Medicare Reimbursement for CPT 24150
CPT 24150 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 and facility settings.
Medicare allowed amount (2026)
| Locality | Non-facility | Facility |
|---|---|---|
| National (unadjusted) | $1397.16 | $1397.16 |
| ALASKA* (AK) | $1736.65 | $1736.65 |
| ALABAMA (AL) | $1267.74 | $1267.74 |
| ARKANSAS (AR) | $1251.91 | $1251.91 |
| ARIZONA (AZ) | $1359.15 | $1359.15 |
| SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA) | $1569.15 | $1569.15 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA) | $1591.11 | $1591.11 |
| OXNARD-THOUSAND OAKS-VENTURA (CA) | $1442.88 | $1442.88 |
| LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA) | $1459.95 | $1459.95 |
| NAPA (CA) | $1514.91 | $1514.91 |
| SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA) | $1574.68 | $1574.68 |
| VALLEJO (CA) | $1506.94 | $1506.94 |
| BAKERSFIELD (CA) | $1393.25 | $1393.25 |
| CHICO (CA) | $1379.85 | $1379.85 |
| FRESNO (CA) | $1379.85 | $1379.85 |
| HANFORD-CORCORAN (CA) | $1379.85 | $1379.85 |
| MADERA (CA) | $1379.85 | $1379.85 |
| MERCED (CA) | $1379.85 | $1379.85 |
| MODESTO (CA) | $1379.85 | $1379.85 |
| REDDING (CA) | $1379.85 | $1379.85 |
| RIVERSIDE-SAN BERNARDINO-ONTARIO (CA) | $1432.18 | $1432.18 |
| SACRAMENTO-ROSEVILLE-FOLSOM (CA) | $1425.89 | $1425.89 |
| SALINAS (CA) | $1420.19 | $1420.19 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA) | $1613.72 | $1613.72 |
| SANTA CRUZ-WATSONVILLE (CA) | $1438.91 | $1438.91 |
| SANTA ROSA-PETALUMA (CA) | $1451.90 | $1451.90 |
| STOCKTON (CA) | $1379.85 | $1379.85 |
| VISALIA (CA) | $1379.85 | $1379.85 |
| YUBA CITY (CA) | $1379.85 | $1379.85 |
| EL CENTRO (CA) | $1380.66 | $1380.66 |
| SAN DIEGO-CHULA VISTA-CARLSBAD (CA) | $1437.82 | $1437.82 |
| SAN LUIS OBISPO-PASO ROBLES (CA) | $1400.09 | $1400.09 |
| SANTA MARIA-SANTA BARBARA (CA) | $1421.20 | $1421.20 |
| REST OF CALIFORNIA (CA) | $1379.85 | $1379.85 |
| COLORADO (CO) | $1400.82 | $1400.82 |
| CONNECTICUT (CT) | $1482.83 | $1482.83 |
| DC + MD/VA SUBURBS (DC) | $1540.56 | $1540.56 |
| DELAWARE (DE) | $1378.90 | $1378.90 |
| FORT LAUDERDALE (FL) | $1534.71 | $1534.71 |
| MIAMI (FL) | $1665.17 | $1665.17 |
| REST OF FLORIDA (FL) | $1458.27 | $1458.27 |
| ATLANTA (GA) | $1439.68 | $1439.68 |
| REST OF GEORGIA (GA) | $1377.56 | $1377.56 |
| HAWAII, GUAM (HI) | $1393.15 | $1393.15 |
| IOWA (IA) | $1259.07 | $1259.07 |
| IDAHO (ID) | $1273.79 | $1273.79 |
| EAST ST. LOUIS (IL) | $1524.45 | $1524.45 |
| SUBURBAN CHICAGO (IL) | $1540.79 | $1540.79 |
| CHICAGO (IL) | $1615.51 | $1615.51 |
| REST OF ILLINOIS (IL) | $1447.79 | $1447.79 |
| INDIANA (IN) | $1279.20 | $1279.20 |
| KANSAS (KS) | $1271.30 | $1271.30 |
| KENTUCKY (KY) | $1331.09 | $1331.09 |
| NEW ORLEANS (LA) | $1391.52 | $1391.52 |
| REST OF LOUISIANA (LA) | $1336.21 | $1336.21 |
| METROPOLITAN BOSTON (MA) | $1501.89 | $1501.89 |
| REST OF MASSACHUSETTS (MA) | $1401.30 | $1401.30 |
| BALTIMORE/SURR. CNTYS (MD) | $1482.29 | $1482.29 |
| REST OF MARYLAND (MD) | $1397.11 | $1397.11 |
| SOUTHERN MAINE (ME) | $1332.90 | $1332.90 |
| REST OF MAINE (ME) | $1298.02 | $1298.02 |
| DETROIT (MI) | $1492.27 | $1492.27 |
| REST OF MICHIGAN (MI) | $1377.20 | $1377.20 |
| MINNESOTA (MN) | $1296.29 | $1296.29 |
| METROPOLITAN ST. LOUIS (MO) | $1374.90 | $1374.90 |
| METROPOLITAN KANSAS CITY (MO) | $1364.71 | $1364.71 |
| REST OF MISSOURI (MO) | $1327.99 | $1327.99 |
| MISSISSIPPI (MS) | $1289.29 | $1289.29 |
| MONTANA** (MT) | $1396.83 | $1396.83 |
| NORTH CAROLINA (NC) | $1306.91 | $1306.91 |
| NORTH DAKOTA** (ND) | $1300.54 | $1300.54 |
| NEBRASKA (NE) | $1259.75 | $1259.75 |
| NEW HAMPSHIRE (NH) | $1396.12 | $1396.12 |
| NORTHERN NJ (NJ) | $1531.64 | $1531.64 |
| REST OF NEW JERSEY (NJ) | $1486.79 | $1486.79 |
| NEW MEXICO (NM) | $1390.79 | $1390.79 |
| NEVADA** (NV) | $1370.47 | $1370.47 |
| MANHATTAN (NY) | $1617.61 | $1617.61 |
| NYC SUBURBS/LONG ISLAND (NY) | $1674.40 | $1674.40 |
| POUGHKPSIE/N NYC SUBURBS (NY) | $1510.40 | $1510.40 |
| QUEENS (NY) | $1603.60 | $1603.60 |
| REST OF NEW YORK (NY) | $1325.32 | $1325.32 |
| OHIO (OH) | $1357.52 | $1357.52 |
| OKLAHOMA (OK) | $1310.53 | $1310.53 |
| PORTLAND (OR) | $1419.98 | $1419.98 |
| REST OF OREGON (OR) | $1346.97 | $1346.97 |
| METROPOLITAN PHILADELPHIA (PA) | $1461.60 | $1461.60 |
| REST OF PENNSYLVANIA (PA) | $1349.62 | $1349.62 |
| PUERTO RICO (PR) | $1399.90 | $1399.90 |
| RHODE ISLAND (RI) | $1409.64 | $1409.64 |
| SOUTH CAROLINA (SC) | $1336.99 | $1336.99 |
| SOUTH DAKOTA** (SD) | $1289.15 | $1289.15 |
| TENNESSEE (TN) | $1279.02 | $1279.02 |
| BRAZORIA (TX) | $1363.25 | $1363.25 |
| DALLAS (TX) | $1379.05 | $1379.05 |
| GALVESTON (TX) | $1372.00 | $1372.00 |
| HOUSTON (TX) | $1461.14 | $1461.14 |
| BEAUMONT (TX) | $1343.25 | $1343.25 |
| FORT WORTH (TX) | $1376.46 | $1376.46 |
| AUSTIN (TX) | $1407.44 | $1407.44 |
| REST OF TEXAS (TX) | $1357.38 | $1357.38 |
| UTAH (UT) | $1352.33 | $1352.33 |
| VIRGINIA (VA) | $1341.34 | $1341.34 |
| VIRGIN ISLANDS (VI) | $1399.90 | $1399.90 |
| VERMONT (VT) | $1312.10 | $1312.10 |
| SEATTLE (KING CNTY) (WA) | $1512.42 | $1512.42 |
| REST OF WASHINGTON (WA) | $1393.16 | $1393.16 |
| WISCONSIN (WI) | $1264.83 | $1264.83 |
| WEST VIRGINIA (WV) | $1405.62 | $1405.62 |
| WYOMING** (WY) | $1354.87 | $1354.87 |
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 pricing starts with three Relative Value Units (RVUs) assigned to the 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 the allowed amount. Non-facility and facility settings can have different practice-expense RVUs, reflecting whether overhead costs (like equipment and supplies) are borne by the physician's office or by a facility such as a hospital. For this code, the non-facility and facility PE RVUs are equal, so the resulting allowed amounts are the same in both settings at the national level, though locality adjustments can still vary.
RVUs — work 22.87, practice expense 14.09 (non-facility) / 14.09 (facility), malpractice 4.87 — × the locality GPCIs × the 2026 conversion factor of $33.40.
Good to know
- This is an estimate based on national RVUs and the standard conversion factor — actual payment depends on your specific locality's GPCIs.
- Medicare typically pays 80% of the allowed amount after the patient meets their deductible; the patient or secondary insurer is responsible for the remainder.
- Modifiers, multiple-procedure reductions, bilateral billing rules, and sequestration can change the final payment.
- Annual budget-neutrality adjustments and conversion factor updates can shift amounts year to year.
- Always verify the current rate with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.
Frequently asked
Why does the amount shown differ from what I was actually paid?
Actual payment depends on your specific locality's GPCIs, any modifiers applied, secondary payer coordination, and sequestration, none of which are reflected in this generic estimate.
Is the facility amount always lower than non-facility?
Not necessarily. Facility amounts are often lower because practice-expense RVUs are reduced when the facility bears overhead costs, but for some codes — including this one — the non-facility and facility PE RVUs are identical, resulting in the same national allowed amount.
Can I use this figure to predict a denial or appeal outcome?
No. This page provides a payment estimate only and does not address coverage policy, medical necessity determinations, or claim-specific denial reasons.
Where can I find the official rate for my area?
Check the CMS Physician Fee Schedule Look-Up Tool or contact your MAC for the locality-specific, currently effective rate.
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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