Medicare Reimbursement for CPT Code 24201

CPT code 24201 is a physician procedure code reported under the Medicare Physician Fee Schedule (PFS). This page shows the estimated Medicare-allowed amount for this code, both nationally and adjusted by locality, broken out for non-facility (e.g., office) and facility (e.g., hospital, ASC) settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$667.35	$392.46
ALASKA* (AK)	$760.28	$467.52
ALABAMA (AL)	$592.84	$352.31
ARKANSAS (AR)	$583.45	$347.32
ARIZONA (AZ)	$647.67	$381.30
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$860.21	$472.61
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$876.98	$480.59
OXNARD-THOUSAND OAKS-VENTURA (CA)	$746.76	$421.85
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$750.59	$425.40
NAPA (CA)	$813.77	$451.47
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$861.33	$473.74
VALLEJO (CA)	$812.15	$449.85
BAKERSFIELD (CA)	$703.53	$402.25
CHICO (CA)	$700.81	$399.53
FRESNO (CA)	$700.81	$399.53
HANFORD-CORCORAN (CA)	$700.81	$399.53
MADERA (CA)	$700.81	$399.53
MERCED (CA)	$700.81	$399.53
MODESTO (CA)	$700.81	$399.53
REDDING (CA)	$700.81	$399.53
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$711.45	$410.17
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$735.97	$416.27
SALINAS (CA)	$733.28	$414.68
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$881.57	$485.18
SANTA CRUZ-WATSONVILLE (CA)	$758.70	$424.71
SANTA ROSA-PETALUMA (CA)	$766.33	$428.77
STOCKTON (CA)	$700.81	$399.53
VISALIA (CA)	$700.81	$399.53
YUBA CITY (CA)	$700.81	$399.53
EL CENTRO (CA)	$700.98	$399.70
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$751.13	$422.36
SAN LUIS OBISPO-PASO ROBLES (CA)	$721.51	$408.41
SANTA MARIA-SANTA BARBARA (CA)	$736.19	$415.67
REST OF CALIFORNIA (CA)	$700.81	$399.53
COLORADO (CO)	$692.75	$400.27
CONNECTICUT (CT)	$714.41	$418.36
DC + MD/VA SUBURBS (DC)	$765.02	$441.20
DELAWARE (DE)	$659.00	$387.41
FORT LAUDERDALE (FL)	$700.33	$421.86
MIAMI (FL)	$737.64	$451.48
REST OF FLORIDA (FL)	$662.81	$400.01
ATLANTA (GA)	$682.16	$402.87
REST OF GEORGIA (GA)	$621.72	$376.52
HAWAII, GUAM (HI)	$719.37	$406.82
IOWA (IA)	$606.50	$354.98
IDAHO (ID)	$611.42	$358.52
EAST ST. LOUIS (IL)	$662.38	$409.48
SUBURBAN CHICAGO (IL)	$706.94	$424.63
CHICAGO (IL)	$713.65	$437.39
REST OF ILLINOIS (IL)	$644.09	$393.12
INDIANA (IN)	$615.22	$360.40
KANSAS (KS)	$604.74	$356.24
KENTUCKY (KY)	$611.11	$366.74
NEW ORLEANS (LA)	$643.45	$384.78
REST OF LOUISIANA (LA)	$610.61	$367.33
METROPOLITAN BOSTON (MA)	$763.36	$435.14
REST OF MASSACHUSETTS (MA)	$688.59	$399.14
BALTIMORE/SURR. CNTYS (MD)	$712.77	$417.81
REST OF MARYLAND (MD)	$671.94	$393.76
SOUTHERN MAINE (ME)	$650.82	$378.40
REST OF MAINE (ME)	$616.35	$363.45
DETROIT (MI)	$673.19	$407.92
REST OF MICHIGAN (MI)	$629.74	$378.77
MINNESOTA (MN)	$658.03	$375.17
METROPOLITAN ST. LOUIS (MO)	$644.31	$382.62
METROPOLITAN KANSAS CITY (MO)	$637.23	$379.11
REST OF MISSOURI (MO)	$600.07	$363.12
MISSISSIPPI (MS)	$591.82	$355.14
MONTANA** (MT)	$667.28	$392.39
NORTH CAROLINA (NC)	$623.17	$366.69
NORTH DAKOTA** (ND)	$647.71	$372.82
NEBRASKA (NE)	$609.72	$356.00
NEW HAMPSHIRE (NH)	$682.95	$396.79
NORTHERN NJ (NJ)	$756.25	$437.37
REST OF NEW JERSEY (NJ)	$720.96	$420.78
NEW MEXICO (NM)	$634.05	$381.97
NEVADA** (NV)	$662.31	$387.14
MANHATTAN (NY)	$774.49	$455.07
NYC SUBURBS/LONG ISLAND (NY)	$796.45	$469.60
POUGHKPSIE/N NYC SUBURBS (NY)	$726.90	$425.90
QUEENS (NY)	$779.35	$454.43
REST OF NEW YORK (NY)	$633.46	$372.32
OHIO (OH)	$625.74	$374.77
OKLAHOMA (OK)	$608.48	$363.00
PORTLAND (OR)	$714.76	$409.36
REST OF OREGON (OR)	$655.60	$381.81
METROPOLITAN PHILADELPHIA (PA)	$696.22	$410.06
REST OF PENNSYLVANIA (PA)	$626.06	$373.72
PUERTO RICO (PR)	$672.15	$394.24
RHODE ISLAND (RI)	$682.57	$398.61
SOUTH CAROLINA (SC)	$625.81	$371.81
SOUTH DAKOTA** (SD)	$645.39	$370.50
TENNESSEE (TN)	$608.24	$358.37
BRAZORIA (TX)	$656.97	$384.55
DALLAS (TX)	$662.11	$388.32
GALVESTON (TX)	$659.52	$386.55
HOUSTON (TX)	$677.64	$404.67
BEAUMONT (TX)	$621.68	$371.54
FORT WORTH (TX)	$657.72	$386.68
AUSTIN (TX)	$691.80	$400.97
REST OF TEXAS (TX)	$639.60	$378.73
UTAH (UT)	$635.10	$376.70
VIRGINIA (VA)	$649.45	$379.23
VIRGIN ISLANDS (VI)	$672.15	$394.24
VERMONT (VT)	$646.20	$374.06
SEATTLE (KING CNTY) (WA)	$778.20	$440.91
REST OF WASHINGTON (WA)	$686.94	$397.49
WISCONSIN (WI)	$624.25	$360.91
WEST VIRGINIA (WV)	$618.55	$379.67
WYOMING** (WY)	$658.75	$383.86

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 3 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

Each CPT code is assigned Relative Value Units (RVUs) for physician work, practice expense, and malpractice risk. These RVUs are each adjusted by the Geographic Practice Cost Index (GPCI) for the specific Medicare locality where the service is performed, reflecting local cost-of-living and practice-cost differences. The geographically adjusted RVUs are summed and multiplied by the annual Medicare Conversion Factor to produce the allowed amount. Non-facility and facility rates differ primarily because practice-expense RVUs are lower in facility settings, since the facility (not the physician's office) absorbs certain overhead costs.

RVUs — work 4.58, practice expense 14.41 (non-facility) / 6.18 (facility), malpractice 0.99 — × 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 beneficiary or secondary payer is responsible for the remainder.
Actual payment can vary by locality, applicable modifiers, multiple-procedure or bilateral adjustments, sequestration, and annual budget-neutrality adjustments to the conversion factor.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC) before billing.

Frequently asked

Why does the facility amount differ from the non-facility amount?

Facility rates use lower practice-expense RVUs because the facility, rather than the physician's own practice, bears costs like equipment, supplies, and staff for the procedure.

Does this amount reflect what my practice will actually be paid?

No. It's a national/locality-level estimate based on standard RVUs and the conversion factor. Your actual payment depends on your specific Medicare locality, any modifiers applied, and other claim-specific adjustments.

Why might the conversion factor or RVUs change next year?

CMS updates RVUs periodically to reflect changes in resource costs, and the conversion factor is recalculated annually, partly due to statutory budget-neutrality requirements.

Where can I find the official CPT descriptor for this code?

CPT code descriptors are copyrighted by the American Medical Association. Consult your CPT codebook or AMA-licensed coding software for the official description.

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.