CPT code 95017: Venom testing, percutaneous and intradermal2026 Medicare rate & RVUs in Connecticut

Reports immediate-response skin testing with insect venoms using percutaneous, intradermal, or combined methods during evaluation of suspected sting allergy.

CMS RVU26DEffective Oct 1, 2026One payment locality13.6K Medicare services in 2024

In Connecticut, Medicare pays $8.54 for 95017 in the office and $3.15 when it’s performed in a hospital or facility.

$8.54Office (non-facility)
$3.15Hospital or facility
+6.5%vs the national office rate ($8.02)

Check a contract rate as a % of Medicare · 95017 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 95017 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 95017 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 95017 covers

This service covers skin testing with venom extracts to evaluate immediate allergic reactions, commonly after a patient has had a systemic reaction to an insect sting. An allergist or other qualified clinician may use a percutaneous method, an intradermal method, or both as part of a sequential testing protocol. The clinician assesses the skin responses and documents the interpretation and report. Testing is commonly performed in an allergy office or outpatient setting where the patient can be observed during the evaluation.

Report 95017 for venom testing, rather than the general allergen-extract skin-testing codes, when the tests use venom extracts. Report the number of tests performed, supported by the record of the extracts and testing steps used, the patient’s responses, and the clinician’s interpretation. The CMS physician fee schedule assigns this service a code-specific payment value.

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 Connecticut compares for 95017

Across 109 of 109 payment localities, the office rate for 95017 runs from $7.10 in Arkansas to $10.48 in San Benito County, CA. Connecticut pays $8.54. The RVUs are the same everywhere; the geographic indexes change the dollars.

95017 in Connecticut vs other payment areas
  1. Connecticut · this page$8.54
  2. Los Angeles, CA · California$8.98+$0.44
  3. Washington, DC area · District of Columbia$9.13+$0.59
  4. Miami, FL · Florida$8.75+$0.21
  5. Chicago, IL · Illinois$8.49−$0.05
  6. Manhattan, NY · New York$9.23+$0.69
  7. Alaska · Alaska$9.38+$0.84

Other areas in Connecticut first, then benchmark localities. Bars start at $0.

Every other payment area

95017 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$7.20$2.82
ArkansasArkansas$7.10$2.80
ArizonaArizona$7.80$2.95
Bakersfield, CACalifornia$8.44$2.95
Chico, CACalifornia$8.41$2.92
El Centro, CACalifornia$8.42$2.92
Fresno, CACalifornia$8.41$2.92
Hanford, CACalifornia$8.41$2.92

95017 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.

$7.10

$9.45

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
95017 office rate range by state
State / territoryOffice rate rangeLocalities
AK$9.381
AL$7.201
AR$7.101
AZ$7.801
CA$8.41–$10.4829
CO$8.311
CT$8.541
DC$9.131
DE$7.931
FL$7.95–$8.753
GA$7.50–$8.182
GU$8.611
HI$8.611
IA$7.361
ID$7.411
IL$7.74–$8.494
IN$7.451
KS$7.341
KY$7.391
LA$7.39–$7.752
MA$8.27–$9.112
MD$8.08–$9.133
ME$7.46–$7.842
MI$7.59–$8.062
MN$7.941
MO$7.27–$7.763
MS$7.191
MT$8.021
NC$7.541
ND$7.821
NE$7.401
NH$8.191
NJ$8.63–$9.042
NM$7.641
NV$7.971
NY$7.65–$9.465
OH$7.551
OK$7.371
OR$7.90–$8.562
PA$7.56–$8.342
PR$8.071
RI$8.201
SC$7.561
SD$7.791
TN$7.381
TX$7.51–$8.298
UT$7.661
VA$7.83–$9.132
VI$8.071
VT$7.801
WA$8.25–$9.292
WI$7.561
WV$7.461
WY$7.931

See 95017 in every payment locality

How the 95017 rate is calculated

Each of 95017’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 · 95017

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.07

0.07 RVUs× 1.000 GPCI

Practice expense0.16

0.16 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.2400

Conversion factor

$33.4009

Medicare rate

$8.02

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,459

Code
95017
Physician work
0.07
Practice expense
0.16
Malpractice
0.01

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 95017 in Connecticut
ComponentRVULocality factorAdjusted
Physician work0.07× 1.0200.0714
Practice expense0.16× 1.0770.1723
Malpractice0.01× 1.2100.0121
Total RVUs0.2558
Conversion factor× 33.4009

Office rate, Connecticut$8.54

Office: (0.07 × 1.02 + 0.16 × 1.077 + 0.01 × 1.21) × $33.4009 = $8.54

Facility: (0.07 × 1.02 + 0.01 × 1.077 + 0.01 × 1.21) × $33.4009 = $3.15

Open 95017 in the RVU calculator

Payment rules and modifiers for 95017

95017 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 95017

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$8.02

Non-facility (office)
$8.02
Facility
$3.01

Higher because the practice carries its own overhead.

How 95017 has changed in Connecticut

95017 · Office / nonfacility

$8.54

Effective 2026-10-01

The base rate is $0.16 lower than on 2025-10-01, moving from $8.70 to $8.54 (1.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $8.70changed to$8.54

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.17 changed to 0.16
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $9.32changed to$8.70

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.18 changed to 0.17

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $9.17changed to$9.32

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $9.53changed to$9.17

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207
  5. January 1, 2023

    RVU23A

    $9.77changed to$9.53

    • Conversion factor 34.6062 changed to 33.8872
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $9.47changed to$9.77

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.17 changed to 0.18

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $9.42changed to$9.47

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.16 changed to 0.17
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $9.04changed to$9.42

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.15 changed to 0.16
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $8.63changed to$9.04

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.14 changed to 0.15

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $8.63changed to$8.63

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $8.63changed to$8.63

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $8.66changed to$8.63

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $8.61changed to$8.66

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $9.01changed to$8.61

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.15 changed to 0.14
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $9.66changed to$9.01

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.18 changed to 0.15
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $9.66

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$8.54$3.15RVU26D
2026-07-01$8.54$3.15RVU26C
2026-04-01$8.54$3.15RVU26B
2026-01-01$8.54$3.15RVU26A
2025-10-01$8.70$3.76RVU25D
2025-07-01$8.70$3.76RVU25C
2025-04-01$8.70$3.76RVU25B
2025-01-01$8.70$3.76RVU25A
2024-10-01$9.32$3.87RVU24D
2024-07-01$9.32$3.87RVU24C
2024-04-01$9.32$3.87RVU24B
2024-03-09$9.32$3.87RVU24AR
2024-01-01$9.17$3.81RVU24A
2023-10-01$9.53$3.93RVU23D
2023-07-01$9.53$3.93RVU23C
2023-04-01$9.53$3.93RVU23B
2023-01-01$9.53$3.93RVU23A
2022-10-01$9.77$3.99RVU22D
2022-07-01$9.77$3.99RVU22C
2022-04-01$9.77$3.99RVU22B
2022-01-01$9.77$3.99RVU22A
2021-10-01$9.47$4.02RVU21D
2021-07-01$9.47$4.02RVU21C
2021-04-01$9.47$4.02RVU21B
2021-01-01$9.47$4.02RVU21A
2020-10-01$9.42$4.20RVU20D
2020-07-01$9.42$4.20RVU20C
2020-04-01$9.42$4.20RVU20B
2020-01-01$9.42$4.20RVU20A
2019-10-01$9.04$4.23RVU19D
2019-07-01$9.04$4.23RVU19C
2019-04-01$9.04$4.23RVU19B
2019-01-01$9.04$4.23RVU19A
2018-10-01$8.63$4.23RVU18D
2018-07-01$8.63$4.23RVU18C
2018-04-01$8.63$4.23RVU18B
2018-01-01$8.63$4.23RVU18AR1
2017-10-01$8.63$3.82RVU17D
2017-07-01$8.63$3.82RVU17C
2017-04-01$8.63$3.82RVU17B
2017-01-01$8.63$3.82RVU17A
2016-10-01$8.63$3.81RVU16D
2016-07-01$8.63$3.81RVU16C
2016-04-01$8.63$3.81RVU16B
2016-01-01$8.63$3.81RVU16A
2015-10-01$8.66$3.82RVU15D
2015-07-01$8.66$3.82RVU15C
2015-04-01$8.61$3.81RVU15B
2015-01-01$8.61$3.81RVU15A
2014-10-01$9.01$4.21RVU14D
2014-07-01$9.01$4.21RVU14C
2014-04-01$9.01$4.21RVU14B
2014-01-01$9.01$4.21RVU14A
2013-10-01$9.66$3.99RVU13D
2013-07-01$9.66$3.99RVU13C
2013-04-01$9.66$3.99RVU13B
2013-01-01$9.66$3.99RVU13AR

Price 95017 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

95017 billing questions

When should 95017 be used instead of 95004?

Use 95017 for immediate-response skin testing with venom extracts. Code 95004 is for percutaneous testing with other allergenic extracts.

Does 95017 cover both percutaneous and intradermal venom testing?

Yes. The code covers venom testing performed by either method or by a combination of the two.

How should the number of tests be reported?

Report the number of individual tests performed. The documentation should identify the venom extracts and testing steps that support that count.

Is interpretation included in the service?

Yes. The service includes assessment of the immediate skin responses and the clinician’s interpretation and report.

How does 95017 differ from 95018?

Both codes cover combined percutaneous and intradermal testing approaches, but 95017 is for venoms and 95018 is for drugs or biologicals.

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
RVUs for 95017PPRRVU2026_Oct_nonQPP.csv, line 12,459 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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