Medicare Reimbursement for CPT 24305

CPT 24305 is a surgical procedure code reported to Medicare for physician and outpatient billing. This page shows the Medicare Physician Fee Schedule (PFS) allowed amount for this code, both at the national level and adjusted for local geographic differences, with separate figures for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$540.76	$540.76
ALASKA* (AK)	$659.66	$659.66
ALABAMA (AL)	$489.63	$489.63
ARKANSAS (AR)	$483.30	$483.30
ARIZONA (AZ)	$526.37	$526.37
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$637.91	$637.91
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$648.17	$648.17
OXNARD-THOUSAND OAKS-VENTURA (CA)	$574.63	$574.63
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$580.04	$580.04
NAPA (CA)	$611.29	$611.29
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$639.51	$639.51
VALLEJO (CA)	$608.98	$608.98
BAKERSFIELD (CA)	$550.63	$550.63
CHICO (CA)	$546.69	$546.69
FRESNO (CA)	$546.69	$546.69
HANFORD-CORCORAN (CA)	$546.69	$546.69
MADERA (CA)	$546.69	$546.69
MERCED (CA)	$546.69	$546.69
MODESTO (CA)	$546.69	$546.69
REDDING (CA)	$546.69	$546.69
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$561.87	$561.87
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$567.86	$567.86
SALINAS (CA)	$565.64	$565.64
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$654.72	$654.72
SANTA CRUZ-WATSONVILLE (CA)	$576.90	$576.90
SANTA ROSA-PETALUMA (CA)	$582.33	$582.33
STOCKTON (CA)	$546.69	$546.69
VISALIA (CA)	$546.69	$546.69
YUBA CITY (CA)	$546.69	$546.69
EL CENTRO (CA)	$546.93	$546.93
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$574.75	$574.75
SAN LUIS OBISPO-PASO ROBLES (CA)	$557.25	$557.25
SANTA MARIA-SANTA BARBARA (CA)	$566.61	$566.61
REST OF CALIFORNIA (CA)	$546.69	$546.69
COLORADO (CO)	$549.14	$549.14
CONNECTICUT (CT)	$574.52	$574.52
DC + MD/VA SUBURBS (DC)	$603.18	$603.18
DELAWARE (DE)	$534.30	$534.30
FORT LAUDERDALE (FL)	$582.01	$582.01
MIAMI (FL)	$622.83	$622.83
REST OF FLORIDA (FL)	$553.65	$553.65
ATLANTA (GA)	$554.90	$554.90
REST OF GEORGIA (GA)	$523.29	$523.29
HAWAII, GUAM (HI)	$554.57	$554.57
IOWA (IA)	$491.49	$491.49
IDAHO (ID)	$496.30	$496.30
EAST ST. LOUIS (IL)	$568.88	$568.88
SUBURBAN CHICAGO (IL)	$585.48	$585.48
CHICAGO (IL)	$604.71	$604.71
REST OF ILLINOIS (IL)	$545.92	$545.92
INDIANA (IN)	$498.63	$498.63
KANSAS (KS)	$493.83	$493.83
KENTUCKY (KY)	$509.51	$509.51
NEW ORLEANS (LA)	$532.68	$532.68
REST OF LOUISIANA (LA)	$510.55	$510.55
METROPOLITAN BOSTON (MA)	$593.38	$593.38
REST OF MASSACHUSETTS (MA)	$548.18	$548.18
BALTIMORE/SURR. CNTYS (MD)	$573.81	$573.81
REST OF MARYLAND (MD)	$542.33	$542.33
SOUTHERN MAINE (ME)	$521.17	$521.17
REST OF MAINE (ME)	$503.32	$503.32
DETROIT (MI)	$564.48	$564.48
REST OF MICHIGAN (MI)	$525.48	$525.48
MINNESOTA (MN)	$514.72	$514.72
METROPOLITAN ST. LOUIS (MO)	$529.07	$529.07
METROPOLITAN KANSAS CITY (MO)	$524.70	$524.70
REST OF MISSOURI (MO)	$505.66	$505.66
MISSISSIPPI (MS)	$494.34	$494.34
MONTANA** (MT)	$540.67	$540.67
NORTH CAROLINA (NC)	$507.31	$507.31
NORTH DAKOTA** (ND)	$512.79	$512.79
NEBRASKA (NE)	$492.56	$492.56
NEW HAMPSHIRE (NH)	$544.94	$544.94
NORTHERN NJ (NJ)	$598.88	$598.88
REST OF NEW JERSEY (NJ)	$577.84	$577.84
NEW MEXICO (NM)	$529.85	$529.85
NEVADA** (NV)	$533.14	$533.14
MANHATTAN (NY)	$624.01	$624.01
NYC SUBURBS/LONG ISLAND (NY)	$643.40	$643.40
POUGHKPSIE/N NYC SUBURBS (NY)	$585.14	$585.14
QUEENS (NY)	$622.14	$622.14
REST OF NEW YORK (NY)	$514.50	$514.50
OHIO (OH)	$519.78	$519.78
OKLAHOMA (OK)	$503.99	$503.99
PORTLAND (OR)	$559.93	$559.93
REST OF OREGON (OR)	$525.79	$525.79
METROPOLITAN PHILADELPHIA (PA)	$564.38	$564.38
REST OF PENNSYLVANIA (PA)	$518.04	$518.04
PUERTO RICO (PR)	$542.75	$542.75
RHODE ISLAND (RI)	$548.49	$548.49
SOUTH CAROLINA (SC)	$515.04	$515.04
SOUTH DAKOTA** (SD)	$509.49	$509.49
TENNESSEE (TN)	$496.62	$496.62
BRAZORIA (TX)	$530.18	$530.18
DALLAS (TX)	$535.32	$535.32
GALVESTON (TX)	$532.93	$532.93
HOUSTON (TX)	$558.74	$558.74
BEAUMONT (TX)	$515.32	$515.32
FORT WORTH (TX)	$533.48	$533.48
AUSTIN (TX)	$550.13	$550.13
REST OF TEXAS (TX)	$523.67	$523.67
UTAH (UT)	$521.23	$521.23
VIRGINIA (VA)	$522.74	$522.74
VIRGIN ISLANDS (VI)	$542.75	$542.75
VERMONT (VT)	$515.04	$515.04
SEATTLE (KING CNTY) (WA)	$600.28	$600.28
REST OF WASHINGTON (WA)	$545.74	$545.74
WISCONSIN (WI)	$497.86	$497.86
WEST VIRGINIA (WV)	$528.90	$528.90
WYOMING** (WY)	$528.52	$528.52

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 4 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) assigned to the code: physician work, practice expense, and malpractice risk. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, reflecting regional cost differences. The adjusted RVUs are summed and multiplied by the annual national conversion factor to produce the allowed amount. Non-facility (e.g., office) and facility (e.g., hospital) settings often have different practice-expense RVUs, since overhead costs differ depending on where the service is rendered.

RVUs — work 7.43, practice expense 7.35 (non-facility) / 7.35 (facility), malpractice 1.41 — × 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 deductible; the patient or secondary payer is generally responsible for the rest.
Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the final paid amount.
Local Medicare Administrative Contractor (MAC) policies and coverage determinations may affect whether and how this code is paid.
Always verify current-year rates and locality-specific amounts with your MAC before billing or appealing a claim.

Frequently asked

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

The practice-expense RVU component accounts for overhead costs like staff, supplies, and equipment. When a service is performed in a facility (e.g., hospital), the facility bears more of this overhead, so the physician's practice-expense RVU — and therefore the allowed amount — may be lower than when the same service is performed in a non-facility setting.

Will every locality pay the same amount for CPT 24305?

No. The national amount shown here is adjusted locally using GPCIs, which reflect differences in wages, rents, and malpractice costs across different Medicare localities, so actual allowed amounts can vary by region.

Does this page show what Medicare will actually pay?

It shows the estimated Medicare-allowed amount under the Physician Fee Schedule. Actual payment is typically 80% of this amount after the deductible is met, and can be further affected by modifiers, sequestration, and other adjustments.

How often do these amounts change?

The Physician Fee Schedule, including RVUs and the conversion factor, is updated annually and can also be revised mid-year due to legislative or budget-neutrality changes, so amounts should be verified each calendar year.

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.