Medicare Reimbursement for CPT 24358

CPT 24358 is a physician procedure code reported to Medicare for payment under the Physician Fee Schedule (PFS). This page shows the estimated Medicare-allowed amount nationally and by locality, broken out for non-facility and facility settings. Actual payment depends on where the service is performed and the specific locality's cost adjustments.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$500.01	$500.01
ALASKA* (AK)	$604.83	$604.83
ALABAMA (AL)	$451.40	$451.40
ARKANSAS (AR)	$445.37	$445.37
ARIZONA (AZ)	$486.40	$486.40
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$594.62	$594.62
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$604.37	$604.37
OXNARD-THOUSAND OAKS-VENTURA (CA)	$533.73	$533.73
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$538.54	$538.54
NAPA (CA)	$569.11	$569.11
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$596.07	$596.07
VALLEJO (CA)	$567.01	$567.01
BAKERSFIELD (CA)	$510.50	$510.50
CHICO (CA)	$506.95	$506.95
FRESNO (CA)	$506.95	$506.95
HANFORD-CORCORAN (CA)	$506.95	$506.95
MADERA (CA)	$506.95	$506.95
MERCED (CA)	$506.95	$506.95
MODESTO (CA)	$506.95	$506.95
REDDING (CA)	$506.95	$506.95
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$520.72	$520.72
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$527.18	$527.18
SALINAS (CA)	$525.13	$525.13
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$610.31	$610.31
SANTA CRUZ-WATSONVILLE (CA)	$536.43	$536.43
SANTA ROSA-PETALUMA (CA)	$541.51	$541.51
STOCKTON (CA)	$506.95	$506.95
VISALIA (CA)	$506.95	$506.95
YUBA CITY (CA)	$506.95	$506.95
EL CENTRO (CA)	$507.16	$507.16
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$534.07	$534.07
SAN LUIS OBISPO-PASO ROBLES (CA)	$517.29	$517.29
SANTA MARIA-SANTA BARBARA (CA)	$526.16	$526.16
REST OF CALIFORNIA (CA)	$506.95	$506.95
COLORADO (CO)	$508.64	$508.64
CONNECTICUT (CT)	$531.84	$531.84
DC + MD/VA SUBURBS (DC)	$559.35	$559.35
DELAWARE (DE)	$493.89	$493.89
FORT LAUDERDALE (FL)	$537.68	$537.68
MIAMI (FL)	$575.24	$575.24
REST OF FLORIDA (FL)	$510.93	$510.93
ATLANTA (GA)	$513.10	$513.10
REST OF GEORGIA (GA)	$482.25	$482.25
HAWAII, GUAM (HI)	$514.96	$514.96
IOWA (IA)	$453.79	$453.79
IDAHO (ID)	$458.24	$458.24
EAST ST. LOUIS (IL)	$524.12	$524.12
SUBURBAN CHICAGO (IL)	$541.03	$541.03
CHICAGO (IL)	$558.10	$558.10
REST OF ILLINOIS (IL)	$503.16	$503.16
INDIANA (IN)	$460.48	$460.48
KANSAS (KS)	$455.72	$455.72
KENTUCKY (KY)	$469.68	$469.68
NEW ORLEANS (LA)	$491.64	$491.64
REST OF LOUISIANA (LA)	$470.56	$470.56
METROPOLITAN BOSTON (MA)	$550.85	$550.85
REST OF MASSACHUSETTS (MA)	$507.55	$507.55
BALTIMORE/SURR. CNTYS (MD)	$531.17	$531.17
REST OF MARYLAND (MD)	$501.56	$501.56
SOUTHERN MAINE (ME)	$482.07	$482.07
REST OF MAINE (ME)	$464.61	$464.61
DETROIT (MI)	$520.92	$520.92
REST OF MICHIGAN (MI)	$484.60	$484.60
MINNESOTA (MN)	$476.89	$476.89
METROPOLITAN ST. LOUIS (MO)	$488.55	$488.55
METROPOLITAN KANSAS CITY (MO)	$484.36	$484.36
REST OF MISSOURI (MO)	$465.71	$465.71
MISSISSIPPI (MS)	$455.43	$455.43
MONTANA** (MT)	$499.93	$499.93
NORTH CAROLINA (NC)	$468.46	$468.46
NORTH DAKOTA** (ND)	$474.62	$474.62
NEBRASKA (NE)	$454.90	$454.90
NEW HAMPSHIRE (NH)	$504.53	$504.53
NORTHERN NJ (NJ)	$555.05	$555.05
REST OF NEW JERSEY (NJ)	$534.95	$534.95
NEW MEXICO (NM)	$488.64	$488.64
NEVADA** (NV)	$493.11	$493.11
MANHATTAN (NY)	$577.90	$577.90
NYC SUBURBS/LONG ISLAND (NY)	$595.98	$595.98
POUGHKPSIE/N NYC SUBURBS (NY)	$541.59	$541.59
QUEENS (NY)	$576.55	$576.55
REST OF NEW YORK (NY)	$475.29	$475.29
OHIO (OH)	$479.43	$479.43
OKLAHOMA (OK)	$464.75	$464.75
PORTLAND (OR)	$519.23	$519.23
REST OF OREGON (OR)	$486.35	$486.35
METROPOLITAN PHILADELPHIA (PA)	$522.02	$522.02
REST OF PENNSYLVANIA (PA)	$477.94	$477.94
PUERTO RICO (PR)	$502.02	$502.02
RHODE ISLAND (RI)	$507.45	$507.45
SOUTH CAROLINA (SC)	$475.32	$475.32
SOUTH DAKOTA** (SD)	$471.62	$471.62
TENNESSEE (TN)	$458.33	$458.33
BRAZORIA (TX)	$490.18	$490.18
DALLAS (TX)	$494.93	$494.93
GALVESTON (TX)	$492.71	$492.71
HOUSTON (TX)	$516.14	$516.14
BEAUMONT (TX)	$475.33	$475.33
FORT WORTH (TX)	$493.08	$493.08
AUSTIN (TX)	$509.52	$509.52
REST OF TEXAS (TX)	$483.60	$483.60
UTAH (UT)	$481.22	$481.22
VIRGINIA (VA)	$483.35	$483.35
VIRGIN ISLANDS (VI)	$502.02	$502.02
VERMONT (VT)	$476.49	$476.49
SEATTLE (KING CNTY) (WA)	$557.62	$557.62
REST OF WASHINGTON (WA)	$505.36	$505.36
WISCONSIN (WI)	$460.33	$460.33
WEST VIRGINIA (WV)	$486.93	$486.93
WYOMING** (WY)	$488.90	$488.90

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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 Physician Fee Schedule amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to the code. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is furnished, reflecting local cost differences. The adjusted RVUs are summed and multiplied by the annual national conversion factor to produce the dollar amount. Non-facility (e.g., office) and facility (e.g., hospital) settings can have different practice-expense RVUs because overhead costs differ, though for some codes these values are the same.

RVUs — work 6.49, practice expense 7.2 (non-facility) / 7.2 (facility), malpractice 1.28 — × 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 the annual deductible; the patient or secondary insurer is responsible for the remainder.
Modifiers, sequestration, multiple-procedure reductions, and annual budget-neutrality adjustments can change the final paid amount.
Rates vary by locality due to GPCI differences; confirm exact figures with your Medicare Administrative Contractor (MAC).
This figure reflects the Physician Fee Schedule and may not apply to facility-billed claims paid under other systems (e.g., OPPS, ASC).

Frequently asked

Why is the amount for CPT 24358 the same in facility and non-facility settings?

For some codes, the practice-expense RVUs assigned to facility and non-facility settings are identical, which results in the same calculated PFS amount in both settings. This varies by code and is set annually by CMS.

Does this amount reflect what Medicare will actually pay?

No — it reflects the estimated allowed amount under the national Physician Fee Schedule formula. Medicare generally pays 80% of this amount after the deductible, and local adjustments, modifiers, or policy changes can alter the final payment.

Why does the amount change every year?

CMS updates the conversion factor and may revise RVUs annually, and budget-neutrality adjustments required by law can shift fee schedule amounts even if RVUs stay the same.

Where can I find the exact rate for my locality?

Use the locality selector on this page or consult your MAC's fee schedule lookup tool, since GPCIs vary by geographic area and affect the final allowed amount.

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.