Medicare Reimbursement for CPT 24301

CPT 24301 is a physician procedure code reported to Medicare for payment under the Physician Fee Schedule (PFS). This page shows the estimated Medicare PFS allowed amount for this code nationally and, where available, by locality, with non-facility and facility rates shown separately.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$700.75	$700.75
ALASKA* (AK)	$857.11	$857.11
ALABAMA (AL)	$633.63	$633.63
ARKANSAS (AR)	$625.36	$625.36
ARIZONA (AZ)	$681.54	$681.54
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$812.16	$812.16
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$824.61	$824.61
OXNARD-THOUSAND OAKS-VENTURA (CA)	$736.84	$736.84
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$744.41	$744.41
NAPA (CA)	$780.31	$780.31
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$814.56	$814.56
VALLEJO (CA)	$776.86	$776.86
BAKERSFIELD (CA)	$707.67	$707.67
CHICO (CA)	$701.85	$701.85
FRESNO (CA)	$701.85	$701.85
HANFORD-CORCORAN (CA)	$701.85	$701.85
MADERA (CA)	$701.85	$701.85
MERCED (CA)	$701.85	$701.85
MODESTO (CA)	$701.85	$701.85
REDDING (CA)	$701.85	$701.85
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$724.53	$724.53
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$727.86	$727.86
SALINAS (CA)	$725.00	$725.00
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$834.41	$834.41
SANTA CRUZ-WATSONVILLE (CA)	$737.98	$737.98
SANTA ROSA-PETALUMA (CA)	$744.83	$744.83
STOCKTON (CA)	$701.85	$701.85
VISALIA (CA)	$701.85	$701.85
YUBA CITY (CA)	$701.85	$701.85
EL CENTRO (CA)	$702.21	$702.21
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$735.90	$735.90
SAN LUIS OBISPO-PASO ROBLES (CA)	$714.42	$714.42
SANTA MARIA-SANTA BARBARA (CA)	$726.03	$726.03
REST OF CALIFORNIA (CA)	$701.85	$701.85
COLORADO (CO)	$708.08	$708.08
CONNECTICUT (CT)	$744.82	$744.82
DC + MD/VA SUBURBS (DC)	$778.99	$778.99
DELAWARE (DE)	$691.82	$691.82
FORT LAUDERDALE (FL)	$761.49	$761.49
MIAMI (FL)	$820.49	$820.49
REST OF FLORIDA (FL)	$723.34	$723.34
ATLANTA (GA)	$720.61	$720.61
REST OF GEORGIA (GA)	$682.72	$682.72
HAWAII, GUAM (HI)	$711.12	$711.12
IOWA (IA)	$633.41	$633.41
IDAHO (ID)	$640.23	$640.23
EAST ST. LOUIS (IL)	$748.83	$748.83
SUBURBAN CHICAGO (IL)	$765.42	$765.42
CHICAGO (IL)	$795.84	$795.84
REST OF ILLINOIS (IL)	$715.00	$715.00
INDIANA (IN)	$643.19	$643.19
KANSAS (KS)	$637.74	$637.74
KENTUCKY (KY)	$662.32	$662.32
NEW ORLEANS (LA)	$693.09	$693.09
REST OF LOUISIANA (LA)	$664.18	$664.18
METROPOLITAN BOSTON (MA)	$763.56	$763.56
REST OF MASSACHUSETTS (MA)	$707.34	$707.34
BALTIMORE/SURR. CNTYS (MD)	$744.20	$744.20
REST OF MARYLAND (MD)	$701.86	$701.86
SOUTHERN MAINE (ME)	$672.11	$672.11
REST OF MAINE (ME)	$650.73	$650.73
DETROIT (MI)	$738.87	$738.87
REST OF MICHIGAN (MI)	$684.42	$684.42
MINNESOTA (MN)	$659.61	$659.61
METROPOLITAN ST. LOUIS (MO)	$686.86	$686.86
METROPOLITAN KANSAS CITY (MO)	$681.30	$681.30
REST OF MISSOURI (MO)	$658.59	$658.59
MISSISSIPPI (MS)	$641.73	$641.73
MONTANA** (MT)	$700.61	$700.61
NORTH CAROLINA (NC)	$655.73	$655.73
NORTH DAKOTA** (ND)	$658.89	$658.89
NEBRASKA (NE)	$634.41	$634.41
NEW HAMPSHIRE (NH)	$703.92	$703.92
NORTHERN NJ (NJ)	$773.60	$773.60
REST OF NEW JERSEY (NJ)	$748.00	$748.00
NEW MEXICO (NM)	$690.66	$690.66
NEVADA** (NV)	$689.27	$689.27
MANHATTAN (NY)	$811.03	$811.03
NYC SUBURBS/LONG ISLAND (NY)	$838.02	$838.02
POUGHKPSIE/N NYC SUBURBS (NY)	$758.53	$758.53
QUEENS (NY)	$806.73	$806.73
REST OF NEW YORK (NY)	$665.21	$665.21
OHIO (OH)	$675.89	$675.89
OKLAHOMA (OK)	$653.76	$653.76
PORTLAND (OR)	$720.56	$720.56
REST OF OREGON (OR)	$678.65	$678.65
METROPOLITAN PHILADELPHIA (PA)	$732.42	$732.42
REST OF PENNSYLVANIA (PA)	$672.91	$672.91
PUERTO RICO (PR)	$702.91	$702.91
RHODE ISLAND (RI)	$709.21	$709.21
SOUTH CAROLINA (SC)	$667.97	$667.97
SOUTH DAKOTA** (SD)	$653.95	$653.95
TENNESSEE (TN)	$641.53	$641.53
BRAZORIA (TX)	$685.32	$685.32
DALLAS (TX)	$692.62	$692.62
GALVESTON (TX)	$689.29	$689.29
HOUSTON (TX)	$727.91	$727.91
BEAUMONT (TX)	$669.44	$669.44
FORT WORTH (TX)	$690.61	$690.61
AUSTIN (TX)	$710.34	$710.34
REST OF TEXAS (TX)	$679.01	$679.01
UTAH (UT)	$676.03	$676.03
VIRGINIA (VA)	$675.06	$675.06
VIRGIN ISLANDS (VI)	$702.91	$702.91
VERMONT (VT)	$663.01	$663.01
SEATTLE (KING CNTY) (WA)	$771.10	$771.10
REST OF WASHINGTON (WA)	$703.79	$703.79
WISCONSIN (WI)	$639.71	$639.71
WEST VIRGINIA (WV)	$692.84	$692.84
WYOMING** (WY)	$682.43	$682.43

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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's Physician Fee Schedule amount is built from three Relative Value Units (RVUs) — work, practice expense, and malpractice — assigned to the procedure code. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) for the specific locality where the service is performed, reflecting local cost differences. The adjusted RVUs are summed and multiplied by the annual national conversion factor to produce a dollar amount. Practice-expense RVUs (and therefore the total) can differ between non-facility settings (e.g., office) and facility settings (e.g., hospital), since overhead costs differ.

RVUs — work 10.12, practice expense 8.75 (non-facility) / 8.75 (facility), malpractice 2.11 — × 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 patient meets their annual deductible; the patient or secondary payer is responsible for the remainder.
Modifiers, place of service, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the actual paid amount.
Amounts shown are based on national or locality-level inputs and may not match your specific Medicare Administrative Contractor (MAC) locality exactly.
Always verify current rates with your MAC or the official CMS Physician Fee Schedule Look-Up Tool before billing or appealing a claim.

Frequently asked

Why does the amount differ between non-facility and facility settings?

The practice-expense RVU component is calculated differently depending on whether the service is performed in a non-facility setting (like a physician's office, where the practice bears more overhead) versus a facility setting (like a hospital, where the facility bears more overhead). This can raise or lower the total RVUs and resulting fee.

Why might my locality's payment differ from the national amount shown?

The national amount uses a national average GPCI (1.000 for each component), while actual payments are adjusted using the specific GPCIs for the locality where the service was rendered, which can raise or lower the amount relative to the national figure.

Does this amount reflect what Medicare will actually pay?

No. This is the allowed amount estimate under the Physician Fee Schedule. Actual payment is typically 80% of this amount after deductible, and can be further affected by modifiers, sequestration, or other claim-specific adjustments.

Why isn't the CPT code description shown here?

CPT code descriptors are copyrighted and licensed by the American Medical Association (AMA), so this page refers to the code generically rather than reproducing the official descriptor.

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.