Medicare Reimbursement for CPT 23700

CPT 23700 is a procedure code billed to Medicare under the Physician Fee Schedule (PFS); the official descriptor is defined by the AMA and not reproduced here. This page shows the estimated Medicare-allowed amount for this code, both the national rate and how it adjusts for your locality, and the non-facility versus facility payment rates.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$184.71	$184.71
ALASKA* (AK)	$224.77	$224.77
ALABAMA (AL)	$167.04	$167.04
ARKANSAS (AR)	$164.85	$164.85
ARIZONA (AZ)	$179.73	$179.73
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$217.91	$217.91
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$221.41	$221.41
OXNARD-THOUSAND OAKS-VENTURA (CA)	$196.26	$196.26
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$198.11	$198.11
NAPA (CA)	$208.81	$208.81
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$218.46	$218.46
VALLEJO (CA)	$208.01	$208.01
BAKERSFIELD (CA)	$188.01	$188.01
CHICO (CA)	$186.65	$186.65
FRESNO (CA)	$186.65	$186.65
HANFORD-CORCORAN (CA)	$186.65	$186.65
MADERA (CA)	$186.65	$186.65
MERCED (CA)	$186.65	$186.65
MODESTO (CA)	$186.65	$186.65
REDDING (CA)	$186.65	$186.65
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$191.92	$191.92
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$193.91	$193.91
SALINAS (CA)	$193.15	$193.15
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$223.69	$223.69
SANTA CRUZ-WATSONVILLE (CA)	$197.04	$197.04
SANTA ROSA-PETALUMA (CA)	$198.90	$198.90
STOCKTON (CA)	$186.65	$186.65
VISALIA (CA)	$186.65	$186.65
YUBA CITY (CA)	$186.65	$186.65
EL CENTRO (CA)	$186.73	$186.73
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$196.29	$196.29
SAN LUIS OBISPO-PASO ROBLES (CA)	$190.28	$190.28
SANTA MARIA-SANTA BARBARA (CA)	$193.49	$193.49
REST OF CALIFORNIA (CA)	$186.65	$186.65
COLORADO (CO)	$187.54	$187.54
CONNECTICUT (CT)	$196.33	$196.33
DC + MD/VA SUBURBS (DC)	$206.13	$206.13
DELAWARE (DE)	$182.46	$182.46
FORT LAUDERDALE (FL)	$199.03	$199.03
MIAMI (FL)	$213.20	$213.20
REST OF FLORIDA (FL)	$189.22	$189.22
ATLANTA (GA)	$189.60	$189.60
REST OF GEORGIA (GA)	$178.72	$178.72
HAWAII, GUAM (HI)	$189.39	$189.39
IOWA (IA)	$167.66	$167.66
IDAHO (ID)	$169.32	$169.32
EAST ST. LOUIS (IL)	$194.54	$194.54
SUBURBAN CHICAGO (IL)	$200.21	$200.21
CHICAGO (IL)	$206.91	$206.91
REST OF ILLINOIS (IL)	$186.57	$186.57
INDIANA (IN)	$170.13	$170.13
KANSAS (KS)	$168.48	$168.48
KENTUCKY (KY)	$173.94	$173.94
NEW ORLEANS (LA)	$181.95	$181.95
REST OF LOUISIANA (LA)	$174.30	$174.30
METROPOLITAN BOSTON (MA)	$202.74	$202.74
REST OF MASSACHUSETTS (MA)	$187.20	$187.20
BALTIMORE/SURR. CNTYS (MD)	$196.10	$196.10
REST OF MARYLAND (MD)	$185.22	$185.22
SOUTHERN MAINE (ME)	$177.91	$177.91
REST OF MAINE (ME)	$171.76	$171.76
DETROIT (MI)	$192.98	$192.98
REST OF MICHIGAN (MI)	$179.47	$179.47
MINNESOTA (MN)	$175.64	$175.64
METROPOLITAN ST. LOUIS (MO)	$180.68	$180.68
METROPOLITAN KANSAS CITY (MO)	$179.18	$179.18
REST OF MISSOURI (MO)	$172.62	$172.62
MISSISSIPPI (MS)	$168.69	$168.69
MONTANA** (MT)	$184.67	$184.67
NORTH CAROLINA (NC)	$173.14	$173.14
NORTH DAKOTA** (ND)	$174.99	$174.99
NEBRASKA (NE)	$168.02	$168.02
NEW HAMPSHIRE (NH)	$186.13	$186.13
NORTHERN NJ (NJ)	$204.62	$204.62
REST OF NEW JERSEY (NJ)	$197.42	$197.42
NEW MEXICO (NM)	$180.98	$180.98
NEVADA** (NV)	$182.06	$182.06
MANHATTAN (NY)	$213.35	$213.35
NYC SUBURBS/LONG ISLAND (NY)	$220.07	$220.07
POUGHKPSIE/N NYC SUBURBS (NY)	$199.94	$199.94
QUEENS (NY)	$212.69	$212.69
REST OF NEW YORK (NY)	$175.62	$175.62
OHIO (OH)	$177.49	$177.49
OKLAHOMA (OK)	$172.02	$172.02
PORTLAND (OR)	$191.24	$191.24
REST OF OREGON (OR)	$179.51	$179.51
METROPOLITAN PHILADELPHIA (PA)	$192.84	$192.84
REST OF PENNSYLVANIA (PA)	$176.88	$176.88
PUERTO RICO (PR)	$185.39	$185.39
RHODE ISLAND (RI)	$187.32	$187.32
SOUTH CAROLINA (SC)	$175.83	$175.83
SOUTH DAKOTA** (SD)	$173.84	$173.84
TENNESSEE (TN)	$169.44	$169.44
BRAZORIA (TX)	$181.02	$181.02
DALLAS (TX)	$182.80	$182.80
GALVESTON (TX)	$181.97	$181.97
HOUSTON (TX)	$190.94	$190.94
BEAUMONT (TX)	$175.94	$175.94
FORT WORTH (TX)	$182.17	$182.17
AUSTIN (TX)	$187.91	$187.91
REST OF TEXAS (TX)	$178.81	$178.81
UTAH (UT)	$177.97	$177.97
VIRGINIA (VA)	$178.46	$178.46
VIRGIN ISLANDS (VI)	$185.39	$185.39
VERMONT (VT)	$175.78	$175.78
SEATTLE (KING CNTY) (WA)	$205.09	$205.09
REST OF WASHINGTON (WA)	$186.36	$186.36
WISCONSIN (WI)	$169.83	$169.83
WEST VIRGINIA (WV)	$180.69	$180.69
WYOMING** (WY)	$180.45	$180.45

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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 Physician Fee Schedule assigns each code three Relative Value Units (RVUs) — for physician work, practice expense, and malpractice risk. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, then the adjusted RVUs are summed and multiplied by the annual conversion factor to produce a dollar amount. Non-facility (e.g., office) and facility (e.g., hospital) settings often use different practice-expense RVUs, which is why payment can differ by place of service, though for some codes the two amounts are the same. The result is the Medicare-allowed amount, not the amount the practice actually collects.

RVUs — work 2.51, practice expense 2.53 (non-facility) / 2.53 (facility), malpractice 0.49 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, based on the national conversion factor and standard RVUs for the stated year.
Medicare typically pays 80% of the allowed amount after the patient meets their deductible; the patient or secondary payer is responsible for the remainder.
Actual payment varies by locality GPCI, applicable modifiers, multiple-procedure or bilateral adjustments, sequestration, and annual budget-neutrality adjustments.
Facility vs non-facility rates depend on where the service is furnished and may differ from what's shown if a different place-of-service code applies.
Always confirm final allowed amounts and coverage rules with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.

Frequently asked

Why does the amount shown differ from what my MAC actually paid?

The figures here use the national conversion factor and standard RVUs adjusted only for locality GPCIs. Your actual payment can differ due to modifiers, secondary payers, sequestration, claim-specific adjustments, or mid-year rule changes.

Does this code pay differently in an office versus a hospital setting?

Payment can differ because practice-expense RVUs are often set separately for non-facility and facility settings. For this code, the practice-expense RVUs are the same in both settings, so the non-facility and facility allowed amounts shown are equal.

Is this the amount the patient owes?

No. This is the Medicare-allowed amount before cost-sharing. After the deductible is met, Medicare generally pays 80% and the patient (or supplemental insurance) is responsible for the remaining 20%, subject to any applicable adjustments.

Why might this amount change next year?

The Medicare conversion factor and RVUs are updated annually and can change due to statutory adjustments, budget-neutrality requirements, and periodic RVU revaluations by CMS.

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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.