CPT code 95017: Venom testing, percutaneous and intradermal2026 Medicare rate & RVUs in Puerto Rico
Reports immediate-response skin testing with insect venoms using percutaneous, intradermal, or combined methods during evaluation of suspected sting allergy.
In Puerto Rico, Medicare pays $8.07 for 95017 in the office and $3.00 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Puerto Rico 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. Puerto Rico pays $8.07. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$8.07
- Los Angeles, CA · California$8.98+$0.91
- Washington, DC area · District of Columbia$9.13+$1.06
- Miami, FL · Florida$8.75+$0.68
- Chicago, IL · Illinois$8.49+$0.42
- Manhattan, NY · New York$9.23+$1.16
- Alaska · Alaska$9.38+$1.31
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $8.41 | $2.92 |
| Merced, CACalifornia | $8.41 | $2.92 |
| Modesto, CACalifornia | $8.41 | $2.92 |
| Napa, CACalifornia | $9.70 | $3.10 |
| Oxnard, CACalifornia | $8.93 | $3.01 |
| Redding, CACalifornia | $8.41 | $2.92 |
| Rest of CaliforniaCalifornia | $8.41 | $2.92 |
| Riverside, CACalifornia | $8.52 | $3.03 |
| Sacramento, CACalifornia | $8.82 | $2.99 |
| Salinas, CACalifornia | $8.78 | $2.98 |
| San Diego, CACalifornia | $8.98 | $2.99 |
| Marin County, CACalifornia | $10.25 | $3.18 |
| San Francisco, CACalifornia | $10.24 | $3.17 |
| San Benito County, CACalifornia | $10.48 | $3.26 |
| Santa Clara County, CACalifornia | $10.43 | $3.21 |
| San Luis Obispo, CACalifornia | $8.64 | $2.94 |
| Santa Cruz, CACalifornia | $9.06 | $2.97 |
| Santa Maria, CACalifornia | $8.81 | $2.97 |
| Santa Rosa, CACalifornia | $9.15 | $3.00 |
| Stockton, CACalifornia | $8.41 | $2.92 |
| Vallejo, CACalifornia | $9.68 | $3.08 |
| Visalia, CACalifornia | $8.41 | $2.92 |
| Yuba City, CACalifornia | $8.41 | $2.92 |
| ColoradoColorado | $8.31 | $2.98 |
| ConnecticutConnecticut | $8.54 | $3.15 |
| DelawareDelaware | $7.93 | $2.98 |
| Fort Lauderdale, FLFlorida | $8.36 | $3.28 |
| Rest of FloridaFlorida | $7.95 | $3.16 |
| Atlanta, GAGeorgia | $8.18 | $3.09 |
| Rest of GeorgiaGeorgia | $7.50 | $3.03 |
| Hawaii, Guam, HIHawaii | $8.61 | $2.91 |
| IowaIowa | $7.36 | $2.78 |
| IdahoIdaho | $7.41 | $2.80 |
| East St. Louis, ILIllinois | $7.93 | $3.32 |
| Rest of IllinoisIllinois | $7.74 | $3.17 |
| Suburban Chicago, ILIllinois | $8.43 | $3.29 |
| IndianaIndiana | $7.45 | $2.81 |
| KansasKansas | $7.34 | $2.81 |
| KentuckyKentucky | $7.39 | $2.94 |
| New Orleans, LALouisiana | $7.75 | $3.03 |
| Rest of LouisianaLouisiana | $7.39 | $2.95 |
| Metropolitan Boston, MAMassachusetts | $9.11 | $3.13 |
| Rest of MassachusettsMassachusetts | $8.27 | $2.99 |
| Baltimore area, MDMaryland | $8.52 | $3.15 |
| Rest of MarylandMaryland | $8.08 | $3.01 |
| Rest of MaineMaine | $7.46 | $2.85 |
| Southern Maine, MEMaine | $7.84 | $2.88 |
| Detroit, MIMichigan | $8.06 | $3.22 |
| Rest of MichiganMichigan | $7.59 | $3.02 |
| MinnesotaMinnesota | $7.94 | $2.78 |
| Metropolitan Kansas City, MOMissouri | $7.68 | $2.98 |
| Metropolitan St. Louis, MOMissouri | $7.76 | $2.99 |
| Rest of MissouriMissouri | $7.27 | $2.95 |
| MississippiMississippi | $7.19 | $2.87 |
| MontanaMontana | $8.02 | $3.01 |
| North CarolinaNorth Carolina | $7.54 | $2.86 |
| North DakotaNorth Dakota | $7.82 | $2.81 |
| NebraskaNebraska | $7.40 | $2.77 |
| New HampshireNew Hampshire | $8.19 | $2.98 |
| Northern New JerseyNew Jersey | $9.04 | $3.23 |
| Rest of New JerseyNew Jersey | $8.63 | $3.16 |
| New MexicoNew Mexico | $7.64 | $3.05 |
| NevadaNevada | $7.97 | $2.95 |
| NYC suburbs and Long Island, NYNew York | $9.46 | $3.51 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $8.70 | $3.21 |
| Queens, NYNew York | $9.29 | $3.36 |
| Rest of New YorkNew York | $7.65 | $2.89 |
| OhioOhio | $7.55 | $2.98 |
| OklahomaOklahoma | $7.37 | $2.90 |
| Portland, OROregon | $8.56 | $3.00 |
| Rest of OregonOregon | $7.90 | $2.91 |
| Metropolitan Philadelphia, PAPennsylvania | $8.34 | $3.13 |
| Rest of PennsylvaniaPennsylvania | $7.56 | $2.96 |
| Rhode IslandRhode Island | $8.20 | $3.03 |
| South CarolinaSouth Carolina | $7.56 | $2.93 |
| South DakotaSouth Dakota | $7.79 | $2.78 |
| TennesseeTennessee | $7.38 | $2.82 |
| Austin, TXTexas | $8.29 | $2.99 |
| Beaumont, TXTexas | $7.51 | $2.95 |
| Brazoria, TXTexas | $7.91 | $2.95 |
| Dallas, TXTexas | $7.97 | $2.98 |
| Fort Worth, TXTexas | $7.92 | $2.98 |
| Galveston, TXTexas | $7.94 | $2.96 |
| Houston, TXTexas | $8.12 | $3.15 |
| Rest of TexasTexas | $7.71 | $2.96 |
| UtahUtah | $7.66 | $2.95 |
| VirginiaVirginia | $7.83 | $2.90 |
| Virgin Islands, VIUnited States Virgin Islands | $8.07 | $3.00 |
| VermontVermont | $7.80 | $2.84 |
| Rest of WashingtonWashington | $8.25 | $2.97 |
| King County, WAWashington | $9.29 | $3.14 |
| WisconsinWisconsin | $7.56 | $2.76 |
| West VirginiaWest Virginia | $7.46 | $3.11 |
| WyomingWyoming | $7.93 | $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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $9.38 | 1 |
| AL | $7.20 | 1 |
| AR | $7.10 | 1 |
| AZ | $7.80 | 1 |
| CA | $8.41–$10.48 | 29 |
| CO | $8.31 | 1 |
| CT | $8.54 | 1 |
| DC | $9.13 | 1 |
| DE | $7.93 | 1 |
| FL | $7.95–$8.75 | 3 |
| GA | $7.50–$8.18 | 2 |
| GU | $8.61 | 1 |
| HI | $8.61 | 1 |
| IA | $7.36 | 1 |
| ID | $7.41 | 1 |
| IL | $7.74–$8.49 | 4 |
| IN | $7.45 | 1 |
| KS | $7.34 | 1 |
| KY | $7.39 | 1 |
| LA | $7.39–$7.75 | 2 |
| MA | $8.27–$9.11 | 2 |
| MD | $8.08–$9.13 | 3 |
| ME | $7.46–$7.84 | 2 |
| MI | $7.59–$8.06 | 2 |
| MN | $7.94 | 1 |
| MO | $7.27–$7.76 | 3 |
| MS | $7.19 | 1 |
| MT | $8.02 | 1 |
| NC | $7.54 | 1 |
| ND | $7.82 | 1 |
| NE | $7.40 | 1 |
| NH | $8.19 | 1 |
| NJ | $8.63–$9.04 | 2 |
| NM | $7.64 | 1 |
| NV | $7.97 | 1 |
| NY | $7.65–$9.46 | 5 |
| OH | $7.55 | 1 |
| OK | $7.37 | 1 |
| OR | $7.90–$8.56 | 2 |
| PA | $7.56–$8.34 | 2 |
| PR | $8.07 | 1 |
| RI | $8.20 | 1 |
| SC | $7.56 | 1 |
| SD | $7.79 | 1 |
| TN | $7.38 | 1 |
| TX | $7.51–$8.29 | 8 |
| UT | $7.66 | 1 |
| VA | $7.83–$9.13 | 2 |
| VI | $8.07 | 1 |
| VT | $7.80 | 1 |
| WA | $8.25–$9.29 | 2 |
| WI | $7.56 | 1 |
| WV | $7.46 | 1 |
| WY | $7.93 | 1 |
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
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 Puerto Rico 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
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.07 | × 1.000 | 0.0700 |
| Practice expense | 0.16 | × 1.011 | 0.1618 |
| Malpractice | 0.01 | × 0.985 | 0.0098 |
| Total RVUs | 0.2416 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$8.07
Office: (0.07 × 1 + 0.16 × 1.011 + 0.01 × 0.985) × $33.4009 = $8.07
Facility: (0.07 × 1 + 0.01 × 1.011 + 0.01 × 0.985) × $33.4009 = $3.00
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 Puerto Rico
95017 · Office / nonfacility
$8.07
Effective 2026-10-01
The base rate is $0.05 lower than on 2025-10-01, moving from $8.12 to $8.07 (0.6%).
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
$8.12changed to$8.07
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.17 changed to 0.16
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$8.69changed to$8.12
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.18 changed to 0.17
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$8.55changed to$8.69
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$8.85changed to$8.55
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$8.81changed to$8.85
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$9.04changed to$8.81
- Conversion factor 34.6062 changed to 33.8872
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$8.77changed to$9.04
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.17 changed to 0.18
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$8.70changed to$8.77
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.16 changed to 0.17
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$8.32changed to$8.70
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.15 changed to 0.16
- Practice expense GPCI 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$7.95changed to$8.32
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.14 changed to 0.15
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$7.04changed to$7.95
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.856 changed to 1.007
- Malpractice GPCI 0.642 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$6.15changed to$7.04
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.705 changed to 0.856
- Malpractice GPCI 0.293 changed to 0.642
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$6.17changed to$6.15
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$6.14changed to$6.17
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$6.32changed to$6.14
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.15 changed to 0.14
- Practice expense GPCI 0.692 changed to 0.705
- Malpractice GPCI 0.271 changed to 0.293
Held through RVU15B.
January 1, 2014
RVU14A
$6.62changed to$6.32
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.18 changed to 0.15
- Practice expense GPCI 0.678 changed to 0.692
- Malpractice GPCI 0.249 changed to 0.271
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $6.62
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $8.07 | $3.00 | RVU26D |
| 2026-07-01 | $8.07 | $3.00 | RVU26C |
| 2026-04-01 | $8.07 | $3.00 | RVU26B |
| 2026-01-01 | $8.07 | $3.00 | RVU26A |
| 2025-10-01 | $8.12 | $3.56 | RVU25D |
| 2025-07-01 | $8.12 | $3.56 | RVU25C |
| 2025-04-01 | $8.12 | $3.56 | RVU25B |
| 2025-01-01 | $8.12 | $3.56 | RVU25A |
| 2024-10-01 | $8.69 | $3.66 | RVU24D |
| 2024-07-01 | $8.69 | $3.66 | RVU24C |
| 2024-04-01 | $8.69 | $3.66 | RVU24B |
| 2024-03-09 | $8.69 | $3.66 | RVU24AR |
| 2024-01-01 | $8.55 | $3.60 | RVU24A |
| 2023-10-01 | $8.85 | $3.73 | RVU23D |
| 2023-07-01 | $8.81 | $3.73 | RVU23C |
| 2023-04-01 | $8.81 | $3.73 | RVU23B |
| 2023-01-01 | $8.81 | $3.73 | RVU23A |
| 2022-10-01 | $9.04 | $3.81 | RVU22D |
| 2022-07-01 | $9.04 | $3.81 | RVU22C |
| 2022-04-01 | $9.04 | $3.81 | RVU22B |
| 2022-01-01 | $9.04 | $3.81 | RVU22A |
| 2021-10-01 | $8.77 | $3.84 | RVU21D |
| 2021-07-01 | $8.77 | $3.84 | RVU21C |
| 2021-04-01 | $8.77 | $3.84 | RVU21B |
| 2021-01-01 | $8.77 | $3.84 | RVU21A |
| 2020-10-01 | $8.70 | $3.97 | RVU20D |
| 2020-07-01 | $8.70 | $3.97 | RVU20C |
| 2020-04-01 | $8.70 | $3.97 | RVU20B |
| 2020-01-01 | $8.70 | $3.97 | RVU20A |
| 2019-10-01 | $8.32 | $3.97 | RVU19D |
| 2019-07-01 | $8.32 | $3.97 | RVU19C |
| 2019-04-01 | $8.32 | $3.97 | RVU19B |
| 2019-01-01 | $8.32 | $3.97 | RVU19A |
| 2018-10-01 | $7.95 | $3.96 | RVU18D |
| 2018-07-01 | $7.95 | $3.96 | RVU18C |
| 2018-04-01 | $7.95 | $3.96 | RVU18B |
| 2018-01-01 | $7.95 | $3.96 | RVU18AR1 |
| 2017-10-01 | $7.04 | $3.36 | RVU17D |
| 2017-07-01 | $7.04 | $3.36 | RVU17C |
| 2017-04-01 | $7.04 | $3.36 | RVU17B |
| 2017-01-01 | $7.04 | $3.36 | RVU17A |
| 2016-10-01 | $6.15 | $3.12 | RVU16D |
| 2016-07-01 | $6.15 | $3.12 | RVU16C |
| 2016-04-01 | $6.15 | $3.12 | RVU16B |
| 2016-01-01 | $6.15 | $3.12 | RVU16A |
| 2015-10-01 | $6.17 | $3.13 | RVU15D |
| 2015-07-01 | $6.17 | $3.13 | RVU15C |
| 2015-04-01 | $6.14 | $3.11 | RVU15B |
| 2015-01-01 | $6.14 | $3.11 | RVU15A |
| 2014-10-01 | $6.32 | $3.35 | RVU14D |
| 2014-07-01 | $6.32 | $3.35 | RVU14C |
| 2014-04-01 | $6.32 | $3.35 | RVU14B |
| 2014-01-01 | $6.32 | $3.35 | RVU14A |
| 2013-10-01 | $6.62 | $3.16 | RVU13D |
| 2013-07-01 | $6.62 | $3.16 | RVU13C |
| 2013-04-01 | $6.62 | $3.16 | RVU13B |
| 2013-01-01 | $6.62 | $3.16 | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
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
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