conversion factor annually, so the allowed amount for this code can change from year to year.

Why isn't the CPT code description shown here?

CPT code descriptors are copyrighted by the American Medical Association and cannot be reproduced without a license, so this page refers to the code generically.

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.