CPT code 95117: Allergy shots, two or more injections, extract not included2026 Medicare rate & RVUs in Utah
Report allergen immunotherapy administration when two or more injections are given in one session; preparation and provision of the extract are separate services.
In Utah, Medicare pays $11.60 for 95117 in the office.
Check a contract rate as a % of Medicare · 95117 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 95117 covers
This service covers two or more subcutaneous allergen immunotherapy injections in one session, such as prescribed injections from separate pollen and dust mite extract vials. A nurse or medical assistant commonly administers the shots in an allergist’s, primary care, or ENT office under a physician’s immunotherapy plan. The service includes drawing up the ordered doses, giving the injections, and observing the patient afterward for local or systemic reactions. Patients may receive injections during buildup or maintenance treatment.
Report one unit for a session with two or more injections, regardless of the number of shots; use 95115 for a single injection. Record the extracts used, doses, injection sites, observation, and any reaction. This administration code excludes preparation and provision of the allergenic extract. When separately furnished and documented, extract preparation may be reported under the appropriate antigen code, with units based on doses prepared. CMS assigns no physician work value to 95117. Medicare treats it as an incident-to service, billable only when performed under physician supervision; the supervising physician must be in the office suite and immediately available during the injections.
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 Utah compares for 95117
Across 109 of 109 payment localities, the office rate for 95117 runs from $10.50 in Arkansas to $17.52 in San Benito County, CA. Utah pays $11.60. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$11.60
- Los Angeles, CA · California$14.45+$2.85
- Washington, DC area · District of Columbia$14.54+$2.94
- Miami, FL · Florida$13.36+$1.76
- Chicago, IL · Illinois$12.85+$1.25
- Manhattan, NY · New York$14.50+$2.90
- Alaska · Alaska$12.99+$1.39
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $10.71 | — |
| ArkansasArkansas | $10.50 | — |
| ArizonaArizona | $11.94 | — |
| Bakersfield, CACalifornia | $13.38 | — |
| Chico, CACalifornia | $13.36 | — |
| El Centro, CACalifornia | $13.36 | — |
| Fresno, CACalifornia | $13.36 | — |
| Hanford, CACalifornia | $13.36 | — |
| Madera, CACalifornia | $13.36 | — |
| Merced, CACalifornia | $13.36 | — |
| Modesto, CACalifornia | $13.36 | — |
| Napa, CACalifornia | $16.02 | — |
| Oxnard, CACalifornia | $14.42 | — |
| Redding, CACalifornia | $13.36 | — |
| Rest of CaliforniaCalifornia | $13.36 | — |
| Riverside, CACalifornia | $13.46 | — |
| Sacramento, CACalifornia | $14.16 | — |
| Salinas, CACalifornia | $14.12 | — |
| San Diego, CACalifornia | $14.56 | — |
| Marin County, CACalifornia | $17.11 | — |
| San Francisco, CACalifornia | $17.10 | — |
| San Benito County, CACalifornia | $17.52 | — |
| Santa Clara County, CACalifornia | $17.47 | — |
| San Luis Obispo, CACalifornia | $13.87 | — |
| Santa Cruz, CACalifornia | $14.79 | — |
| Santa Maria, CACalifornia | $14.20 | — |
| Santa Rosa, CACalifornia | $14.94 | — |
| Stockton, CACalifornia | $13.36 | — |
| Vallejo, CACalifornia | $16.00 | — |
| Visalia, CACalifornia | $13.36 | — |
| Yuba City, CACalifornia | $13.36 | — |
| ColoradoColorado | $13.05 | — |
| ConnecticutConnecticut | $13.35 | — |
| DelawareDelaware | $12.18 | — |
| Fort Lauderdale, FLFlorida | $12.78 | — |
| Rest of FloridaFlorida | $12.00 | — |
| Atlanta, GAGeorgia | $12.62 | — |
| Rest of GeorgiaGeorgia | $11.12 | — |
| Hawaii, Guam, HIHawaii | $13.87 | — |
| IowaIowa | $11.13 | — |
| IdahoIdaho | $11.22 | — |
| East St. Louis, ILIllinois | $11.74 | — |
| Rest of IllinoisIllinois | $11.50 | — |
| Suburban Chicago, ILIllinois | $12.94 | — |
| IndianaIndiana | $11.31 | — |
| KansasKansas | $11.04 | — |
| KentuckyKentucky | $11.00 | — |
| New Orleans, LALouisiana | $11.69 | — |
| Rest of LouisianaLouisiana | $10.96 | — |
| Metropolitan Boston, MAMassachusetts | $14.65 | — |
| Rest of MassachusettsMassachusetts | $12.93 | — |
| Baltimore area, MDMaryland | $13.32 | — |
| Rest of MarylandMaryland | $12.48 | — |
| Rest of MaineMaine | $11.27 | — |
| Southern Maine, MEMaine | $12.13 | — |
| Detroit, MIMichigan | $12.17 | — |
| Rest of MichiganMichigan | $11.36 | — |
| MinnesotaMinnesota | $12.47 | — |
| Metropolitan Kansas City, MOMissouri | $11.62 | — |
| Metropolitan St. Louis, MOMissouri | $11.78 | — |
| Rest of MissouriMissouri | $10.69 | — |
| MississippiMississippi | $10.60 | — |
| MontanaMontana | $12.36 | — |
| North CarolinaNorth Carolina | $11.43 | — |
| North DakotaNorth Dakota | $12.16 | — |
| NebraskaNebraska | $11.22 | — |
| New HampshireNew Hampshire | $12.81 | — |
| Northern New JerseyNew Jersey | $14.30 | — |
| Rest of New JerseyNew Jersey | $13.50 | — |
| New MexicoNew Mexico | $11.43 | — |
| NevadaNevada | $12.31 | — |
| NYC suburbs and Long Island, NYNew York | $14.92 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $13.57 | — |
| Queens, NYNew York | $14.69 | — |
| Rest of New YorkNew York | $11.66 | — |
| OhioOhio | $11.31 | — |
| OklahomaOklahoma | $11.00 | — |
| Portland, OROregon | $13.61 | — |
| Rest of OregonOregon | $12.21 | — |
| Metropolitan Philadelphia, PAPennsylvania | $12.92 | — |
| Rest of PennsylvaniaPennsylvania | $11.35 | — |
| Puerto RicoPuerto Rico | $12.49 | — |
| Rhode IslandRhode Island | $12.72 | — |
| South CarolinaSouth Carolina | $11.39 | — |
| South DakotaSouth Dakota | $12.14 | — |
| TennesseeTennessee | $11.11 | — |
| Austin, TXTexas | $13.02 | — |
| Beaumont, TXTexas | $11.25 | — |
| Brazoria, TXTexas | $12.18 | — |
| Dallas, TXTexas | $12.26 | — |
| Fort Worth, TXTexas | $12.15 | — |
| Galveston, TXTexas | $12.22 | — |
| Houston, TXTexas | $12.40 | — |
| Rest of TexasTexas | $11.71 | — |
| VirginiaVirginia | $12.06 | — |
| Virgin Islands, VIUnited States Virgin Islands | $12.49 | — |
| VermontVermont | $12.07 | — |
| Rest of WashingtonWashington | $12.92 | — |
| King County, WAWashington | $15.03 | — |
| WisconsinWisconsin | $11.62 | — |
| West VirginiaWest Virginia | $10.93 | — |
| WyomingWyoming | $12.27 | — |
95117 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.
$10.50
$15.44
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 | $12.99 | 1 |
| AL | $10.71 | 1 |
| AR | $10.50 | 1 |
| AZ | $11.94 | 1 |
| CA | $13.36–$17.52 | 29 |
| CO | $13.05 | 1 |
| CT | $13.35 | 1 |
| DC | $14.54 | 1 |
| DE | $12.18 | 1 |
| FL | $12.00–$13.36 | 3 |
| GA | $11.12–$12.62 | 2 |
| GU | $13.87 | 1 |
| HI | $13.87 | 1 |
| IA | $11.13 | 1 |
| ID | $11.22 | 1 |
| IL | $11.50–$12.94 | 4 |
| IN | $11.31 | 1 |
| KS | $11.04 | 1 |
| KY | $11.00 | 1 |
| LA | $10.96–$11.69 | 2 |
| MA | $12.93–$14.65 | 2 |
| MD | $12.48–$14.54 | 3 |
| ME | $11.27–$12.13 | 2 |
| MI | $11.36–$12.17 | 2 |
| MN | $12.47 | 1 |
| MO | $10.69–$11.78 | 3 |
| MS | $10.60 | 1 |
| MT | $12.36 | 1 |
| NC | $11.43 | 1 |
| ND | $12.16 | 1 |
| NE | $11.22 | 1 |
| NH | $12.81 | 1 |
| NJ | $13.50–$14.30 | 2 |
| NM | $11.43 | 1 |
| NV | $12.31 | 1 |
| NY | $11.66–$14.92 | 5 |
| OH | $11.31 | 1 |
| OK | $11.00 | 1 |
| OR | $12.21–$13.61 | 2 |
| PA | $11.35–$12.92 | 2 |
| PR | $12.49 | 1 |
| RI | $12.72 | 1 |
| SC | $11.39 | 1 |
| SD | $12.14 | 1 |
| TN | $11.11 | 1 |
| TX | $11.25–$13.02 | 8 |
| UT | $11.60 | 1 |
| VA | $12.06–$14.54 | 2 |
| VI | $12.49 | 1 |
| VT | $12.07 | 1 |
| WA | $12.92–$15.03 | 2 |
| WI | $11.62 | 1 |
| WV | $10.93 | 1 |
| WY | $12.27 | 1 |
How the 95117 rate is calculated
Each of 95117’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 · 95117
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.36
0.36 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.3700
Conversion factor
$33.4009
Medicare rate
$12.36
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,473
- Code
- 95117
- Physician work
- 0.00
- Practice expense
- 0.36
- Malpractice
- 0.01
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.36 | × 0.940 | 0.3384 |
| Malpractice | 0.01 | × 0.898 | 0.0090 |
| Total RVUs | 0.3474 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Utah$11.60
Office: (0 × 1 + 0.36 × 0.94 + 0.01 × 0.898) × $33.4009 = $11.60
Payment rules and modifiers for 95117
The CMS indicators that decide how 95117 is paid alongside other services.
CMS payment indicators · 95117
Allergy shots, two or more injections, extract not included
| 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 | 5 | Incident-to service. |
How 95117 has changed in Utah
95117 · Office / nonfacility
$11.60
Effective 2026-10-01
The base rate is $0.43 higher than on 2025-10-01, moving from $11.17 to $11.60 (3.8%).
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
$11.17changed to$11.60
- Conversion factor 32.3465 changed to 33.4009
- Practice expense GPCI 0.933 changed to 0.940
- Malpractice GPCI 0.930 changed to 0.898
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$11.49changed to$11.17
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$11.30changed to$11.49
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$10.96changed to$11.30
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.34 changed to 0.36
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.865 changed to 0.930
January 1, 2023
RVU23A
$10.77changed to$10.96
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.33 changed to 0.34
- Practice expense GPCI 0.919 changed to 0.926
- Malpractice GPCI 0.799 changed to 0.865
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$10.54changed to$10.77
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.32 changed to 0.33
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$10.01changed to$10.54
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.29 changed to 0.32
- Practice expense GPCI 0.923 changed to 0.919
- Malpractice GPCI 0.982 changed to 0.799
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$10.11changed to$10.01
- Conversion factor 36.0391 changed to 36.0896
- Practice expense GPCI 0.927 changed to 0.923
- Malpractice GPCI 1.165 changed to 0.982
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$9.76changed to$10.11
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.28 changed to 0.29
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$9.71changed to$9.76
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.925 changed to 0.927
- Malpractice GPCI 1.167 changed to 1.165
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$9.66changed to$9.71
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.922 changed to 0.925
- Malpractice GPCI 1.169 changed to 1.167
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$9.70changed to$9.66
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$9.65changed to$9.70
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$9.62changed to$9.65
- Conversion factor 35.8228 changed to 35.7547
- Practice expense GPCI 0.919 changed to 0.922
- Malpractice GPCI 1.136 changed to 1.169
Held through RVU15B.
January 1, 2014
RVU14A
$10.04changed to$9.62
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.31 changed to 0.28
- Practice expense GPCI 0.916 changed to 0.919
- Malpractice GPCI 1.102 changed to 1.136
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $10.04
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $11.60 | Not available in this setting | RVU26D |
| 2026-07-01 | $11.60 | Not available in this setting | RVU26C |
| 2026-04-01 | $11.60 | Not available in this setting | RVU26B |
| 2026-01-01 | $11.60 | Not available in this setting | RVU26A |
| 2025-10-01 | $11.17 | Not available in this setting | RVU25D |
| 2025-07-01 | $11.17 | Not available in this setting | RVU25C |
| 2025-04-01 | $11.17 | Not available in this setting | RVU25B |
| 2025-01-01 | $11.17 | Not available in this setting | RVU25A |
| 2024-10-01 | $11.49 | Not available in this setting | RVU24D |
| 2024-07-01 | $11.49 | Not available in this setting | RVU24C |
| 2024-04-01 | $11.49 | Not available in this setting | RVU24B |
| 2024-03-09 | $11.49 | Not available in this setting | RVU24AR |
| 2024-01-01 | $11.30 | Not available in this setting | RVU24A |
| 2023-10-01 | $10.96 | Not available in this setting | RVU23D |
| 2023-07-01 | $10.96 | Not available in this setting | RVU23C |
| 2023-04-01 | $10.96 | Not available in this setting | RVU23B |
| 2023-01-01 | $10.96 | Not available in this setting | RVU23A |
| 2022-10-01 | $10.77 | Not available in this setting | RVU22D |
| 2022-07-01 | $10.77 | Not available in this setting | RVU22C |
| 2022-04-01 | $10.77 | Not available in this setting | RVU22B |
| 2022-01-01 | $10.77 | Not available in this setting | RVU22A |
| 2021-10-01 | $10.54 | Not available in this setting | RVU21D |
| 2021-07-01 | $10.54 | Not available in this setting | RVU21C |
| 2021-04-01 | $10.54 | Not available in this setting | RVU21B |
| 2021-01-01 | $10.54 | Not available in this setting | RVU21A |
| 2020-10-01 | $10.01 | Not available in this setting | RVU20D |
| 2020-07-01 | $10.01 | Not available in this setting | RVU20C |
| 2020-04-01 | $10.01 | Not available in this setting | RVU20B |
| 2020-01-01 | $10.01 | Not available in this setting | RVU20A |
| 2019-10-01 | $10.11 | Not available in this setting | RVU19D |
| 2019-07-01 | $10.11 | Not available in this setting | RVU19C |
| 2019-04-01 | $10.11 | Not available in this setting | RVU19B |
| 2019-01-01 | $10.11 | Not available in this setting | RVU19A |
| 2018-10-01 | $9.76 | Not available in this setting | RVU18D |
| 2018-07-01 | $9.76 | Not available in this setting | RVU18C |
| 2018-04-01 | $9.76 | Not available in this setting | RVU18B |
| 2018-01-01 | $9.76 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $9.71 | Not available in this setting | RVU17D |
| 2017-07-01 | $9.71 | Not available in this setting | RVU17C |
| 2017-04-01 | $9.71 | Not available in this setting | RVU17B |
| 2017-01-01 | $9.71 | Not available in this setting | RVU17A |
| 2016-10-01 | $9.66 | Not available in this setting | RVU16D |
| 2016-07-01 | $9.66 | Not available in this setting | RVU16C |
| 2016-04-01 | $9.66 | Not available in this setting | RVU16B |
| 2016-01-01 | $9.66 | Not available in this setting | RVU16A |
| 2015-10-01 | $9.70 | Not available in this setting | RVU15D |
| 2015-07-01 | $9.70 | Not available in this setting | RVU15C |
| 2015-04-01 | $9.65 | Not available in this setting | RVU15B |
| 2015-01-01 | $9.65 | Not available in this setting | RVU15A |
| 2014-10-01 | $9.62 | Not available in this setting | RVU14D |
| 2014-07-01 | $9.62 | Not available in this setting | RVU14C |
| 2014-04-01 | $9.62 | Not available in this setting | RVU14B |
| 2014-01-01 | $9.62 | Not available in this setting | RVU14A |
| 2013-10-01 | $10.04 | Not available in this setting | RVU13D |
| 2013-07-01 | $10.04 | Not available in this setting | RVU13C |
| 2013-04-01 | $10.04 | Not available in this setting | RVU13B |
| 2013-01-01 | $10.04 | Not available in this setting | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
95117 billing questions
How many units are reported when a patient receives three or four allergy shots?
One unit for the session. Two or more injections are covered by 95117, so additional shots in that session do not add units.
Can the single-injection code be billed with this code for the same session?
No. Choose by injection count: one shot uses 95115; two or more use 95117.
Is the allergenic extract included?
No. Code 95117 covers administration. When separately furnished and documented, preparation and provision of extract may be reported under the appropriate antigen code; its units reflect doses prepared, not shots given.
Can an office visit be billed on the injection date?
Yes, if a medically necessary, significant, separately identifiable E/M service is documented, such as evaluation of an asthma flare beyond the routine pre-shot check. Append modifier 25 to the E/M code.
Who can give the injections for Medicare billing?
A nurse or medical assistant may administer them as an incident-to service when the supervising physician is in the office suite and immediately available during the injections.
Can a practice bill this code if the patient brings extract prepared elsewhere?
Yes, if that practice administers two or more injections in the session. It reports 95117 for administration; any separately reported extract preparation must be supported by the service the furnishing practice performed.
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
Put 95117 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet