Medicare Reimbursement for CPT 24366
This page shows the Medicare Physician Fee Schedule (PFS) allowed amount for CPT code 24366, a procedure code defined by the AMA (the full descriptor is not reproduced here due to licensing). Amounts are shown nationally and can be adjusted for your specific locality, with separate figures for non-facility (e.g., office) and facility (e.g., hospital) settings.
Medicare allowed amount (2026)
| Locality | Non-facility | Facility |
|---|---|---|
| National (unadjusted) | $635.29 | $635.29 |
| ALASKA* (AK) | $777.47 | $777.47 |
| ALABAMA (AL) | $574.90 | $574.90 |
| ARKANSAS (AR) | $567.45 | $567.45 |
| ARIZONA (AZ) | $618.06 | $618.06 |
| SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA) | $738.83 | $738.83 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA) | $750.27 | $750.27 |
| OXNARD-THOUSAND OAKS-VENTURA (CA) | $669.40 | $669.40 |
| LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA) | $676.17 | $676.17 |
| NAPA (CA) | $709.49 | $709.49 |
| SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA) | $740.93 | $740.93 |
| VALLEJO (CA) | $706.46 | $706.46 |
| BAKERSFIELD (CA) | $642.70 | $642.70 |
| CHICO (CA) | $637.58 | $637.58 |
| FRESNO (CA) | $637.58 | $637.58 |
| HANFORD-CORCORAN (CA) | $637.58 | $637.58 |
| MADERA (CA) | $637.58 | $637.58 |
| MERCED (CA) | $637.58 | $637.58 |
| MODESTO (CA) | $637.58 | $637.58 |
| REDDING (CA) | $637.58 | $637.58 |
| RIVERSIDE-SAN BERNARDINO-ONTARIO (CA) | $657.47 | $657.47 |
| SACRAMENTO-ROSEVILLE-FOLSOM (CA) | $661.36 | $661.36 |
| SALINAS (CA) | $658.77 | $658.77 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA) | $758.85 | $758.85 |
| SANTA CRUZ-WATSONVILLE (CA) | $670.75 | $670.75 |
| SANTA ROSA-PETALUMA (CA) | $676.99 | $676.99 |
| STOCKTON (CA) | $637.58 | $637.58 |
| VISALIA (CA) | $637.58 | $637.58 |
| YUBA CITY (CA) | $637.58 | $637.58 |
| EL CENTRO (CA) | $637.89 | $637.89 |
| SAN DIEGO-CHULA VISTA-CARLSBAD (CA) | $668.77 | $668.77 |
| SAN LUIS OBISPO-PASO ROBLES (CA) | $649.13 | $649.13 |
| SANTA MARIA-SANTA BARBARA (CA) | $659.73 | $659.73 |
| REST OF CALIFORNIA (CA) | $637.58 | $637.58 |
| COLORADO (CO) | $642.60 | $642.60 |
| CONNECTICUT (CT) | $675.04 | $675.04 |
| DC + MD/VA SUBURBS (DC) | $706.54 | $706.54 |
| DELAWARE (DE) | $627.35 | $627.35 |
| FORT LAUDERDALE (FL) | $688.70 | $688.70 |
| MIAMI (FL) | $740.77 | $740.77 |
| REST OF FLORIDA (FL) | $654.55 | $654.55 |
| ATLANTA (GA) | $652.92 | $652.92 |
| REST OF GEORGIA (GA) | $618.15 | $618.15 |
| HAWAII, GUAM (HI) | $646.06 | $646.06 |
| IOWA (IA) | $575.20 | $575.20 |
| IDAHO (ID) | $581.24 | $581.24 |
| EAST ST. LOUIS (IL) | $676.46 | $676.46 |
| SUBURBAN CHICAGO (IL) | $692.37 | $692.37 |
| CHICAGO (IL) | $718.78 | $718.78 |
| REST OF ILLINOIS (IL) | $646.71 | $646.71 |
| INDIANA (IN) | $583.92 | $583.92 |
| KANSAS (KS) | $578.86 | $578.86 |
| KENTUCKY (KY) | $600.22 | $600.22 |
| NEW ORLEANS (LA) | $627.84 | $627.84 |
| REST OF LOUISIANA (LA) | $601.81 | $601.81 |
| METROPOLITAN BOSTON (MA) | $693.09 | $693.09 |
| REST OF MASSACHUSETTS (MA) | $641.85 | $641.85 |
| BALTIMORE/SURR. CNTYS (MD) | $674.41 | $674.41 |
| REST OF MARYLAND (MD) | $636.49 | $636.49 |
| SOUTHERN MAINE (ME) | $610.07 | $610.07 |
| REST OF MAINE (ME) | $590.44 | $590.44 |
| DETROIT (MI) | $668.28 | $668.28 |
| REST OF MICHIGAN (MI) | $619.89 | $619.89 |
| MINNESOTA (MN) | $599.57 | $599.57 |
| METROPOLITAN ST. LOUIS (MO) | $622.52 | $622.52 |
| METROPOLITAN KANSAS CITY (MO) | $617.48 | $617.48 |
| REST OF MISSOURI (MO) | $596.62 | $596.62 |
| MISSISSIPPI (MS) | $581.83 | $581.83 |
| MONTANA** (MT) | $635.16 | $635.16 |
| NORTH CAROLINA (NC) | $594.99 | $594.99 |
| NORTH DAKOTA** (ND) | $598.58 | $598.58 |
| NEBRASKA (NE) | $576.17 | $576.17 |
| NEW HAMPSHIRE (NH) | $638.57 | $638.57 |
| NORTHERN NJ (NJ) | $701.67 | $701.67 |
| REST OF NEW JERSEY (NJ) | $678.18 | $678.18 |
| NEW MEXICO (NM) | $625.42 | $625.42 |
| NEVADA** (NV) | $625.23 | $625.23 |
| MANHATTAN (NY) | $734.52 | $734.52 |
| NYC SUBURBS/LONG ISLAND (NY) | $758.51 | $758.51 |
| POUGHKPSIE/N NYC SUBURBS (NY) | $687.50 | $687.50 |
| QUEENS (NY) | $730.99 | $730.99 |
| REST OF NEW YORK (NY) | $603.51 | $603.51 |
| OHIO (OH) | $612.42 | $612.42 |
| OKLAHOMA (OK) | $592.77 | $592.77 |
| PORTLAND (OR) | $654.15 | $654.15 |
| REST OF OREGON (OR) | $615.86 | $615.86 |
| METROPOLITAN PHILADELPHIA (PA) | $663.71 | $663.71 |
| REST OF PENNSYLVANIA (PA) | $609.87 | $609.87 |
| PUERTO RICO (PR) | $637.31 | $637.31 |
| RHODE ISLAND (RI) | $643.27 | $643.27 |
| SOUTH CAROLINA (SC) | $605.61 | $605.61 |
| SOUTH DAKOTA** (SD) | $594.26 | $594.26 |
| TENNESSEE (TN) | $582.24 | $582.24 |
| BRAZORIA (TX) | $621.71 | $621.71 |
| DALLAS (TX) | $628.18 | $628.18 |
| GALVESTON (TX) | $625.22 | $625.22 |
| HOUSTON (TX) | $659.08 | $659.08 |
| BEAUMONT (TX) | $606.73 | $606.73 |
| FORT WORTH (TX) | $626.30 | $626.30 |
| AUSTIN (TX) | $644.43 | $644.43 |
| REST OF TEXAS (TX) | $615.60 | $615.60 |
| UTAH (UT) | $612.87 | $612.87 |
| VIRGINIA (VA) | $612.55 | $612.55 |
| VIRGIN ISLANDS (VI) | $637.31 | $637.31 |
| VERMONT (VT) | $602.07 | $602.07 |
| SEATTLE (KING CNTY) (WA) | $700.18 | $700.18 |
| REST OF WASHINGTON (WA) | $638.71 | $638.71 |
| WISCONSIN (WI) | $581.25 | $581.25 |
| WEST VIRGINIA (WV) | $626.74 | $626.74 |
| WYOMING** (WY) | $619.22 | $619.22 |
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: Policy. 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 (PE), and malpractice (MP) — each adjusted by a Geographic Practice Cost Index (GPCI) for the locality where the service is performed. The adjusted RVUs are summed and multiplied by the annual Conversion Factor (CF) to produce a dollar amount. Practice expense RVUs typically differ between non-facility and facility settings because non-facility rates account for the physician's overhead (supplies, staff, equipment), while facility rates assume the hospital or ASC bears those costs. For this code, the PE RVU is the same in both settings, so the computed non-facility and facility amounts are identical. Final payment also depends on the applicable GPCI set for the specific locality, not just the national average shown here.
RVUs — work 9.13, practice expense 8.04 (non-facility) / 8.04 (facility), malpractice 1.85 — × the locality GPCIs × the 2026 conversion factor of $33.40.
Good to know
- This is an estimate only, based on national averages and standard GPCI/CF inputs — actual payment can vary by locality.
- Medicare typically pays 80% of the allowed amount after the patient's deductible is met; the patient or secondary payer is responsible for the remainder.
- Modifiers (e.g., bilateral, multiple procedure, assistant surgeon) can increase or decrease the final paid amount.
- Annual budget-neutrality adjustments and sequestration can change the effective conversion factor or payment amount.
- Always verify the exact locality-adjusted rate and any applicable modifiers with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.
Frequently asked
Why do the non-facility and facility amounts look the same for this code?
When the practice expense RVU is identical in both settings, the formula produces the same calculated amount for non-facility and facility claims.
Does this amount reflect what my practice will actually be paid?
No — this is the Medicare Physician Fee Schedule estimate before adjustments for your specific locality, modifiers, sequestration, or secondary insurance.
Why does the amount change every year?
CMS updates RVUs, GPCIs, and the conversion factor annually, and may apply budget-neutrality adjustments, which can shift the calculated allowed amount even if the code itself is unchanged.
Where can I find the official descriptor for CPT 24366?
CPT code descriptors are copyrighted by the American Medical Association (AMA); consult the current CPT codebook or your AMA-licensed coding software for the exact language.
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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