Medicare Reimbursement for CPT 24310
CPT 24310 is a procedure code used for physician billing under Medicare Part B. This page shows the Medicare Physician Fee Schedule (PFS) allowed amount for this code, both at the national level and adjusted by locality, with separate figures for non-facility and facility settings.
Medicare allowed amount (2026)
| Locality | Non-facility | Facility |
|---|---|---|
| National (unadjusted) | $442.23 | $442.23 |
| ALASKA* (AK) | $537.97 | $537.97 |
| ALABAMA (AL) | $400.01 | $400.01 |
| ARKANSAS (AR) | $394.78 | $394.78 |
| ARIZONA (AZ) | $430.36 | $430.36 |
| SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA) | $522.89 | $522.89 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA) | $531.35 | $531.35 |
| OXNARD-THOUSAND OAKS-VENTURA (CA) | $470.53 | $470.53 |
| LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA) | $474.91 | $474.91 |
| NAPA (CA) | $500.90 | $500.90 |
| SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA) | $524.20 | $524.20 |
| VALLEJO (CA) | $499.01 | $499.01 |
| BAKERSFIELD (CA) | $450.62 | $450.62 |
| CHICO (CA) | $447.42 | $447.42 |
| FRESNO (CA) | $447.42 | $447.42 |
| HANFORD-CORCORAN (CA) | $447.42 | $447.42 |
| MADERA (CA) | $447.42 | $447.42 |
| MERCED (CA) | $447.42 | $447.42 |
| MODESTO (CA) | $447.42 | $447.42 |
| REDDING (CA) | $447.42 | $447.42 |
| RIVERSIDE-SAN BERNARDINO-ONTARIO (CA) | $459.79 | $459.79 |
| SACRAMENTO-ROSEVILLE-FOLSOM (CA) | $464.90 | $464.90 |
| SALINAS (CA) | $463.09 | $463.09 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA) | $536.69 | $536.69 |
| SANTA CRUZ-WATSONVILLE (CA) | $472.54 | $472.54 |
| SANTA ROSA-PETALUMA (CA) | $476.99 | $476.99 |
| STOCKTON (CA) | $447.42 | $447.42 |
| VISALIA (CA) | $447.42 | $447.42 |
| YUBA CITY (CA) | $447.42 | $447.42 |
| EL CENTRO (CA) | $447.61 | $447.61 |
| SAN DIEGO-CHULA VISTA-CARLSBAD (CA) | $470.68 | $470.68 |
| SAN LUIS OBISPO-PASO ROBLES (CA) | $456.21 | $456.21 |
| SANTA MARIA-SANTA BARBARA (CA) | $463.92 | $463.92 |
| REST OF CALIFORNIA (CA) | $447.42 | $447.42 |
| COLORADO (CO) | $449.29 | $449.29 |
| CONNECTICUT (CT) | $470.02 | $470.02 |
| DC + MD/VA SUBURBS (DC) | $493.72 | $493.72 |
| DELAWARE (DE) | $436.89 | $436.89 |
| FORT LAUDERDALE (FL) | $475.92 | $475.92 |
| MIAMI (FL) | $509.34 | $509.34 |
| REST OF FLORIDA (FL) | $452.55 | $452.55 |
| ATLANTA (GA) | $453.82 | $453.82 |
| REST OF GEORGIA (GA) | $427.53 | $427.53 |
| HAWAII, GUAM (HI) | $454.06 | $454.06 |
| IOWA (IA) | $401.69 | $401.69 |
| IDAHO (ID) | $405.63 | $405.63 |
| EAST ST. LOUIS (IL) | $464.82 | $464.82 |
| SUBURBAN CHICAGO (IL) | $478.80 | $478.80 |
| CHICAGO (IL) | $494.39 | $494.39 |
| REST OF ILLINOIS (IL) | $446.07 | $446.07 |
| INDIANA (IN) | $407.56 | $407.56 |
| KANSAS (KS) | $403.55 | $403.55 |
| KENTUCKY (KY) | $416.27 | $416.27 |
| NEW ORLEANS (LA) | $435.39 | $435.39 |
| REST OF LOUISIANA (LA) | $417.11 | $417.11 |
| METROPOLITAN BOSTON (MA) | $485.83 | $485.83 |
| REST OF MASSACHUSETTS (MA) | $448.45 | $448.45 |
| BALTIMORE/SURR. CNTYS (MD) | $469.44 | $469.44 |
| REST OF MARYLAND (MD) | $443.53 | $443.53 |
| SOUTHERN MAINE (ME) | $426.21 | $426.21 |
| REST OF MAINE (ME) | $411.36 | $411.36 |
| DETROIT (MI) | $461.42 | $461.42 |
| REST OF MICHIGAN (MI) | $429.40 | $429.40 |
| MINNESOTA (MN) | $421.11 | $421.11 |
| METROPOLITAN ST. LOUIS (MO) | $432.49 | $432.49 |
| METROPOLITAN KANSAS CITY (MO) | $428.88 | $428.88 |
| REST OF MISSOURI (MO) | $413.02 | $413.02 |
| MISSISSIPPI (MS) | $403.79 | $403.79 |
| MONTANA** (MT) | $442.15 | $442.15 |
| NORTH CAROLINA (NC) | $414.67 | $414.67 |
| NORTH DAKOTA** (ND) | $419.41 | $419.41 |
| NEBRASKA (NE) | $402.60 | $402.60 |
| NEW HAMPSHIRE (NH) | $445.81 | $445.81 |
| NORTHERN NJ (NJ) | $490.11 | $490.11 |
| REST OF NEW JERSEY (NJ) | $472.74 | $472.74 |
| NEW MEXICO (NM) | $432.98 | $432.98 |
| NEVADA** (NV) | $436.02 | $436.02 |
| MANHATTAN (NY) | $510.61 | $510.61 |
| NYC SUBURBS/LONG ISLAND (NY) | $526.54 | $526.54 |
| POUGHKPSIE/N NYC SUBURBS (NY) | $478.69 | $478.69 |
| QUEENS (NY) | $509.17 | $509.17 |
| REST OF NEW YORK (NY) | $420.60 | $420.60 |
| OHIO (OH) | $424.75 | $424.75 |
| OKLAHOMA (OK) | $411.79 | $411.79 |
| PORTLAND (OR) | $458.28 | $458.28 |
| REST OF OREGON (OR) | $430.00 | $430.00 |
| METROPOLITAN PHILADELPHIA (PA) | $461.61 | $461.61 |
| REST OF PENNSYLVANIA (PA) | $423.35 | $423.35 |
| PUERTO RICO (PR) | $443.90 | $443.90 |
| RHODE ISLAND (RI) | $448.61 | $448.61 |
| SOUTH CAROLINA (SC) | $420.93 | $420.93 |
| SOUTH DAKOTA** (SD) | $416.72 | $416.72 |
| TENNESSEE (TN) | $405.84 | $405.84 |
| BRAZORIA (TX) | $433.53 | $433.53 |
| DALLAS (TX) | $437.75 | $437.75 |
| GALVESTON (TX) | $435.79 | $435.79 |
| HOUSTON (TX) | $456.83 | $456.83 |
| BEAUMONT (TX) | $421.10 | $421.10 |
| FORT WORTH (TX) | $436.21 | $436.21 |
| AUSTIN (TX) | $450.10 | $450.10 |
| REST OF TEXAS (TX) | $428.08 | $428.08 |
| UTAH (UT) | $426.05 | $426.05 |
| VIRGINIA (VA) | $427.46 | $427.46 |
| VIRGIN ISLANDS (VI) | $443.90 | $443.90 |
| VERMONT (VT) | $421.21 | $421.21 |
| SEATTLE (KING CNTY) (WA) | $491.57 | $491.57 |
| REST OF WASHINGTON (WA) | $446.47 | $446.47 |
| WISCONSIN (WI) | $407.06 | $407.06 |
| WEST VIRGINIA (WV) | $432.00 | $432.00 |
| WYOMING** (WY) | $432.24 | $432.24 |
Look up another code or locality →
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 PFS amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to each procedure code. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, reflecting differences in local labor and overhead costs. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Non-facility and facility rates can differ because the practice-expense RVU often varies depending on whether the service is furnished in a physician office (non-facility) versus a hospital or ambulatory surgical center (facility); for this code, the practice-expense RVU is the same in both settings, so the amounts shown do not differ.
RVUs — work 5.97, practice expense 6.12 (non-facility) / 6.12 (facility), malpractice 1.15 — × 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 Part B deductible is met; the beneficiary or secondary payer is responsible for the remainder.
- Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the final paid amount.
- Locality-adjusted amounts depend on the GPCIs in effect for the reported year and may differ from the national average shown here.
- Always confirm current rates and billing requirements with your Medicare Administrative Contractor (MAC).
Frequently asked
Why do the non-facility and facility amounts look the same for this code?
The practice-expense RVU used in the formula is identical for both settings for this code, so the calculated amounts match. This is not the case for every CPT code.
Why might my locality's amount differ from the national amount shown?
Locality-specific GPCIs adjust the work, practice-expense, and malpractice RVUs to reflect regional cost differences, which can raise or lower the final allowed amount compared to the national average.
Does this amount reflect what Medicare will actually pay me?
No. It's an estimate of the full PFS allowed amount. Actual payment is typically 80% of this figure after the deductible, and may be further affected by modifiers, sequestration, or claim-specific adjustments.
Where can I find the official CPT descriptor for this code?
CPT code descriptors are copyrighted by the American Medical Association. Refer to your AMA CPT codebook or 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.
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