CPT code 94617: Exercise bronchospasm test, with ECG2026 Medicare rate & RVUs in Washington, DC area
Reports exercise testing with ECG and spirometry to evaluate suspected exercise-induced bronchospasm, such as airway narrowing triggered by exertion.
In Washington, DC area, Medicare pays $106.87 for 94617 in the office.
Check a contract rate as a % of Medicare · 94617 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 94617 covers
This test evaluates whether exertion provokes bronchospasm by comparing pulmonary function before and after exercise, with ECG recording during the test. It is commonly used when a patient reports wheezing, cough, chest tightness, or breathlessness during or after activity and the clinician needs objective evidence of exercise-related airflow changes. A pulmonologist, allergist, or other qualified clinician may supervise and interpret the test, with trained staff assisting in an office or facility setting.
Report 94617 when the exercise bronchospasm evaluation includes ECG recording; use the no-ECG sibling when ECG is not part of the test. Documentation should identify the exertional symptoms or diagnostic question, exercise performed, pulmonary function findings before and after exertion, ECG recording, and the clinician’s interpretation. CMS recognizes professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or neither modifier for the global service.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Washington, DC area compares for 94617
Across 109 of 109 payment localities, the office rate for 94617 runs from $82.79 in Arkansas to $125.63 in San Benito County, CA. Washington, DC area pays $106.87. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$106.87
- Los Angeles, CA · California$106.32−$0.55
- Miami, FL · Florida$98.07−$8.80
- Chicago, IL · Illinois$95.42−$11.45
- Manhattan, NY · New York$106.63−$0.24
- Alaska · Alaska$108.44+$1.57
- Alabama · Alabama$83.97−$22.90
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $82.79 | — |
| ArizonaArizona | $90.85 | — |
| Bakersfield, CACalifornia | $99.74 | — |
| Chico, CACalifornia | $99.59 | — |
| El Centro, CACalifornia | $99.60 | — |
| Fresno, CACalifornia | $99.59 | — |
| Hanford, CACalifornia | $99.59 | — |
| Madera, CACalifornia | $99.59 | — |
| Merced, CACalifornia | $99.59 | — |
| Modesto, CACalifornia | $99.59 | — |
| Napa, CACalifornia | $115.95 | — |
| Oxnard, CACalifornia | $105.90 | — |
| Redding, CACalifornia | $99.59 | — |
| Rest of CaliforniaCalifornia | $99.59 | — |
| Riverside, CACalifornia | $100.04 | — |
| Sacramento, CACalifornia | $104.66 | — |
| Salinas, CACalifornia | $104.27 | — |
| San Diego, CACalifornia | $106.81 | — |
| Marin County, CACalifornia | $122.97 | — |
| San Francisco, CACalifornia | $122.93 | — |
| San Benito County, CACalifornia | $125.63 | — |
| Santa Clara County, CACalifornia | $125.44 | — |
| San Luis Obispo, CACalifornia | $102.57 | — |
| Santa Cruz, CACalifornia | $107.91 | — |
| Santa Maria, CACalifornia | $104.68 | — |
| Santa Rosa, CACalifornia | $109.01 | — |
| Stockton, CACalifornia | $99.59 | — |
| Vallejo, CACalifornia | $115.88 | — |
| Visalia, CACalifornia | $99.59 | — |
| Yuba City, CACalifornia | $99.59 | — |
| ColoradoColorado | $97.59 | — |
| ConnecticutConnecticut | $99.25 | — |
| DelawareDelaware | $92.34 | — |
| Fort Lauderdale, FLFlorida | $95.17 | — |
| Rest of FloridaFlorida | $90.82 | — |
| Atlanta, GAGeorgia | $94.63 | — |
| Rest of GeorgiaGeorgia | $85.98 | — |
| Hawaii, Guam, HIHawaii | $102.10 | — |
| IowaIowa | $86.51 | — |
| IdahoIdaho | $86.95 | — |
| East St. Louis, ILIllinois | $89.01 | — |
| Rest of IllinoisIllinois | $87.93 | — |
| Suburban Chicago, ILIllinois | $96.25 | — |
| IndianaIndiana | $87.45 | — |
| KansasKansas | $85.89 | — |
| KentuckyKentucky | $85.40 | — |
| New Orleans, LALouisiana | $89.29 | — |
| Rest of LouisianaLouisiana | $85.18 | — |
| Metropolitan Boston, MAMassachusetts | $107.39 | — |
| Rest of MassachusettsMassachusetts | $96.95 | — |
| Baltimore area, MDMaryland | $98.92 | — |
| Rest of MarylandMaryland | $94.14 | — |
| Rest of MaineMaine | $87.15 | — |
| Southern Maine, MEMaine | $92.07 | — |
| Detroit, MIMichigan | $91.69 | — |
| Rest of MichiganMichigan | $87.35 | — |
| MinnesotaMinnesota | $94.25 | — |
| Metropolitan Kansas City, MOMissouri | $88.94 | — |
| Metropolitan St. Louis, MOMissouri | $89.87 | — |
| Rest of MissouriMissouri | $83.61 | — |
| MississippiMississippi | $83.23 | — |
| MontanaMontana | $93.19 | — |
| North CarolinaNorth Carolina | $88.07 | — |
| North DakotaNorth Dakota | $92.39 | — |
| NebraskaNebraska | $87.03 | — |
| New HampshireNew Hampshire | $95.86 | — |
| Northern New JerseyNew Jersey | $105.77 | — |
| Rest of New JerseyNew Jersey | $100.59 | — |
| New MexicoNew Mexico | $87.72 | — |
| NevadaNevada | $93.03 | — |
| NYC suburbs and Long Island, NYNew York | $108.85 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $101.06 | — |
| Queens, NYNew York | $107.82 | — |
| Rest of New YorkNew York | $89.33 | — |
| OhioOhio | $87.18 | — |
| OklahomaOklahoma | $85.49 | — |
| Portland, OROregon | $100.88 | — |
| Rest of OregonOregon | $92.52 | — |
| Metropolitan Philadelphia, PAPennsylvania | $96.69 | — |
| Rest of PennsylvaniaPennsylvania | $87.45 | — |
| Puerto RicoPuerto Rico | $93.93 | — |
| Rhode IslandRhode Island | $95.76 | — |
| South CarolinaSouth Carolina | $87.73 | — |
| South DakotaSouth Dakota | $92.30 | — |
| TennesseeTennessee | $86.28 | — |
| Austin, TXTexas | $97.09 | — |
| Beaumont, TXTexas | $86.87 | — |
| Brazoria, TXTexas | $92.45 | — |
| Dallas, TXTexas | $92.93 | — |
| Fort Worth, TXTexas | $92.25 | — |
| Galveston, TXTexas | $92.66 | — |
| Houston, TXTexas | $93.39 | — |
| Rest of TexasTexas | $89.53 | — |
| UtahUtah | $88.90 | — |
| VirginiaVirginia | $91.62 | — |
| Virgin Islands, VIUnited States Virgin Islands | $93.93 | — |
| VermontVermont | $91.84 | — |
| Rest of WashingtonWashington | $96.83 | — |
| King County, WAWashington | $109.77 | — |
| WisconsinWisconsin | $89.36 | — |
| West VirginiaWest Virginia | $84.71 | — |
| WyomingWyoming | $92.84 | — |
94617 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$82.79
$112.61
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $108.44 | 1 |
| AL | $83.97 | 1 |
| AR | $82.79 | 1 |
| AZ | $90.85 | 1 |
| CA | $99.59–$125.63 | 29 |
| CO | $97.59 | 1 |
| CT | $99.25 | 1 |
| DC | $106.87 | 1 |
| DE | $92.34 | 1 |
| FL | $90.82–$98.07 | 3 |
| GA | $85.98–$94.63 | 2 |
| GU | $102.10 | 1 |
| HI | $102.10 | 1 |
| IA | $86.51 | 1 |
| ID | $86.95 | 1 |
| IL | $87.93–$96.25 | 4 |
| IN | $87.45 | 1 |
| KS | $85.89 | 1 |
| KY | $85.40 | 1 |
| LA | $85.18–$89.29 | 2 |
| MA | $96.95–$107.39 | 2 |
| MD | $94.14–$106.87 | 3 |
| ME | $87.15–$92.07 | 2 |
| MI | $87.35–$91.69 | 2 |
| MN | $94.25 | 1 |
| MO | $83.61–$89.87 | 3 |
| MS | $83.23 | 1 |
| MT | $93.19 | 1 |
| NC | $88.07 | 1 |
| ND | $92.39 | 1 |
| NE | $87.03 | 1 |
| NH | $95.86 | 1 |
| NJ | $100.59–$105.77 | 2 |
| NM | $87.72 | 1 |
| NV | $93.03 | 1 |
| NY | $89.33–$108.85 | 5 |
| OH | $87.18 | 1 |
| OK | $85.49 | 1 |
| OR | $92.52–$100.88 | 2 |
| PA | $87.45–$96.69 | 2 |
| PR | $93.93 | 1 |
| RI | $95.76 | 1 |
| SC | $87.73 | 1 |
| SD | $92.30 | 1 |
| TN | $86.28 | 1 |
| TX | $86.87–$97.09 | 8 |
| UT | $88.90 | 1 |
| VA | $91.62–$106.87 | 2 |
| VI | $93.93 | 1 |
| VT | $91.84 | 1 |
| WA | $96.83–$109.77 | 2 |
| WI | $89.36 | 1 |
| WV | $84.71 | 1 |
| WY | $92.84 | 1 |
How the 94617 rate is calculated
Each of 94617’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 94617
RVUs × geographic indexes × conversion factor
Work0.68
0.68 RVUs× 1.000 GPCI
Practice expense2.07
2.07 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
2.7900
Conversion factor
$33.4009
Medicare rate
$93.19
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,398
- Code
- 94617
- Physician work
- 0.68
- Practice expense
- 2.07
- Malpractice
- 0.04
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.68 | × 1.054 | 0.7167 |
| Practice expense | 2.07 | × 1.178 | 2.4385 |
| Malpractice | 0.04 | × 1.113 | 0.0445 |
| Total RVUs | 3.1997 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Washington, DC area$106.87
Office: (0.68 × 1.054 + 2.07 × 1.178 + 0.04 × 1.113) × $33.4009 = $106.87
Payment rules and modifiers for 94617
The CMS indicators that decide how 94617 is paid alongside other services.
CMS payment indicators · 94617
Exercise bronchospasm test, with ECG
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
94617 without 26 · national office
$93.19
Exercise bronchospasm test, with ECG
94617-26 · Professional component
$31.40
Pays only the interpretation and report.
How 94617 has changed in Washington, DC area
94617 · Office / nonfacility
$106.87
Effective 2026-10-01
The base rate is $6.62 higher than on 2025-10-01, moving from $100.25 to $106.87 (6.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$100.25changed to$106.87
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.70 changed to 0.68
- Practice expense RVU 1.94 changed to 2.07
- Work GPCI 1.057 changed to 1.054
- Practice expense GPCI 1.192 changed to 1.178
- Malpractice GPCI 1.168 changed to 1.113
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$102.76changed to$100.25
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.93 changed to 1.94
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$101.09changed to$102.76
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$103.23changed to$101.09
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.87 changed to 1.93
- Malpractice RVU 0.03 changed to 0.04
- Work GPCI 1.056 changed to 1.057
- Practice expense GPCI 1.214 changed to 1.192
- Malpractice GPCI 1.231 changed to 1.168
January 1, 2023
RVU23A
$106.86changed to$103.23
- Conversion factor 34.6062 changed to 33.8872
- Work GPCI 1.054 changed to 1.056
- Practice expense GPCI 1.236 changed to 1.214
- Malpractice GPCI 1.294 changed to 1.231
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$113.85changed to$106.86
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.98 changed to 1.87
- Malpractice RVU 0.06 changed to 0.03
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$109.44changed to$113.85
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.83 changed to 1.98
- Malpractice RVU 0.05 changed to 0.06
- Work GPCI 1.049 changed to 1.054
- Practice expense GPCI 1.221 changed to 1.236
- Malpractice GPCI 1.277 changed to 1.294
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$111.58changed to$109.44
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.91 changed to 1.83
- Work GPCI 1.045 changed to 1.049
- Practice expense GPCI 1.205 changed to 1.221
- Malpractice GPCI 1.261 changed to 1.277
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$113.19changed to$111.58
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.95 changed to 1.91
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
No ratechanged to$113.19
Held through RVU18B, RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $106.87 | Not available in this setting | RVU26D |
| 2026-07-01 | $106.87 | Not available in this setting | RVU26C |
| 2026-04-01 | $106.87 | Not available in this setting | RVU26B |
| 2026-01-01 | $106.87 | Not available in this setting | RVU26A |
| 2025-10-01 | $100.25 | Not available in this setting | RVU25D |
| 2025-07-01 | $100.25 | Not available in this setting | RVU25C |
| 2025-04-01 | $100.25 | Not available in this setting | RVU25B |
| 2025-01-01 | $100.25 | Not available in this setting | RVU25A |
| 2024-10-01 | $102.76 | Not available in this setting | RVU24D |
| 2024-07-01 | $102.76 | Not available in this setting | RVU24C |
| 2024-04-01 | $102.76 | Not available in this setting | RVU24B |
| 2024-03-09 | $102.76 | Not available in this setting | RVU24AR |
| 2024-01-01 | $101.09 | Not available in this setting | RVU24A |
| 2023-10-01 | $103.23 | Not available in this setting | RVU23D |
| 2023-07-01 | $103.23 | Not available in this setting | RVU23C |
| 2023-04-01 | $103.23 | Not available in this setting | RVU23B |
| 2023-01-01 | $103.23 | Not available in this setting | RVU23A |
| 2022-10-01 | $106.86 | Not available in this setting | RVU22D |
| 2022-07-01 | $106.86 | Not available in this setting | RVU22C |
| 2022-04-01 | $106.86 | Not available in this setting | RVU22B |
| 2022-01-01 | $106.86 | Not available in this setting | RVU22A |
| 2021-10-01 | $113.85 | Not available in this setting | RVU21D |
| 2021-07-01 | $113.85 | Not available in this setting | RVU21C |
| 2021-04-01 | $113.85 | Not available in this setting | RVU21B |
| 2021-01-01 | $113.85 | Not available in this setting | RVU21A |
| 2020-10-01 | $109.44 | Not available in this setting | RVU20D |
| 2020-07-01 | $109.44 | Not available in this setting | RVU20C |
| 2020-04-01 | $109.44 | Not available in this setting | RVU20B |
| 2020-01-01 | $109.44 | Not available in this setting | RVU20A |
| 2019-10-01 | $111.58 | Not available in this setting | RVU19D |
| 2019-07-01 | $111.58 | Not available in this setting | RVU19C |
| 2019-04-01 | $111.58 | Not available in this setting | RVU19B |
| 2019-01-01 | $111.58 | Not available in this setting | RVU19A |
| 2018-10-01 | $113.19 | Not available in this setting | RVU18D |
| 2018-07-01 | $113.19 | Not available in this setting | RVU18C |
| 2018-04-01 | $113.19 | Not available in this setting | RVU18B |
| 2018-01-01 | $113.19 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
94617 billing questions
When should 94617 be chosen over 94619?
Choose 94617 when the exercise bronchospasm test includes ECG recording. Code 94619 is the corresponding option when the test is performed without ECG.
Can the professional and technical services be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
Is ECG recording included in this test?
ECG recording is part of the distinction between 94617 and its no-ECG sibling, 94619. The documentation should support that ECG was included in the exercise evaluation.
What documentation supports reporting 94617?
Document the reason for evaluating exertional symptoms, the exercise performed, pulmonary function results before and after exercise, ECG recording, and the interpreting clinician’s findings.
How does 94617 differ from pulmonary stress testing?
94617 evaluates exercise-provoked bronchospasm and includes ECG recording. Code 94618 is used for pulmonary stress testing focused on exercise response rather than this bronchospasm test.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets · Coming soon
Put 94617 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist