Medicare Reimbursement for CPT 23182
This page covers a CPT procedure code (descriptor not shown due to AMA licensing restrictions). It shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount at the national level and, where available, by locality, comparing non-facility and facility settings.
Medicare allowed amount (2026)
| Locality | Non-facility | Facility |
|---|---|---|
| National (unadjusted) | $640.96 | $640.96 |
| ALASKA* (AK) | $773.97 | $773.97 |
| ALABAMA (AL) | $577.50 | $577.50 |
| ARKANSAS (AR) | $569.65 | $569.65 |
| ARIZONA (AZ) | $623.06 | $623.06 |
| SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA) | $756.92 | $756.92 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA) | $769.10 | $769.10 |
| OXNARD-THOUSAND OAKS-VENTURA (CA) | $681.23 | $681.23 |
| LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA) | $687.61 | $687.61 |
| NAPA (CA) | $725.17 | $725.17 |
| SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA) | $758.94 | $758.94 |
| VALLEJO (CA) | $722.26 | $722.26 |
| BAKERSFIELD (CA) | $651.96 | $651.96 |
| CHICO (CA) | $647.06 | $647.06 |
| FRESNO (CA) | $647.06 | $647.06 |
| HANFORD-CORCORAN (CA) | $647.06 | $647.06 |
| MADERA (CA) | $647.06 | $647.06 |
| MERCED (CA) | $647.06 | $647.06 |
| MODESTO (CA) | $647.06 | $647.06 |
| REDDING (CA) | $647.06 | $647.06 |
| RIVERSIDE-SAN BERNARDINO-ONTARIO (CA) | $666.19 | $666.19 |
| SACRAMENTO-ROSEVILLE-FOLSOM (CA) | $672.57 | $672.57 |
| SALINAS (CA) | $669.97 | $669.97 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA) | $777.37 | $777.37 |
| SANTA CRUZ-WATSONVILLE (CA) | $684.04 | $684.04 |
| SANTA ROSA-PETALUMA (CA) | $690.47 | $690.47 |
| STOCKTON (CA) | $647.06 | $647.06 |
| VISALIA (CA) | $647.06 | $647.06 |
| YUBA CITY (CA) | $647.06 | $647.06 |
| EL CENTRO (CA) | $647.36 | $647.36 |
| SAN DIEGO-CHULA VISTA-CARLSBAD (CA) | $681.19 | $681.19 |
| SAN LUIS OBISPO-PASO ROBLES (CA) | $660.02 | $660.02 |
| SANTA MARIA-SANTA BARBARA (CA) | $671.24 | $671.24 |
| REST OF CALIFORNIA (CA) | $647.06 | $647.06 |
| COLORADO (CO) | $650.59 | $650.59 |
| CONNECTICUT (CT) | $682.25 | $682.25 |
| DC + MD/VA SUBURBS (DC) | $716.44 | $716.44 |
| DELAWARE (DE) | $632.74 | $632.74 |
| FORT LAUDERDALE (FL) | $692.92 | $692.92 |
| MIAMI (FL) | $744.22 | $744.22 |
| REST OF FLORIDA (FL) | $657.61 | $657.61 |
| ATLANTA (GA) | $658.57 | $658.57 |
| REST OF GEORGIA (GA) | $619.84 | $619.84 |
| HAWAII, GUAM (HI) | $657.21 | $657.21 |
| IOWA (IA) | $579.50 | $579.50 |
| IDAHO (ID) | $585.53 | $585.53 |
| EAST ST. LOUIS (IL) | $677.15 | $677.15 |
| SUBURBAN CHICAGO (IL) | $696.96 | $696.96 |
| CHICAGO (IL) | $721.42 | $721.42 |
| REST OF ILLINOIS (IL) | $648.22 | $648.22 |
| INDIANA (IN) | $588.41 | $588.41 |
| KANSAS (KS) | $582.55 | $582.55 |
| KENTUCKY (KY) | $602.47 | $602.47 |
| NEW ORLEANS (LA) | $631.27 | $631.27 |
| REST OF LOUISIANA (LA) | $603.82 | $603.82 |
| METROPOLITAN BOSTON (MA) | $704.36 | $704.36 |
| REST OF MASSACHUSETTS (MA) | $649.35 | $649.35 |
| BALTIMORE/SURR. CNTYS (MD) | $681.53 | $681.53 |
| REST OF MARYLAND (MD) | $642.51 | $642.51 |
| SOUTHERN MAINE (ME) | $616.31 | $616.31 |
| REST OF MAINE (ME) | $594.39 | $594.39 |
| DETROIT (MI) | $671.20 | $671.20 |
| REST OF MICHIGAN (MI) | $622.42 | $622.42 |
| MINNESOTA (MN) | $607.84 | $607.84 |
| METROPOLITAN ST. LOUIS (MO) | $626.62 | $626.62 |
| METROPOLITAN KANSAS CITY (MO) | $621.22 | $621.22 |
| REST OF MISSOURI (MO) | $597.84 | $597.84 |
| MISSISSIPPI (MS) | $583.57 | $583.57 |
| MONTANA** (MT) | $640.84 | $640.84 |
| NORTH CAROLINA (NC) | $599.32 | $599.32 |
| NORTH DAKOTA** (ND) | $605.65 | $605.65 |
| NEBRASKA (NE) | $580.78 | $580.78 |
| NEW HAMPSHIRE (NH) | $645.88 | $645.88 |
| NORTHERN NJ (NJ) | $710.87 | $710.87 |
| REST OF NEW JERSEY (NJ) | $685.66 | $685.66 |
| NEW MEXICO (NM) | $627.91 | $627.91 |
| NEVADA** (NV) | $631.34 | $631.34 |
| MANHATTAN (NY) | $742.54 | $742.54 |
| NYC SUBURBS/LONG ISLAND (NY) | $766.79 | $766.79 |
| POUGHKPSIE/N NYC SUBURBS (NY) | $694.68 | $694.68 |
| QUEENS (NY) | $740.01 | $740.01 |
| REST OF NEW YORK (NY) | $608.24 | $608.24 |
| OHIO (OH) | $615.23 | $615.23 |
| OKLAHOMA (OK) | $595.47 | $595.47 |
| PORTLAND (OR) | $663.67 | $663.67 |
| REST OF OREGON (OR) | $622.10 | $622.10 |
| METROPOLITAN PHILADELPHIA (PA) | $669.83 | $669.83 |
| REST OF PENNSYLVANIA (PA) | $612.99 | $612.99 |
| PUERTO RICO (PR) | $643.39 | $643.39 |
| RHODE ISLAND (RI) | $649.81 | $649.81 |
| SOUTH CAROLINA (SC) | $609.15 | $609.15 |
| SOUTH DAKOTA** (SD) | $601.49 | $601.49 |
| TENNESSEE (TN) | $586.02 | $586.02 |
| BRAZORIA (TX) | $627.41 | $627.41 |
| DALLAS (TX) | $633.84 | $633.84 |
| GALVESTON (TX) | $630.87 | $630.87 |
| HOUSTON (TX) | $663.45 | $663.45 |
| BEAUMONT (TX) | $609.63 | $609.63 |
| FORT WORTH (TX) | $631.60 | $631.60 |
| AUSTIN (TX) | $652.22 | $652.22 |
| REST OF TEXAS (TX) | $619.83 | $619.83 |
| UTAH (UT) | $616.82 | $616.82 |
| VIRGINIA (VA) | $618.36 | $618.36 |
| VIRGIN ISLANDS (VI) | $643.39 | $643.39 |
| VERMONT (VT) | $608.58 | $608.58 |
| SEATTLE (KING CNTY) (WA) | $712.48 | $712.48 |
| REST OF WASHINGTON (WA) | $646.36 | $646.36 |
| WISCONSIN (WI) | $587.17 | $587.17 |
| WEST VIRGINIA (WV) | $627.12 | $627.12 |
| WYOMING** (WY) | $625.51 | $625.51 |
Look up another code or locality →
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) — physician work, practice expense, and malpractice — assigned to each code. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is billed, to reflect regional cost differences. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Practice-expense RVUs (and therefore the total) can differ between non-facility settings, like an office, and facility settings, like a hospital, since overhead costs vary.
RVUs — work 8.39, practice expense 9.02 (non-facility) / 9.02 (facility), malpractice 1.78 — × 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 their deductible; the patient or secondary insurer is responsible for the remainder.
- Actual payment can vary due to locality-specific GPCIs, applicable modifiers, sequestration, and annual budget-neutrality adjustments.
- Always confirm current rates and coverage rules with your Medicare Administrative Contractor (MAC).
Frequently asked
Why does the amount differ between non-facility and facility settings?
The practice-expense RVU component changes based on setting because overhead costs (staff, equipment, supplies) differ when the service is performed in an office versus a hospital or other facility.
Why might my local payment differ from the national amount shown here?
Medicare applies Geographic Practice Cost Indices (GPCIs) that adjust RVUs for each locality's relative cost of labor, overhead, and malpractice, so amounts can be higher or lower than the national figure.
Does this amount include the patient's share?
No. The figure shown is the Medicare-allowed amount before cost-sharing; Medicare generally pays 80% after the deductible, with the remaining 20% owed by the patient or secondary payer.
Can modifiers change this estimate?
Yes. Modifiers (e.g., for bilateral procedures, reduced services, or assistant surgeons) can increase or decrease the final payment relative to the base PFS amount shown here.
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.
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