Medicare Reimbursement for CPT 24357

CPT 24357 is a physician procedure code reported to Medicare and other payers; the specific clinical descriptor is licensed by the AMA and not reproduced here. This page shows the Medicare Physician Fee Schedule (PFS) allowed amount for this code at the national level and by locality, broken out for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$384.44	$384.44
ALASKA* (AK)	$475.79	$475.79
ALABAMA (AL)	$352.12	$352.12
ARKANSAS (AR)	$348.07	$348.07
ARIZONA (AZ)	$375.67	$375.67
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$465.91	$465.91
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$473.96	$473.96
OXNARD-THOUSAND OAKS-VENTURA (CA)	$415.58	$415.58
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$418.91	$418.91
NAPA (CA)	$444.78	$444.78
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$466.61	$466.61
VALLEJO (CA)	$443.77	$443.77
BAKERSFIELD (CA)	$397.64	$397.64
CHICO (CA)	$395.77	$395.77
FRESNO (CA)	$395.77	$395.77
HANFORD-CORCORAN (CA)	$395.77	$395.77
MADERA (CA)	$395.77	$395.77
MERCED (CA)	$395.77	$395.77
MODESTO (CA)	$395.77	$395.77
REDDING (CA)	$395.77	$395.77
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$402.51	$402.51
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$411.64	$411.64
SALINAS (CA)	$410.01	$410.01
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$476.83	$476.83
SANTA CRUZ-WATSONVILLE (CA)	$418.70	$418.70
SANTA ROSA-PETALUMA (CA)	$422.72	$422.72
STOCKTON (CA)	$395.77	$395.77
VISALIA (CA)	$395.77	$395.77
YUBA CITY (CA)	$395.77	$395.77
EL CENTRO (CA)	$395.87	$395.87
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$416.87	$416.87
SAN LUIS OBISPO-PASO ROBLES (CA)	$403.80	$403.80
SANTA MARIA-SANTA BARBARA (CA)	$410.79	$410.79
REST OF CALIFORNIA (CA)	$395.77	$395.77
COLORADO (CO)	$393.98	$393.98
CONNECTICUT (CT)	$406.71	$406.71
DC + MD/VA SUBURBS (DC)	$429.58	$429.58
DELAWARE (DE)	$381.00	$381.00
FORT LAUDERDALE (FL)	$403.60	$403.60
MIAMI (FL)	$423.76	$423.76
REST OF FLORIDA (FL)	$386.65	$386.65
ATLANTA (GA)	$392.13	$392.13
REST OF GEORGIA (GA)	$368.26	$368.26
HAWAII, GUAM (HI)	$401.31	$401.31
IOWA (IA)	$356.09	$356.09
IDAHO (ID)	$358.59	$358.59
EAST ST. LOUIS (IL)	$390.51	$390.51
SUBURBAN CHICAGO (IL)	$406.71	$406.71
CHICAGO (IL)	$413.43	$413.43
REST OF ILLINOIS (IL)	$379.86	$379.86
INDIANA (IN)	$360.17	$360.17
KANSAS (KS)	$356.25	$356.25
KENTUCKY (KY)	$361.96	$361.96
NEW ORLEANS (LA)	$376.24	$376.24
REST OF LOUISIANA (LA)	$362.10	$362.10
METROPOLITAN BOSTON (MA)	$425.65	$425.65
REST OF MASSACHUSETTS (MA)	$392.97	$392.97
BALTIMORE/SURR. CNTYS (MD)	$405.81	$405.81
REST OF MARYLAND (MD)	$386.76	$386.76
SOUTHERN MAINE (ME)	$375.12	$375.12
REST OF MAINE (ME)	$361.68	$361.68
DETROIT (MI)	$392.12	$392.12
REST OF MICHIGAN (MI)	$370.87	$370.87
MINNESOTA (MN)	$375.28	$375.28
METROPOLITAN ST. LOUIS (MO)	$375.52	$375.52
METROPOLITAN KANSAS CITY (MO)	$372.58	$372.58
REST OF MISSOURI (MO)	$358.14	$358.14
MISSISSIPPI (MS)	$353.09	$353.09
MONTANA** (MT)	$384.40	$384.40
NORTH CAROLINA (NC)	$364.46	$364.46
NORTH DAKOTA** (ND)	$372.14	$372.14
NEBRASKA (NE)	$357.19	$357.19
NEW HAMPSHIRE (NH)	$389.51	$389.51
NORTHERN NJ (NJ)	$426.88	$426.88
REST OF NEW JERSEY (NJ)	$410.71	$410.71
NEW MEXICO (NM)	$373.11	$373.11
NEVADA** (NV)	$381.17	$381.17
MANHATTAN (NY)	$438.16	$438.16
NYC SUBURBS/LONG ISLAND (NY)	$448.81	$448.81
POUGHKPSIE/N NYC SUBURBS (NY)	$414.50	$414.50
QUEENS (NY)	$438.91	$438.91
REST OF NEW YORK (NY)	$368.96	$368.96
OHIO (OH)	$368.37	$368.37
OKLAHOMA (OK)	$359.85	$359.85
PORTLAND (OR)	$402.70	$402.70
REST OF OREGON (OR)	$377.55	$377.55
METROPOLITAN PHILADELPHIA (PA)	$399.28	$399.28
REST OF PENNSYLVANIA (PA)	$368.00	$368.00
PUERTO RICO (PR)	$386.19	$386.19
RHODE ISLAND (RI)	$391.73	$391.73
SOUTH CAROLINA (SC)	$367.15	$367.15
SOUTH DAKOTA** (SD)	$370.69	$370.69
TENNESSEE (TN)	$357.87	$357.87
BRAZORIA (TX)	$379.62	$379.62
DALLAS (TX)	$382.35	$382.35
GALVESTON (TX)	$380.99	$380.99
HOUSTON (TX)	$392.34	$392.34
BEAUMONT (TX)	$366.17	$366.17
FORT WORTH (TX)	$380.75	$380.75
AUSTIN (TX)	$393.27	$393.27
REST OF TEXAS (TX)	$372.91	$372.91
UTAH (UT)	$371.13	$371.13
VIRGINIA (VA)	$375.18	$375.18
VIRGIN ISLANDS (VI)	$386.19	$386.19
VERMONT (VT)	$372.35	$372.35
SEATTLE (KING CNTY) (WA)	$431.89	$431.89
REST OF WASHINGTON (WA)	$391.69	$391.69
WISCONSIN (WI)	$362.27	$362.27
WEST VIRGINIA (WV)	$368.91	$368.91
WYOMING** (WY)	$379.06	$379.06

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's PFS amount is built from three Relative Value Units (RVUs) — work, practice expense, and malpractice — assigned to the 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 Medicare conversion factor to produce the allowed amount. Non-facility (e.g., office) and facility (e.g., hospital) settings often have different practice-expense RVUs because the resources and overhead involved differ, which can result in different payment amounts for the same code.

RVUs — work 5.3, practice expense 5.59 (non-facility) / 5.59 (facility), malpractice 0.62 — × 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 patient or secondary insurance is responsible for the remainder.
Modifiers, multiple-procedure reductions, bilateral billing, and other claim-specific factors can change the final paid amount.
Annual budget-neutrality adjustments, sequestration, and legislative changes to the conversion factor can alter payment from year to year.
Always verify the current allowed amount and coverage rules with your Medicare Administrative Contractor (MAC) before billing.

Frequently asked

Why does the facility amount differ from the non-facility amount for this code?

The practice-expense RVU component typically differs between settings because non-facility (e.g., office) billing includes overhead costs like staff and supplies that facility billing does not, since the facility itself absorbs those costs.

Does this amount apply the same way in every state?

No. The RVUs are adjusted by locality-specific GPCIs, so the final allowed amount varies by geographic region even though the underlying RVUs for the code are national.

Is this the amount Medicare will pay me?

This figure represents the Medicare-allowed amount, not the actual payment. Medicare generally pays 80% of this amount after the deductible, with the remainder owed by the patient or a secondary payer.

Can modifiers change this estimate?

Yes. Modifiers (such as those indicating bilateral procedures, reduced services, or multiple procedures) can increase or decrease the final reimbursement relative to the base allowed amount shown here.

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.