Medicare Reimbursement for CPT 24066
CPT 24066 is a physician procedure code reported under the Medicare Physician Fee Schedule (PFS). This page shows the estimated Medicare-allowed amount for this code 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) | $686.39 | $415.84 |
| ALASKA* (AK) | $786.25 | $498.11 |
| ALABAMA (AL) | $610.00 | $373.27 |
| ARKANSAS (AR) | $600.40 | $368.00 |
| ARIZONA (AZ) | $665.99 | $403.83 |
| SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA) | $873.41 | $491.94 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA) | $890.00 | $499.87 |
| OXNARD-THOUSAND OAKS-VENTURA (CA) | $762.06 | $442.27 |
| LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA) | $766.44 | $446.38 |
| NAPA (CA) | $827.73 | $471.15 |
| SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA) | $874.77 | $493.30 |
| VALLEJO (CA) | $825.77 | $469.19 |
| BAKERSFIELD (CA) | $719.34 | $422.82 |
| CHICO (CA) | $716.06 | $419.54 |
| FRESNO (CA) | $716.06 | $419.54 |
| HANFORD-CORCORAN (CA) | $716.06 | $419.54 |
| MADERA (CA) | $716.06 | $419.54 |
| MERCED (CA) | $716.06 | $419.54 |
| MODESTO (CA) | $716.06 | $419.54 |
| REDDING (CA) | $716.06 | $419.54 |
| RIVERSIDE-SAN BERNARDINO-ONTARIO (CA) | $728.94 | $432.42 |
| SACRAMENTO-ROSEVILLE-FOLSOM (CA) | $751.00 | $436.35 |
| SALINAS (CA) | $748.24 | $434.67 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA) | $895.57 | $505.44 |
| SANTA CRUZ-WATSONVILLE (CA) | $772.92 | $444.21 |
| SANTA ROSA-PETALUMA (CA) | $780.63 | $448.40 |
| STOCKTON (CA) | $716.06 | $419.54 |
| VISALIA (CA) | $716.06 | $419.54 |
| YUBA CITY (CA) | $716.06 | $419.54 |
| EL CENTRO (CA) | $716.26 | $419.74 |
| SAN DIEGO-CHULA VISTA-CARLSBAD (CA) | $765.77 | $442.19 |
| SAN LUIS OBISPO-PASO ROBLES (CA) | $736.36 | $428.20 |
| SANTA MARIA-SANTA BARBARA (CA) | $751.02 | $435.56 |
| REST OF CALIFORNIA (CA) | $716.06 | $419.54 |
| COLORADO (CO) | $709.91 | $422.05 |
| CONNECTICUT (CT) | $734.63 | $443.25 |
| DC + MD/VA SUBURBS (DC) | $784.34 | $465.64 |
| DELAWARE (DE) | $677.55 | $410.25 |
| FORT LAUDERDALE (FL) | $724.91 | $450.85 |
| MIAMI (FL) | $767.02 | $485.38 |
| REST OF FLORIDA (FL) | $685.78 | $427.14 |
| ATLANTA (GA) | $702.52 | $427.64 |
| REST OF GEORGIA (GA) | $643.11 | $401.78 |
| HAWAII, GUAM (HI) | $734.17 | $426.56 |
| IOWA (IA) | $622.10 | $374.55 |
| IDAHO (ID) | $627.51 | $378.61 |
| EAST ST. LOUIS (IL) | $689.27 | $440.37 |
| SUBURBAN CHICAGO (IL) | $731.29 | $453.44 |
| CHICAGO (IL) | $741.87 | $469.97 |
| REST OF ILLINOIS (IL) | $667.89 | $420.88 |
| INDIANA (IN) | $631.33 | $380.54 |
| KANSAS (KS) | $621.20 | $376.63 |
| KENTUCKY (KY) | $630.59 | $390.08 |
| NEW ORLEANS (LA) | $663.99 | $409.41 |
| REST OF LOUISIANA (LA) | $630.43 | $391.00 |
| METROPOLITAN BOSTON (MA) | $780.69 | $457.65 |
| REST OF MASSACHUSETTS (MA) | $706.06 | $421.17 |
| BALTIMORE/SURR. CNTYS (MD) | $733.13 | $442.83 |
| REST OF MARYLAND (MD) | $690.51 | $416.71 |
| SOUTHERN MAINE (ME) | $667.35 | $399.24 |
| REST OF MAINE (ME) | $633.48 | $384.58 |
| DETROIT (MI) | $697.37 | $436.29 |
| REST OF MICHIGAN (MI) | $650.50 | $403.49 |
| MINNESOTA (MN) | $671.86 | $393.46 |
| METROPOLITAN ST. LOUIS (MO) | $663.81 | $406.25 |
| METROPOLITAN KANSAS CITY (MO) | $656.68 | $402.63 |
| REST OF MISSOURI (MO) | $620.22 | $387.00 |
| MISSISSIPPI (MS) | $610.33 | $377.38 |
| MONTANA** (MT) | $686.31 | $415.76 |
| NORTH CAROLINA (NC) | $640.30 | $387.88 |
| NORTH DAKOTA** (ND) | $662.58 | $392.03 |
| NEBRASKA (NE) | $625.12 | $375.40 |
| NEW HAMPSHIRE (NH) | $700.73 | $419.09 |
| NORTHERN NJ (NJ) | $775.61 | $461.78 |
| REST OF NEW JERSEY (NJ) | $740.67 | $445.23 |
| NEW MEXICO (NM) | $655.27 | $407.18 |
| NEVADA** (NV) | $680.17 | $409.35 |
| MANHATTAN (NY) | $797.49 | $483.12 |
| NYC SUBURBS/LONG ISLAND (NY) | $821.10 | $499.42 |
| POUGHKPSIE/N NYC SUBURBS (NY) | $747.49 | $451.24 |
| QUEENS (NY) | $801.16 | $481.37 |
| REST OF NEW YORK (NY) | $650.89 | $393.87 |
| OHIO (OH) | $645.65 | $398.64 |
| OKLAHOMA (OK) | $626.95 | $385.35 |
| PORTLAND (OR) | $731.30 | $430.73 |
| REST OF OREGON (OR) | $672.60 | $403.13 |
| METROPOLITAN PHILADELPHIA (PA) | $716.61 | $434.97 |
| REST OF PENNSYLVANIA (PA) | $645.48 | $397.12 |
| PUERTO RICO (PR) | $690.98 | $417.46 |
| RHODE ISLAND (RI) | $700.95 | $421.47 |
| SOUTH CAROLINA (SC) | $644.51 | $394.52 |
| SOUTH DAKOTA** (SD) | $659.77 | $389.23 |
| TENNESSEE (TN) | $624.88 | $378.96 |
| BRAZORIA (TX) | $674.72 | $406.61 |
| DALLAS (TX) | $680.38 | $410.91 |
| GALVESTON (TX) | $677.59 | $408.93 |
| HOUSTON (TX) | $699.55 | $430.90 |
| BEAUMONT (TX) | $641.07 | $394.87 |
| FORT WORTH (TX) | $676.18 | $409.42 |
| AUSTIN (TX) | $709.54 | $423.30 |
| REST OF TEXAS (TX) | $658.43 | $401.68 |
| UTAH (UT) | $653.98 | $399.67 |
| VIRGINIA (VA) | $666.58 | $400.63 |
| VIRGIN ISLANDS (VI) | $690.98 | $417.46 |
| VERMONT (VT) | $661.87 | $394.03 |
| SEATTLE (KING CNTY) (WA) | $794.91 | $462.94 |
| REST OF WASHINGTON (WA) | $704.09 | $419.20 |
| WISCONSIN (WI) | $638.83 | $379.65 |
| WEST VIRGINIA (WV) | $641.84 | $406.73 |
| WYOMING** (WY) | $675.97 | $405.42 |
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Maximum units per day (MUE)
Medicare’s Medically Unlikely Edit caps this code at 2 units 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 pricing for this procedure code is based on three Relative Value Units (RVUs): physician work, practice expense, and malpractice. Each RVU component is adjusted by the 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 Medicare conversion factor to produce the allowed amount. Practice-expense RVUs differ between non-facility and facility settings because facility settings assume the hospital or ASC bears more of the overhead cost, which generally results in a lower facility-based payment compared to non-facility.
RVUs — work 5.22, practice expense 14.13 (non-facility) / 6.03 (facility), malpractice 1.2 — × the locality GPCIs × the 2026 conversion factor of $33.40.
Good to know
- This is an estimate only, not a guarantee of payment — actual reimbursement depends on claim-specific factors.
- Medicare typically pays 80% of the allowed amount after the annual Part B deductible is met; the patient or secondary insurance is responsible for the remainder.
- Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the final paid amount.
- Local Medicare Administrative Contractor (MAC) policies and locality-specific GPCIs may cause actual payments to differ from the national figures shown here.
- Figures reflect the stated fee schedule year and may change with future CMS updates.
Frequently asked
Why is the facility amount lower than the non-facility amount for this code?
The practice-expense RVU is lower in the facility setting because the facility (e.g., hospital) is assumed to absorb certain overhead and equipment costs that a physician's office would otherwise bear.
Does this amount reflect what Medicare will actually pay?
No. It is an estimate based on the national PFS formula. Actual payment can vary by locality, modifiers used, sequestration, and whether other payment adjustments apply to the specific claim.
How do I find the amount for my specific locality?
Apply the locality-specific GPCIs to the RVUs and multiply by the conversion factor, or check the locality-specific figures shown elsewhere on this page rather than relying solely on the national average.
Who is responsible for the portion Medicare doesn't pay?
After the Part B deductible is met, Medicare generally pays 80% of the allowed amount; the remaining 20% coinsurance is typically the patient's or secondary payer's responsibility.
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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