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.

CMS RVU26DEffective Oct 1, 2026One payment locality2.3M Medicare services in 2024

In Utah, Medicare pays $11.60 for 95117 in the office.

$11.60Office (non-facility)
Not available in this settingHospital or facility
−6.1%vs the national office rate ($12.36)

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.

We’ll open 95117 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 95117 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 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.

95117 in Utah vs other payment areas
  1. Utah · this page$11.60
  2. Los Angeles, CA · California$14.45+$2.85
  3. Washington, DC area · District of Columbia$14.54+$2.94
  4. Miami, FL · Florida$13.36+$1.76
  5. Chicago, IL · Illinois$12.85+$1.25
  6. Manhattan, NY · New York$14.50+$2.90
  7. Alaska · Alaska$12.99+$1.39

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

Every other payment area

95117 in every other Medicare payment locality
Payment localityOfficeFacility
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—

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
95117 office rate range by state
State / territoryOffice rate rangeLocalities
AK$12.991
AL$10.711
AR$10.501
AZ$11.941
CA$13.36–$17.5229
CO$13.051
CT$13.351
DC$14.541
DE$12.181
FL$12.00–$13.363
GA$11.12–$12.622
GU$13.871
HI$13.871
IA$11.131
ID$11.221
IL$11.50–$12.944
IN$11.311
KS$11.041
KY$11.001
LA$10.96–$11.692
MA$12.93–$14.652
MD$12.48–$14.543
ME$11.27–$12.132
MI$11.36–$12.172
MN$12.471
MO$10.69–$11.783
MS$10.601
MT$12.361
NC$11.431
ND$12.161
NE$11.221
NH$12.811
NJ$13.50–$14.302
NM$11.431
NV$12.311
NY$11.66–$14.925
OH$11.311
OK$11.001
OR$12.21–$13.612
PA$11.35–$12.922
PR$12.491
RI$12.721
SC$11.391
SD$12.141
TN$11.111
TX$11.25–$13.028
UT$11.601
VA$12.06–$14.542
VI$12.491
VT$12.071
WA$12.92–$15.032
WI$11.621
WV$10.931
WY$12.271

See 95117 in every payment locality

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

Office or facility?

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
Office calculation for 95117 in Utah
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0000.0000
Practice expense0.36× 0.9400.3384
Malpractice0.01× 0.8980.0090
Total RVUs0.3474
Conversion factor× 33.4009

Office rate, Utah$11.60

Office: (0 × 1 + 0.36 × 0.94 + 0.01 × 0.898) × $33.4009 = $11.60

Open 95117 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical5Incident-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.

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

    $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.

  2. January 1, 2025

    RVU25A

    $11.49changed to$11.17

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $11.30changed to$11.49

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. 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
  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. January 1, 2016

    RVU16A

    $9.70changed to$9.66

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $9.65changed to$9.70

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. 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.

  15. 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.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $10.04

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$11.60Not available in this settingRVU26D
2026-07-01$11.60Not available in this settingRVU26C
2026-04-01$11.60Not available in this settingRVU26B
2026-01-01$11.60Not available in this settingRVU26A
2025-10-01$11.17Not available in this settingRVU25D
2025-07-01$11.17Not available in this settingRVU25C
2025-04-01$11.17Not available in this settingRVU25B
2025-01-01$11.17Not available in this settingRVU25A
2024-10-01$11.49Not available in this settingRVU24D
2024-07-01$11.49Not available in this settingRVU24C
2024-04-01$11.49Not available in this settingRVU24B
2024-03-09$11.49Not available in this settingRVU24AR
2024-01-01$11.30Not available in this settingRVU24A
2023-10-01$10.96Not available in this settingRVU23D
2023-07-01$10.96Not available in this settingRVU23C
2023-04-01$10.96Not available in this settingRVU23B
2023-01-01$10.96Not available in this settingRVU23A
2022-10-01$10.77Not available in this settingRVU22D
2022-07-01$10.77Not available in this settingRVU22C
2022-04-01$10.77Not available in this settingRVU22B
2022-01-01$10.77Not available in this settingRVU22A
2021-10-01$10.54Not available in this settingRVU21D
2021-07-01$10.54Not available in this settingRVU21C
2021-04-01$10.54Not available in this settingRVU21B
2021-01-01$10.54Not available in this settingRVU21A
2020-10-01$10.01Not available in this settingRVU20D
2020-07-01$10.01Not available in this settingRVU20C
2020-04-01$10.01Not available in this settingRVU20B
2020-01-01$10.01Not available in this settingRVU20A
2019-10-01$10.11Not available in this settingRVU19D
2019-07-01$10.11Not available in this settingRVU19C
2019-04-01$10.11Not available in this settingRVU19B
2019-01-01$10.11Not available in this settingRVU19A
2018-10-01$9.76Not available in this settingRVU18D
2018-07-01$9.76Not available in this settingRVU18C
2018-04-01$9.76Not available in this settingRVU18B
2018-01-01$9.76Not available in this settingRVU18AR1
2017-10-01$9.71Not available in this settingRVU17D
2017-07-01$9.71Not available in this settingRVU17C
2017-04-01$9.71Not available in this settingRVU17B
2017-01-01$9.71Not available in this settingRVU17A
2016-10-01$9.66Not available in this settingRVU16D
2016-07-01$9.66Not available in this settingRVU16C
2016-04-01$9.66Not available in this settingRVU16B
2016-01-01$9.66Not available in this settingRVU16A
2015-10-01$9.70Not available in this settingRVU15D
2015-07-01$9.70Not available in this settingRVU15C
2015-04-01$9.65Not available in this settingRVU15B
2015-01-01$9.65Not available in this settingRVU15A
2014-10-01$9.62Not available in this settingRVU14D
2014-07-01$9.62Not available in this settingRVU14C
2014-04-01$9.62Not available in this settingRVU14B
2014-01-01$9.62Not available in this settingRVU14A
2013-10-01$10.04Not available in this settingRVU13D
2013-07-01$10.04Not available in this settingRVU13C
2013-04-01$10.04Not available in this settingRVU13B
2013-01-01$10.04Not available in this settingRVU13AR

Price 95117 for an earlier date of service

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

Browse all communities in Utah

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
RVUs for 95117PPRRVU2026_Oct_nonQPP.csv, line 12,473 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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