Medicare Reimbursement for CPT Code 24000

This page shows the estimated Medicare Physician Fee Schedule (PFS) allowed amount for this procedure code, including the national average and how it may vary by locality. Amounts are shown for both non-facility and facility settings, since practice expense inputs can differ by place of service.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$461.27	$461.27
ALASKA* (AK)	$556.46	$556.46
ALABAMA (AL)	$415.78	$415.78
ARKANSAS (AR)	$410.14	$410.14
ARIZONA (AZ)	$448.50	$448.50
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$547.86	$547.86
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$556.81	$556.81
OXNARD-THOUSAND OAKS-VENTURA (CA)	$491.94	$491.94
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$496.40	$496.40
NAPA (CA)	$524.44	$524.44
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$549.24	$549.24
VALLEJO (CA)	$522.44	$522.44
BAKERSFIELD (CA)	$470.45	$470.45
CHICO (CA)	$467.08	$467.08
FRESNO (CA)	$467.08	$467.08
HANFORD-CORCORAN (CA)	$467.08	$467.08
MADERA (CA)	$467.08	$467.08
MERCED (CA)	$467.08	$467.08
MODESTO (CA)	$467.08	$467.08
REDDING (CA)	$467.08	$467.08
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$480.20	$480.20
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$485.75	$485.75
SALINAS (CA)	$483.87	$483.87
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$562.47	$562.47
SANTA CRUZ-WATSONVILLE (CA)	$494.35	$494.35
SANTA ROSA-PETALUMA (CA)	$499.02	$499.02
STOCKTON (CA)	$467.08	$467.08
VISALIA (CA)	$467.08	$467.08
YUBA CITY (CA)	$467.08	$467.08
EL CENTRO (CA)	$467.28	$467.28
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$492.15	$492.15
SAN LUIS OBISPO-PASO ROBLES (CA)	$476.65	$476.65
SANTA MARIA-SANTA BARBARA (CA)	$484.83	$484.83
REST OF CALIFORNIA (CA)	$467.08	$467.08
COLORADO (CO)	$468.96	$468.96
CONNECTICUT (CT)	$490.91	$490.91
DC + MD/VA SUBURBS (DC)	$516.16	$516.16
DELAWARE (DE)	$455.47	$455.47
FORT LAUDERDALE (FL)	$497.08	$497.08
MIAMI (FL)	$532.69	$532.69
REST OF FLORIDA (FL)	$471.98	$471.98
ATLANTA (GA)	$473.61	$473.61
REST OF GEORGIA (GA)	$445.07	$445.07
HAWAII, GUAM (HI)	$474.59	$474.59
IOWA (IA)	$417.79	$417.79
IDAHO (ID)	$422.00	$422.00
EAST ST. LOUIS (IL)	$484.79	$484.79
SUBURBAN CHICAGO (IL)	$500.12	$500.12
CHICAGO (IL)	$516.54	$516.54
REST OF ILLINOIS (IL)	$464.86	$464.86
INDIANA (IN)	$424.08	$424.08
KANSAS (KS)	$419.70	$419.70
KENTUCKY (KY)	$433.11	$433.11
NEW ORLEANS (LA)	$453.68	$453.68
REST OF LOUISIANA (LA)	$433.97	$433.97
METROPOLITAN BOSTON (MA)	$508.06	$508.06
REST OF MASSACHUSETTS (MA)	$467.95	$467.95
BALTIMORE/SURR. CNTYS (MD)	$490.33	$490.33
REST OF MARYLAND (MD)	$462.58	$462.58
SOUTHERN MAINE (ME)	$444.23	$444.23
REST OF MAINE (ME)	$428.07	$428.07
DETROIT (MI)	$481.43	$481.43
REST OF MICHIGAN (MI)	$447.17	$447.17
MINNESOTA (MN)	$439.03	$439.03
METROPOLITAN ST. LOUIS (MO)	$450.67	$450.67
METROPOLITAN KANSAS CITY (MO)	$446.76	$446.76
REST OF MISSOURI (MO)	$429.51	$429.51
MISSISSIPPI (MS)	$419.71	$419.71
MONTANA** (MT)	$461.18	$461.18
NORTH CAROLINA (NC)	$431.65	$431.65
NORTH DAKOTA** (ND)	$437.06	$437.06
NEBRASKA (NE)	$418.79	$418.79
NEW HAMPSHIRE (NH)	$465.29	$465.29
NORTHERN NJ (NJ)	$512.11	$512.11
REST OF NEW JERSEY (NJ)	$493.61	$493.61
NEW MEXICO (NM)	$450.99	$450.99
NEVADA** (NV)	$454.68	$454.68
MANHATTAN (NY)	$533.86	$533.86
NYC SUBURBS/LONG ISLAND (NY)	$550.91	$550.91
POUGHKPSIE/N NYC SUBURBS (NY)	$499.87	$499.87
QUEENS (NY)	$532.44	$532.44
REST OF NEW YORK (NY)	$438.04	$438.04
OHIO (OH)	$442.24	$442.24
OKLAHOMA (OK)	$428.38	$428.38
PORTLAND (OR)	$478.70	$478.70
REST OF OREGON (OR)	$448.27	$448.27
METROPOLITAN PHILADELPHIA (PA)	$481.82	$481.82
REST OF PENNSYLVANIA (PA)	$440.78	$440.78
PUERTO RICO (PR)	$463.10	$463.10
RHODE ISLAND (RI)	$467.97	$467.97
SOUTH CAROLINA (SC)	$438.25	$438.25
SOUTH DAKOTA** (SD)	$434.21	$434.21
TENNESSEE (TN)	$422.16	$422.16
BRAZORIA (TX)	$451.88	$451.88
DALLAS (TX)	$456.37	$456.37
GALVESTON (TX)	$454.28	$454.28
HOUSTON (TX)	$476.62	$476.62
BEAUMONT (TX)	$438.35	$438.35
FORT WORTH (TX)	$454.68	$454.68
AUSTIN (TX)	$469.92	$469.92
REST OF TEXAS (TX)	$445.97	$445.97
UTAH (UT)	$443.76	$443.76
VIRGINIA (VA)	$445.50	$445.50
VIRGIN ISLANDS (VI)	$463.10	$463.10
VERMONT (VT)	$438.91	$438.91
SEATTLE (KING CNTY) (WA)	$514.21	$514.21
REST OF WASHINGTON (WA)	$465.89	$465.89
WISCONSIN (WI)	$423.73	$423.73
WEST VIRGINIA (WV)	$449.69	$449.69
WYOMING** (WY)	$450.67	$450.67

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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) assigned to a code: physician work, practice expense, and malpractice. 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 national conversion factor to produce a dollar amount. Practice expense RVUs typically differ between non-facility (e.g., physician office) and facility (e.g., hospital) settings because overhead costs differ, though for some codes these values are the same. The conversion factor is updated annually and applies uniformly nationwide, while GPCIs account for regional cost differences.

RVUs — work 5.93, practice expense 6.66 (non-facility) / 6.66 (facility), malpractice 1.22 — × 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 Part B deductible is met; the patient or secondary payer is responsible for the rest.
Actual payment can be affected by modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments.
Locality-specific GPCIs can cause the actual allowed amount to differ from the national average shown here.
Always verify the final allowed amount with your Medicare Administrative Contractor (MAC) before billing or appealing.

Frequently asked

Why is the facility amount sometimes different from the non-facility amount?

The practice expense RVU component can differ between settings because Medicare assumes lower overhead costs when a service is performed in a facility (like a hospital) versus a physician's own office. For some codes, these RVUs are the same, resulting in identical allowed amounts.

Why does my locality's payment differ from the national average shown here?

Medicare applies Geographic Practice Cost Indices (GPCIs) to adjust for regional differences in wages, rent, and malpractice costs, so the same code can have a different allowed amount depending on where the service is billed.

Does this amount include what the patient owes?

No. The allowed amount shown is the total Medicare-approved amount. Medicare generally pays 80% after the deductible, and the remaining 20% (or applicable deductible) is the patient's or secondary payer's responsibility.

Will modifiers change this amount?

Yes. Modifiers such as those indicating bilateral procedures, multiple procedures, or professional/technical component splits can increase or decrease the final payment relative to the base PFS amount shown here.

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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.