CPT 20701

Rates by locality Copy link

The national baseline uses GPCI 1.000. These locality-adjusted allowed amounts use each payment locality's own GPCIs. Select a state to see its localities.

Office (non-facility) Facility

$59–$63 $63–$67 $67–$71 $71–$75 $75–$79 $79–$82

Highest locality amount

$82.45

Alaska, AK

Lowest locality amount

$59.29

Arkansas, AR

20701 Office (non-facility) rate by metro area

Highest amount first. Each figure is that payment locality's own GPCI-adjusted allowed amount.

Anchorage, AK $82.45 Locality 02102-01 Long Island, NY $78.33 Locality 13202-02 Miami, FL $77.43 Locality 09102-04 New York City, NY $75.83 Locality 13202-01 San Jose, CA $75.36 Locality 01112-09 Queens, NY $75.26 Locality 13292-04 Chicago, IL $75.25 Locality 06102-16

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San Francisco, CA $74.30 Locality 01112-05 Washington, DC $72.50 Locality 12202-01 Northern New Jersey, NJ $72.12 Locality 12402-01 Suburban Chicago, IL $72.07 Locality 06102-15 Fort Lauderdale, FL $71.75 Locality 09102-03 Seattle, WA $71.36 Locality 02402-02 Metro East, IL $71.15 Locality 06102-12 Boston, MA $70.81 Locality 14212-01 Detroit, MI $69.84 Locality 08202-01 Hartford, CT $69.71 Locality 13102-00 Baltimore, MD $69.66 Locality 12302-01 Los Angeles, CA $68.98 Locality 01182-18 Philadelphia, PA $68.72 Locality 12502-01 Houston, TX $68.58 Locality 04412-18 Tampa, FL $68.36 Locality 09102-99 Ventura County, CA $68.20 Locality 01182-17 San Diego, CA $68.01 Locality 01182-72 Atlanta, GA $67.67 Locality 10212-01 Riverside, CA $67.55 Locality 01112-62 Sacramento, CA $67.46 Locality 01112-63 Portland, OR $67.04 Locality 02302-01 Providence, RI $66.47 Locality 14412-01 Austin, TX $66.35 Locality 04412-31 Denver, CO $66.12 Locality 04112-01 Bakersfield, CA $65.87 Locality 01112-54 Honolulu, HI $65.87 Locality 01212-01 New Orleans, LA $65.45 Locality 07202-01 Albuquerque, NM $65.38 Locality 04212-05 Fresno, CA $65.29 Locality 01112-56 Dallas, TX $65.05 Locality 04412-11 Fort Worth, TX $64.92 Locality 04412-28 St. Louis, MO $64.76 Locality 05302-01 Las Vegas, NV $64.65 Locality 01312-00 Kansas City, MO $64.29 Locality 05302-02 Phoenix, AZ $64.11 Locality 03102-00 San Antonio, TX $64.00 Locality 04412-99 Columbus, OH $63.94 Locality 15202-00 Salt Lake City, UT $63.76 Locality 03502-09 Pittsburgh, PA $63.61 Locality 12502-99 Richmond, VA $63.36 Locality 11302-00 Charleston, SC $63.07 Locality 11202-01 Portland, ME $63.01 Locality 14112-03 Louisville, KY $62.76 Locality 15102-00 Buffalo, NY $62.61 Locality 13282-99 Oklahoma City, OK $61.88 Locality 04312-00 Charlotte, NC $61.79 Locality 11502-00 Minneapolis, MN $61.50 Locality 06202-00 Indianapolis, IN $60.59 Locality 08102-00 Nashville, TN $60.55 Locality 10312-35 Boise, ID $60.34 Locality 02202-00 Wichita, KS $60.20 Locality 05202-00 Milwaukee, WI $60.02 Locality 06302-00 Birmingham, AL $60.00 Locality 10112-00 Omaha, NE $59.74 Locality 05402-00 Des Moines, IA $59.70 Locality 05102-00

$49–$53 $53–$57 $57–$60 $60–$64 $64–$67 $67–$71

Highest locality amount

$70.72

Alaska, AK

Lowest locality amount

$49.46

Wisconsin, WI

20701 facility rate by metro area

Highest amount first. Each figure is that payment locality's own GPCI-adjusted allowed amount.

Anchorage, AK $70.72 Locality 02102-01 Miami, FL $65.95 Locality 09102-04 Long Island, NY $65.22 Locality 13202-02 Chicago, IL $64.17 Locality 06102-16 New York City, NY $63.02 Locality 13202-01 Queens, NY $62.24 Locality 13292-04 Metro East, IL $61.01 Locality 06102-12

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Suburban Chicago, IL $60.75 Locality 06102-15 Fort Lauderdale, FL $60.59 Locality 09102-03 Washington, DC $59.52 Locality 12202-01 San Jose, CA $59.46 Locality 01112-09 Northern New Jersey, NJ $59.33 Locality 12402-01 Detroit, MI $59.20 Locality 08202-01 San Francisco, CA $58.75 Locality 01112-05 Hartford, CT $57.83 Locality 13102-00 Baltimore, MD $57.83 Locality 12302-01 Seattle, WA $57.83 Locality 02402-02 Tampa, FL $57.82 Locality 09102-99 Boston, MA $57.65 Locality 14212-01 Houston, TX $57.63 Locality 04412-18 Philadelphia, PA $57.24 Locality 12502-01 Atlanta, GA $56.47 Locality 10212-01 Los Angeles, CA $55.94 Locality 01182-18 Riverside, CA $55.47 Locality 01112-62 Albuquerque, NM $55.27 Locality 04212-05 Ventura County, CA $55.17 Locality 01182-17 New Orleans, LA $55.08 Locality 07202-01 Providence, RI $55.08 Locality 14412-01 San Diego, CA $54.83 Locality 01182-72 Portland, OR $54.79 Locality 02302-01 Austin, TX $54.69 Locality 04412-31 Sacramento, CA $54.64 Locality 01112-63 Denver, CO $54.39 Locality 04112-01 St. Louis, MO $54.26 Locality 05302-01 Dallas, TX $54.07 Locality 04412-11 Fort Worth, TX $54.05 Locality 04412-28 Kansas City, MO $53.94 Locality 05302-02 Columbus, OH $53.87 Locality 15202-00 Bakersfield, CA $53.79 Locality 01112-54 Las Vegas, NV $53.62 Locality 01312-00 San Antonio, TX $53.53 Locality 04412-99 Pittsburgh, PA $53.49 Locality 12502-99 Phoenix, AZ $53.43 Locality 03102-00 Salt Lake City, UT $53.40 Locality 03502-09 Honolulu, HI $53.33 Locality 01212-01 Fresno, CA $53.21 Locality 01112-56 Louisville, KY $52.96 Locality 15102-00 Charleston, SC $52.89 Locality 11202-01 Richmond, VA $52.53 Locality 11302-00 Buffalo, NY $52.14 Locality 13282-99 Portland, ME $52.09 Locality 14112-03 Oklahoma City, OK $52.03 Locality 04312-00 Charlotte, NC $51.51 Locality 11502-00 Nashville, TN $50.53 Locality 10312-35 Indianapolis, IN $50.37 Locality 08102-00 Birmingham, AL $50.36 Locality 10112-00 Wichita, KS $50.24 Locality 05202-00 Boise, ID $50.20 Locality 02202-00 Minneapolis, MN $50.16 Locality 06202-00 Des Moines, IA $49.61 Locality 05102-00 Omaha, NE $49.57 Locality 05402-00 Milwaukee, WI $49.46 Locality 06302-00

Look up your exact locality →

Q3 2026 amounts, computed with each locality's own GPCIs, before the ~2% sequestration cut. A state with more than one payment locality shows a range—its tile is colored by the mean across those localities, which is a shading choice, not an amount anyone is paid.

How this amount is computed Copy link

CPT 20701 has a work RVU of 1.10, a non-facility practice expense RVU of 0.66, a facility practice expense RVU of 0.33 and a malpractice RVU of 0.21—for total non-facility RVUs of 1.97 and total facility RVUs of 1.64 in the Q3 2026 release.

The formula is: (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × conversion factor. National amounts use GPCI = 1.000. To price an RVU figure of your own, use the RVU-to-dollars converter.

Every rate combines three parts: work (the clinician’s time, skill and effort), practice expense (office overhead—higher when the service is done in a doctor’s own office), and malpractice (the share of liability-insurance cost). A blank means CMS publishes no national number for that part. Read it as unknown, never as zero.

Global period: what 20701's fee already covers Copy link

This code is always billed alongside another service and carries no follow-up period of its own. The primary procedure's global period governs; this indicator does not determine whether either line is payable.

Billing policy Copy link

These billing-policy indicators explain how 20701 is treated. They apply whether the code is nationally priced or carrier-priced: a restriction like "bilateral not allowed" still matters on a carrier-priced code. See modifier amounts below for the dollar figures these support.

Modifier amounts: -26/TC, -50, -80/81/82, -AS, -62, -66 Copy link

National Office (non-facility) amounts for the modifiers this code's indicators support. These are single-line modifiers only. -51 (multiple-procedure reduction) depends on the other codes on the same claim, so it's a claim-level number rather than a per-code one. Use the calculator for a locality-adjusted, sequestration-aware amount.

Each amount applies a standard MPFS percentage (assistant surgeon 16%, non-physician assistant at surgery 13.6%, co-surgeon 62.5%, bilateral 150%) to the national Office (non-facility) amount above. CMS doesn't publish these as a column; Localis derives them, so check them against the current Medicare Claims Processing Manual before relying on them for payment. A row marked If documented carries the ordinary percentage, but this code's CMS indicator allows it only when documentation of medical necessity is submitted. Without that documentation, an unpaid claim is not an underpayment.

Check a pair of codes Copy link

Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit for the pair.

See every current NCCI pair for 20701 →

Based on CMS's National Correct Coding Initiative (NCCI). A few examples appear here; use the complete edit page to check a specific pair.

Modifier 59 and the X modifiers are not a universal bypass—CMS expects the most specific applicable modifier, and which one that is depends on the pair and the documented circumstances.

Check a paired code or view all 211 NCCI pairs →

Rate history by release Copy link

National Office (non-facility) amount for 20701 across quarterly releases. +0.2% increase since Q1 2020 · peak $66.10 in Q1 2022

Contracted rate: % of Medicare Copy link

Commercial contracts are often written as a percentage of Medicare ("115% of Medicare"). Enter yours to see what it means for 20701. A contract benchmarked to the fee schedule applies it to your locality's allowed amount, not the $65.80 national baseline; the calculator finds that amount from your service ZIP.

We want to build this: store your multipliers once, and every code page shows your rate instead of Medicare's. Tell us if you'd use it →

See how to find your contract's actual percentage.

How often 20701 is billed Copy link

Across Original Medicare in CY2024, 20701 ranked #6,189 of the 7,879 CPT codes billed to Medicare that year, by patients served or total allowed dollars.

2024 Medicare fee-for-service national totals. They exclude Medicare Advantage, Medicaid and commercial volume, so real-world use runs higher. This is a calendar-year snapshot from the CMS Physician & Other Practitioners dataset, on a different cycle from the Q3 2026 fee schedule above.