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CPT code 95970: Neurostimulator analysis, without programming2026 Medicare rate & RVUs in Kansas

Reports electronic assessment of an implanted spinal cord or peripheral nerve stimulator when the device is checked without changing its programmed settings.

CMS RVU26DEffective Oct 1, 2026One payment locality30.7K Medicare services in 2024

In Kansas, Medicare pays $18.54 for 95970 in the office and $15.21 when it’s performed in a hospital or facility.

$18.54Office (non-facility)
$15.21Hospital or facility
−5.9%vs the national office rate ($19.71)

Check a contract rate as a % of Medicare · 95970 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 95970 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Kansas
  2. What 95970 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 95970 covers

CPT 95970 captures electronic interrogation of an implanted neurostimulator pulse generator for a spinal cord or peripheral nerve system when the visit assesses device operation without changing its programmed settings. The clinician reviews available device information, such as operating status, stored diagnostics, or battery status, and evaluates system function. This service commonly occurs during follow-up for patients with implanted spinal cord stimulation for chronic pain or peripheral nerve stimulation, in pain medicine, neurology, or neurosurgery settings. It concerns the implanted generator system, rather than EEG or intraoperative neurophysiologic monitoring.

Report the code when documentation supports device analysis without programming. Identify the implanted system and its site, describe the analysis performed and findings, and distinguish interrogation from parameter changes. If stimulation parameters are adjusted, choose the applicable with-programming code based on device type and service complexity. CMS valuation includes physician work, practice expense, and malpractice; practice-expense values differ between office and facility settings.

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 Kansas compares for 95970

Across 109 of 109 payment localities, the office rate for 95970 runs from $18.23 in Arkansas to $25.56 in Alaska. Kansas pays $18.54. The RVUs are the same everywhere; the geographic indexes change the dollars.

95970 in Kansas vs other payment areas
  1. Kansas · this page$18.54
  2. Los Angeles, CA · California$21.13+$2.59
  3. Washington, DC area · District of Columbia$21.70+$3.16
  4. Miami, FL · Florida$21.53+$2.99
  5. Chicago, IL · Illinois$21.12+$2.58
  6. Manhattan, NY · New York$22.18+$3.64
  7. Alaska · Alaska$25.56+$7.02

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

Every other payment area

95970 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$18.39$15.18
ArkansasArkansas$18.23$15.08
ArizonaArizona$19.34$15.78
Bakersfield, CACalifornia$20.21$16.18
Chico, CACalifornia$20.11$16.09
El Centro, CACalifornia$20.12$16.09
Fresno, CACalifornia$20.11$16.09
Hanford, CACalifornia$20.11$16.09

95970 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$18.23

$25.56

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

View every state and territory as a table
95970 office rate range by state
State / territoryOffice rate rangeLocalities
AK$25.561
AL$18.391
AR$18.231
AZ$19.341
CA$20.11–$23.6329
CO$20.081
CT$20.691
DC$21.701
DE$19.581
FL$19.90–$21.533
GA$19.14–$20.062
GU$20.251
HI$20.251
IA$18.511
ID$18.621
IL$19.66–$21.124
IN$18.681
KS$18.541
KY$18.841
LA$18.86–$19.432
MA$20.06–$21.442
MD$19.83–$21.703
ME$18.77–$19.272
MI$19.23–$20.152
MN$19.201
MO$18.71–$19.373
MS$18.471
MT$19.701
NC$18.871
ND$19.111
NE$18.541
NH$19.871
NJ$20.92–$21.632
NM$19.331
NV$19.551
NY$19.06–$22.645
OH$19.101
OK$18.731
OR$19.38–$20.422
PA$19.08–$20.402
PR$19.771
RI$20.051
SC$19.021
SD$19.041
TN$18.601
TX$19.00–$20.138
UT$19.181
VA$19.29–$21.702
VI$19.771
VT$19.141
WA$19.99–$21.702
WI$18.721
WV$19.221
WY$19.451

See 95970 in every payment locality

How the 95970 rate is calculated

Each of 95970’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 · 95970

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.35

0.35 RVUs× 1.000 GPCI

Practice expense0.21

0.21 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

0.5900

Conversion factor

$33.4009

Medicare rate

$19.71

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

The exact Kansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,725

Code
95970
Physician work
0.35
Practice expense
0.21
Malpractice
0.03

GPCI2026.csv

54

Locality
Kansas
Physician work
1.000
Practice expense
0.904
Malpractice
0.504
Office calculation for 95970 in Kansas
ComponentRVULocality factorAdjusted
Physician work0.35× 1.0000.3500
Practice expense0.21× 0.9040.1898
Malpractice0.03× 0.5040.0151
Total RVUs0.5550
Conversion factor× 33.4009

Office rate, Kansas$18.54

Office: (0.35 × 1 + 0.21 × 0.904 + 0.03 × 0.504) × $33.4009 = $18.54

Facility: (0.35 × 1 + 0.1 × 0.904 + 0.03 × 0.504) × $33.4009 = $15.21

Open 95970 in the RVU calculator

Payment rules and modifiers for 95970

95970 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 · 95970

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$19.71

Non-facility (office)
$19.71
Facility
$16.03

Higher because the practice carries its own overhead.

Codes related to 95970

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 95970
CodeHow it relatesOffice range, Kansas
Same family
95971Neurostimulator programming, simple spinal/peripheral nerveSpinal or peripheral nerve system analysis with simple programming.$47.16
95972Stimulator programming, complex spinal or peripheral nerveSpinal or peripheral nerve system analysis with complex programming.$55.68
Used instead
95976Stimulator programming, cranial nerve, simpleAnalysis with simple programming for a cranial nerve stimulation system.$35.90
95977Stimulator programming, cranial nerve, complexAnalysis with complex programming for a cranial nerve stimulation system.$47.87

How 95970 has changed in Kansas

95970 · Office / nonfacility

$18.54

Effective 2026-10-01

The base rate is $1.42 higher than on 2025-10-01, moving from $17.12 to $18.54 (8.3%).

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

    $17.12changed to$18.54

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.18 changed to 0.21
    • Practice expense GPCI 0.906 changed to 0.904
    • Malpractice GPCI 0.540 changed to 0.504

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $17.62changed to$17.12

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $17.33changed to$17.62

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $17.76changed to$17.33

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.17 changed to 0.18
    • Malpractice RVU 0.04 changed to 0.03
    • Practice expense GPCI 0.907 changed to 0.906
    • Malpractice GPCI 0.499 changed to 0.540

  5. January 1, 2023

    RVU23A

    $18.09changed to$17.76

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 0.908 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.499

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $18.24changed to$18.09

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $18.79changed to$18.24

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice RVU 0.03 changed to 0.04
    • Practice expense GPCI 0.910 changed to 0.908
    • Malpractice GPCI 0.536 changed to 0.458

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $18.53changed to$18.79

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.16 changed to 0.17
    • Practice expense GPCI 0.911 changed to 0.910
    • Malpractice GPCI 0.615 changed to 0.536

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $65.62changed to$18.53

    • Conversion factor 35.9996 changed to 36.0391
    • Work RVU 0.45 changed to 0.35
    • Practice expense RVU 1.48 changed to 0.16
    • Malpractice RVU 0.04 changed to 0.03

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $63.94changed to$65.62

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.44 changed to 1.48
    • Practice expense GPCI 0.907 changed to 0.911
    • Malpractice GPCI 0.639 changed to 0.615

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $63.29changed to$63.94

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.43 changed to 1.44
    • Practice expense GPCI 0.903 changed to 0.907
    • Malpractice GPCI 0.662 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $62.55changed to$63.29

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.40 changed to 1.43

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $62.24changed to$62.55

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $63.66changed to$62.24

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.44 changed to 1.40
    • Practice expense GPCI 0.899 changed to 0.903
    • Malpractice GPCI 0.810 changed to 0.662

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $65.89changed to$63.66

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.62 changed to 1.44
    • Practice expense GPCI 0.894 changed to 0.899
    • Malpractice GPCI 0.957 changed to 0.810

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $65.89

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$18.54$15.21RVU26D
2026-07-01$18.54$15.21RVU26C
2026-04-01$18.54$15.21RVU26B
2026-01-01$18.54$15.21RVU26A
2025-10-01$17.12$16.83RVU25D
2025-07-01$17.12$16.83RVU25C
2025-04-01$17.12$16.83RVU25B
2025-01-01$17.12$16.83RVU25A
2024-10-01$17.62$17.02RVU24D
2024-07-01$17.62$17.02RVU24C
2024-04-01$17.62$17.02RVU24B
2024-03-09$17.62$17.02RVU24AR
2024-01-01$17.33$16.74RVU24A
2023-10-01$17.76$17.45RVU23D
2023-07-01$17.76$17.45RVU23C
2023-04-01$17.76$17.45RVU23B
2023-01-01$17.76$17.45RVU23A
2022-10-01$18.09$17.77RVU22D
2022-07-01$18.09$17.77RVU22C
2022-04-01$18.09$17.77RVU22B
2022-01-01$18.09$17.77RVU22A
2021-10-01$18.24$17.92RVU21D
2021-07-01$18.24$17.92RVU21C
2021-04-01$18.24$17.92RVU21B
2021-01-01$18.24$17.92RVU21A
2020-10-01$18.79$18.47RVU20D
2020-07-01$18.79$18.47RVU20C
2020-04-01$18.79$18.47RVU20B
2020-01-01$18.79$18.47RVU20A
2019-10-01$18.53$18.20RVU19D
2019-07-01$18.53$18.20RVU19C
2019-04-01$18.53$18.20RVU19B
2019-01-01$18.53$18.20RVU19A
2018-10-01$65.62$23.64RVU18D
2018-07-01$65.62$23.64RVU18C
2018-04-01$65.62$23.64RVU18B
2018-01-01$65.62$23.64RVU18AR1
2017-10-01$63.94$23.58RVU17D
2017-07-01$63.94$23.58RVU17C
2017-04-01$63.94$23.58RVU17B
2017-01-01$63.94$23.58RVU17A
2016-10-01$63.29$23.20RVU16D
2016-07-01$63.29$23.20RVU16C
2016-04-01$63.29$23.20RVU16B
2016-01-01$63.29$23.20RVU16A
2015-10-01$62.55$23.29RVU15D
2015-07-01$62.55$23.29RVU15C
2015-04-01$62.24$23.17RVU15B
2015-01-01$62.24$23.17RVU15A
2014-10-01$63.66$23.72RVU14D
2014-07-01$63.66$23.72RVU14C
2014-04-01$63.66$23.72RVU14B
2014-01-01$63.66$23.72RVU14A
2013-10-01$65.89$23.00RVU13D
2013-07-01$65.89$23.00RVU13C
2013-04-01$65.89$23.00RVU13B
2013-01-01$65.89$23.00RVU13AR

Price 95970 for an earlier date of service

Where the Kansas rate applies

Kansas is a Medicare payment area, not a city. Our Census mapping connects it to 740 cities and communities in Kansas. Some span more than one payment area; confirm with the service ZIP.

  • Abbyville
  • Abilene
  • Ada
  • Admire
  • Agenda
  • Agra
  • Albert
  • Alden

Browse all communities in Kansas

95970 billing questions

How does 95970 differ from 95971 or 95972?

95970 describes analysis without programming. Codes 95971 and 95972 describe programming for spinal cord or peripheral nerve systems, at simple and complex levels, respectively.

Does this code include changing stimulation settings?

No. It represents analysis without changing programmed settings; report the applicable with-programming code when parameters are adjusted.

Is 95970 used for cranial nerve or brain stimulators?

This code is for spinal cord or peripheral nerve systems. Cranial nerve systems have codes 95976 and 95977, while brain neurostimulator programming is represented by 95983 and 95984.

What documentation supports reporting 95970?

Document the implanted system and site, the electronic analysis performed, the findings, and that programmed settings were not changed.

Is 95970 reported in timed increments?

The service is not described in timed increments. Documentation should support the device analysis performed, rather than elapsed minutes.

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 95970PPRRVU2026_Oct_nonQPP.csv, line 12,725 (RVU26D)
Geographic factors for KansasGPCI2026.csv, line 54 (RVU26D)

Open CMS sourceHow we calculate rates

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